RWJ and Urban Institute 8 State Study: Concerns on Long Term Care Capacity In Medicaid Expansion
Tuesday, June 4, 2013
by: VNAA Policy Team

Section: Public Policy and Advocacy




The Robert Wood Johnson Foundation and the Urban Institute recently released a study on eight states taking on Medicaid managed care expansions. The study found that stakeholders in Medicaid managed care programs feel prepared for the increased enrollment but there are some concerns about long-term care and provider capacity.

The study was conducted through interviews with healthcare stakeholders in Maryland, Michigan, Minnesota, New Mexico, New York, Oregon, Rhode Island and Virginia. Expanding Medicaid was an option for all states under the Affordable Care Act. To date, 19 states are expected to expand Medicaid including increasing managed care enrollment in 2014.

All of the states in the study have taken steps to prepare for the influx of new managed care beneficiaries including:
  • Shifting from voluntary to mandatory managed care enrollment
  • Modifying payment systems
  • Consolidating existing managed care programs
The study found that due to these advanced preparations, officials in these states feel prepared for the enrollment growth beginning in 2014.

While many states can predict and prepare for how the new expanded populations will utilize managed care, it is difficult to estimate what the need will be for integration of dual-eligibles and inclusion of long-term care services. Provider capacity is a common concern in part due to low Medicaid reimbursement rates. Low rates could make it hard to recruit providers not already participating in Medicaid managed care while current providers may not be accepting new Medicaid patients.

To read the full analysis, click here.
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