Ga. stays with cur­rent in­sur­ers for Med­i­caid con­tracts

Modern Healthcare - - REGIONAL NEWS - —Bob Her­man

Ge­or­gia’s Depart­ment of Com­mu­nity Health has ac­cepted the Med­i­caid man­aged-care bids of four in­sur­ers, three of whom had al­ready run the state’s Med­i­caid pro­gram.

For the past sev­eral years, Ge­or­gia has con­tracted with An­them, Cen­tene Corp. and Well Care Health Plans to man­age the care of its low-in­come pop­u­la­tion. Ge­or­gia awarded a con­tract to each of those for-profit in­sur­ers as well as a new bid­der, Care Source, a not-for-profit plan head­quar­tered in Day­ton, Ohio. An­them will also con­tinue to man­age the Ge­or­gia Fam­i­lies 360 pro­gram, which cov­ers chil­dren and young adults who are in foster care, adop­tion as­sis­tance or jail.

Ge­or­gia’s new Med­i­caid man­aged­care con­tracts will go into ef­fect July 2016 and still must be fi­nal­ized. The four com­pa­nies will cover about 1.5 mil­lion poor Ge­or­gians, and com­bined pre­mium rev­enue ex­ceeds $3 bil­lion. The state has high rates of poverty and sev­eral coun­ties with poor health out­comes. Some ex­perts have ques­tioned whether the wide­spread shift to Med­i­caid man­aged care is truly ben­e­fit­ing the low­in­come ben­e­fi­cia­ries.

Newspapers in English

Newspapers from USA

© PressReader. All rights reserved.