Managed Care

 

Medicaid Plans Too Successful For Own Good?

MANAGED CARE December 2006. © MediMedia USA
News and Commentary

Medicaid Plans Too Successful For Own Good?

MANAGED CARE December 2006. ©MediMedia USA

States have been having a tough time in recent years trying to make the federal Medicaid funding stretch farther. Some have resorted to limiting enrollment. Others have turned to managed care to the point where 1 in 3 beneficiaries now receive care through a health plan.

It seems to be working — perhaps too well. The Wall Street Journal reports that not only do costs appear to be stabilizing, but the health plans are raking in huge profits. One company, named Centene, records 1.2 million Medicaid members and revenue of $1.5 billion for 2005. Therein lies the problem. Detractors who say private industry should not be involved in a public program complain that some of that profit has been earned at the expense of patient care. The Journal notes that Centene has helped to fund a multimillion-dollar arts center in St. Louis, and has financed a stadium for a minor league baseball franchise.

All of which fails to impress Jerry Flanagan, health care policy director for the Foundation for Taxpayer and Consumer Rights, an advocacy group. "What's good for shareholders is bad for patients," he tells the Journal.

Meetings

Private Health Insurance Exchanges Conference Washington, D.C. October 7–8, 2014
National Healthcare Facility Management Summit Palm Beach, FL October 16–17, 2014
National Healthcare CFO Summit Las Vegas, NV October 19–21, 2014
National Healthcare CXO Summit Las Vegas, NV October 19–21, 2014
Innovative Member Engagement Operations For Health Plans Las Vegas, NV October 20–21, 2014
4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
Healthcare Chief Medical Officer Forum Alexandria, VA November 13–14, 2014
Home Care Leadership Summit Atlanta, GA November 17–18, 2014