States moving Medicaid beneficiaries to privatized managed care: 5 insights

More states are moving their Medicaid beneficiaries to private managed care companies, Forbes reports.

Advertisement

Here’s what you should know.

1. Illinois, North Carolina and Oklahoma are three of the larger states privatizing their Medicaid programs. Florida and Mississippi are renewing their privatized Medicaid plans.

2. Medicaid Health Plans of America CEO Jeff Meyers said he expects this trend to continue, especially if states reconsider Medicaid expansion. He said to Forbes, “States will realize that such a move can only successfully be made with the budget predictability that managed care provides.”

3. Analysts believe the move will bring new customers to Aetna, Anthem, Centene, Molina, UnitedHealth Group and Blue Cross and Blue Shield in droves. Those six payers are already growing their Medicaid businesses, Forbes reports.

4. Illinois Gov. Bruce Rauner, R, plans to move more than 80 percent of the state’s Medicaid beneficiaries into private health insurance plans.

5. Consulting firm PwC’s 2016 report found 54.7 million Americans are already in a private Medicaid plan said as of last year.

More articles on coding, billing and collections:
AHIP: Payers need more certainty as premium rate request deadline inches closer
Former SC Medicaid director accepts VP of policy, finance job with state Hospital Association: 3 key notes
The 4 secrets to scaling your business

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

Register to Attend Webinar

Is ambulatory care healthcare’s big margin engine? 4 leaders weigh in

Wednesday, July 29
1:00 PM - 2:00 PM CDT

Presenters: Joe Ganley, athenahealthJeffrey Flynn, CASC, Gramercy Surgery CenterBryan Tsao, Access Center, Loma Linda University HealthJason Zepeda, Northridge Hospital Medical Center, CommonSpirit HealthGreg DeConciliis, PA-C, CASC, Boston Out­Patient Surgical Suites

Advertisement

Next Up in ASC Coding, Billing & Collections

Advertisement

Comments are closed.