Judith D. Moore
With the ever-growing concern about costs in Medicaid and across the health care sector, many state officials and others aim to find savings and deliver more efficient and effective care. One possibility in the Medicaid program for achieving these goals is to serve Medicaid’s adult beneficiaries under the age of 65 with disabilities in a managed care setting. In 2008, about 10 million of Medicaid’s 60 million beneficiaries were persons with disabilities. Although they make up a small proportion of the total number of people covered by the program, this vulnerable group has high health care needs and substantially higher per-enrollee costs than other Medicaid beneficiaries. What has been the experience among the states with serving this group of vulnerable people through managed care? In what ways are different states approaching this issue? This Forum session reviewed these questions and addressed the challenges facing the nation and states in providing efficient and accessible medical care to persons with disabilities through Medicaid managed care arrangements.
Paul Saucier, MA, Director, Integrated Care Systems, Community Living Systems Group, Thomson Reuters; Izanne Leonard-Haak, MS, Acting Deputy Secretary, Pennsylvania Department of Public Welfare; Christopher Perrone, MPP, Deputy Director, Health Reform and Public Programs Initiative, California HealthCare Foundation
- Marguerite E. Burns, "Medicaid Managed Care and Cost Containment in the Adult Disabled Population," Medical Care, 47, no.10 (October 2009): pp. 1067-1076
- The Lewin Group, "Medicaid Managed Care Cost Savings-A Synthesis of 24 Studies," prepared for America's Health Insurance Plans, March 2009
- Teresa Coughlin, Sharon Long, and John Graves,"Does Managed Care Improve Access to Care for Medicaid Beneficiaries with Disabilities? A National Study," Inquiry, 45, no. 4 (December 2008): pp. 395-407
- Centers for Medicare & Medicaid Services, "Medicaid Managed Care Enrollment Report Summary Statistics as of June 30 2009"