Saturday, December 10, 2005

Illinois Medicaid: it's "highly politicized"

Blagojevich will create new programs for kids but the kids on their own when figuring out how to access care in Illinois.
October 4, 2005 - Nashville, Tenn. - HealthLeaders-InterStudy, a leading provider of managed care industry Humana Inc. and UnitedHealth Group have quietly pulled out of the Illinois managed Medicaid market.intelligence, finds that According to the latest issue of Illinois Health Plan Analysis from HealthLeaders-InterStudy, severe cuts in Medicaid reimbursement are making it more difficult for any health plan to offer a managed Medicaid product in Illinois.

"Medicaid in Illinois is highly politicized," said Rick Byrne, HealthLeaders-InterStudy analyst. "Though a study recommended expanding managed care in the state's Medicaid program, the legislature instead cut reimbursements. Managed care could show some real cost savings if allowed to operate properly, but I don't see that as a realistic possibility in the near future."

Unlike many states, Illinois does not assist in membership enrollment, leaving the entire cost to the managed care plans. The resulting high marketing costs and low enrollments make it difficult for the health plans to operate efficiently.

1 comment:

Kathlene B. LaCour & Craig S. Judd said...

I am sorry to see this happening in Illinois. Thanks for keeping us up to date on managed care there.

As a mental health and managed care professional, I imagine the patients are getting the worst end of the stick.