Illi­nois gov wants re­vamp of Med­i­caid man­aged care

Modern Healthcare - - REGIONAL NEWS - —Kris­ten Schorsch, Crain’s Chicago Busi­ness

Illi­nois Gov. Bruce Rauner out­lined a re­boot of the state’s Med­i­caid man­aged-care pro­gram, which would re­quire in­sur­ers picked through a com­pet­i­tive bid­ding process to be held ac­count­able for pa­tient out­comes. Pre­vi­ously, in­sur­ers bid for spe­cific types of pa­tients in man­aged care, such as those who have dis­abil­i­ties, but now they’ll have to pitch them­selves as a one-size-fits-all in­surer.

About 65% of the state’s 3.1 mil­lion Med­i­caid re­cip­i­ents are in man­aged care. Rauner wants to ex­pand man­aged-care ser­vices statewide and add an­other 15% of all Med­i­caid en­rollees to the pro­gram.

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