The Changing Medicaid Carve-Out Market: The 2016 OPEN MINDS Update On Vertical Carve-Outs

In the past five years, payers have pushed for “integration” of care coordination – particularly for the super-utilizer group of high cost consumers with multiple chronic conditions and complex social support needs. This push for integrated care coordination has had a pronounced effect on the concept of the “behavioral health carve-out.” Traditional behavioral health carve-outs have been “horizontal”– meaning that a specific type of service or benefit was managed separately from the rest of a consumer’s health care.

This market intelligence report provides a detailed analysis on specialty carve-out models in the Medicaid system and provides . . .