Specialty Health Plans On The Increase In Medicaid

Last week, I wrote about state adoption of Medicaid care coordination and integration initiatives such as patient-centered medical homes, health homes, certified community behavioral health clinics, accountable care organizations, Medicaid-Medicare health plans, vertical/specialty health plans, and managed long-term services and supports. The adoption of these initiatives can have a major effect on provider organization strategy, referral generation, and reimbursement (see The Medicaid Care Coordination Models Driving Strategy In Your State).

As I reviewed data in the report, adoption of vertical/specialty health plans over the past year really stood out. As a reminder, these plans—which . . .