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New Kaiser Report on Medicaid Managed Care Programs

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New Kaiser Report on Medicaid Managed Care Programs

September 16, 2011

With 72% of all Medicaid beneficiaries enrolled in managed care—and states scrambling to find ways to address budget troubles and reform health care systems—states are expected to increase their reliance on managed care to deliver services in their Medicaid programs.

These patterns were confirmed this week not only at the national Home and Community-Based Services (HCBS) conference, but in a Kaiser briefing and release of a new report: A Profile of Medicaid Managed Care Programs in 2010: Findings from a 50-State Survey.

States increasingly are turning to managed care for Medicaid beneficiaries with more complex needs by requiring enrollment in managed care for managed care for populations such as children with disabilities receiving SSI, children with special health care needs, and seniors and people with disabilities. In addition, half of states report some enrollment of dual eligibles in managed care.

The Centers for Medicare and Medicaid Services officials at the HCBS conference told the audience that states are contacting them now wanting to start these initiatives by October 1.Dozens of states are already working with CMS to develop integrated financing and delivery models to align long-term services for dual eligibles.

ANCOR is helping you keep abreast of fast moving federal and state Medicaid and health reform developments, which allow a range of capitated and shared savings initiatives affecting long-term services and supports with two upcoming events: