New Report Finds Medicaid Managed Care Plans Doing Significant Community Outreach
Monday, April 22, 2013
by: VNAA Policy Team

Section: Public Policy and Advocacy

A new report from the Commonwealth Fund analyzes the efforts of four managed care organizations (MCOs) in creating community partnerships to meet the needs of vulnerable Medicaid patients and other individuals in their communities. As states increasingly shift Medicaid beneficiaries into managed care, many are calling for greater accountability for access to care, quality of services, health outcomes, and efficiency in care delivery.

The MCOs analyzed in this report are Gateway Health Plan in Pennsylvania, HealthPartners in Minnesota, L.A. Care in California and Neighborhood Health Plan in Massachusetts. All of these organizations share common goals of: 1) improving access to care and coordination of services, 2) preventing illness; and 3) reducing disparities.
The plans are working to engage multiple constituencies including social services organizations, local retailers, and other service providers to offer team-based, integrated care in homes and day centers. Home visits and telehealth are two tools are being used to provide care coordination, prevent hospitalizations, promote home based screenings and enhance self-management.

Click here to read the report.
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