The Health Plan As Elephant

A colleague of mine once said, "When sleeping next to an elephant, you can't help but notice when they roll over." These days, for any organization in the health and human service field, that applies to health plans. The policies and practices of health plans are a driver of health and human service delivery systems in most markets. Managed care models for the financing and delivery of services have been widely adopted by almost every payer. Over 80% of Medicaid beneficiaries now have their benefits managed by health plans (see About 85% Of Medicaid Beneficiaries Enrolled In Managed Care . . .