News Report | September 6, 2004
Managed Medicaid Business Might Be Worth the Difficulties
September 6, 2004
Managed Medicaid Business Might Be Worth the Difficulties
Managed Medicaid can be a profitable business for plans that emphasis preventive care, aggressively seek market share, and assertively manage this highly regulated population. Fifty-nine percent of the nation's nearly 43 million Medicaid enrollees are part of a managed care plan.
Many of the nation's more than 500 managed Medicaid plans still use conventional HMO practices such as utilization and intensive case management to control costs, mainly because Medicaid's resources are limited. States usually set Medicaid managed care capitation rates . . .