March 8

According to a new report by the America's Health Insurance Plans (AHIP), Medicaid managed care plans enhance a Medicaid patient's quality of life and improve their health while reducing health care costs. This is important because Medicaid populations have been growing. From 2010-2011, enrollment in Medicaid health plans nationally grew at nearly twice the rate of total Medicaid enrollment. And with the Patient Protection and Affordable Care Act promoting Medicaid coverage to people with incomes under 138 percent of the federal poverty level, Medicaid and the Children's Health Insurance Program are expected to add an additional 12 million people to their programs by 2022.

Medicaid managed care plans provide value by promoting access to care and meeting the diverse health needs of their specific communities. For example, Medicaid managed care health plans partner with community case workers to ensure children in foster care receive routine checkups and they engage community health educators to assist in care delivery. A Lewin Group analysis of 24 state Medicaid managed care programs found that these plans provided up to 20 percent in savings versus fee-for-service Medicaid programs.

In Wisconsin, community-based health plans serve 232,220 Medicaid managed care enrollees. The Wisconsin Association of Health Plan's description of Medicaid managed health care plans' value can be found here: To read AHIP's full report, visit their blog at:


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