Navigation Links
Medicaid Reform Efforts Underway in Louisiana and Rhode Island
Date:2/19/2009

States Choose Different Approaches, Yet Face Hurdles in Light of Economic Downturn, According to New Reports from HealthLeaders-InterStudy

NASHVILLE, Tenn., Feb. 19 /PRNewswire/ -- HealthLeaders-InterStudy, a leading provider of managed care market intelligence, reports that significant state Medicaid reform efforts in Louisiana and Rhode Island will likely face challenges in light of the nation's economic downturn, particularly as Medicaid populations grow.

According to the recent Georgia, Alabama & Louisiana Health Plan Analysis, state officials believe that a re-structured Medicaid program, giving beneficiaries a choice of plans, will provide residents better health outcomes for less money than the present fee-for-service, one-size-fits-all program. Louisiana would contract with at-risk managed care plans and primary care networks. The plan is currently under review by the Centers for Medicare & Medicaid Services (CMS) and includes pilot programs in four regions with an expanded experiment in the state's Lake Charles region. Reform is much needed in the state as it currently ranks last or nearly last in national health rankings.

"With dismal health outcomes and rising Medicaid costs, managed Medicaid is past due in Louisiana, though plans will likely face hurdles in the coming year because of the economic climate and growing demand," said Jan Shuxteau, analyst with HealthLeaders-InterStudy. "However, once approved, the prospect of hundreds of thousands of covered lives will attract significant interest from managed care organizations, particularly those that already have experience in the state-sponsored insurance sector."

According to the Winter 2009 New England Health Plan Analysis, Rhode Island has received CMS approval to operate its Medicaid program under what is known as a "global cap." Under this five-year deal, the state receives a set amount of funding from the federal government, but is responsible for costs that go over that amount. In return, Rhode Island Medicaid would have flexibility to design benefits and manage the Medicaid program outside the usual rules.

"Gov. Carcieri is driving Rhode Island's Medicaid reform efforts, but there are many who feel the cap approach carries too much risk for the state, especially with the state's high unemployment rate," said Ric Gross, analyst with HealthLeaders-InterStudy. "However, the governor contends the expansion of at-home and community-based services for the elderly enabled under the plan's flexibility will help them avoid more costly, longer term costs, such as nursing home care."

Why Pharmaceutical Companies Need Health Plan Analysis

Health Plan Analysis identifies key health plan trends, allowing pharmaceutical companies to create comprehensive strategic plans and sales strategies at state and local levels. Updated quarterly, Health Plan Analysis provides a detailed look at plan design and financials, as well as information about mergers, legislation and other influencers driving healthcare in a particular region.

About HealthLeaders-InterStudy

HealthLeaders-InterStudy, a Decision Resources, Inc. company, is the authoritative source for managed care data, analysis and news. For more information, please visit www.HL-ISY.com.

About Decision Resources, Inc.

Decision Resources, Inc. is a cohesive portfolio of companies that offers best-in-class, high-value information and insights on important sectors of the healthcare industry. Clients rely on this analysis and data to make informed decisions. Please visit Decision Resources, Inc. at www.DecisionResourcesInc.com.

All company, brand or product names contained in this document may be trademarks or registered trademarks of their respective holders.

    For more information, contact:

    Lisa Osgood                               Elizabeth Marshall
    HealthLeaders-InterStudy                  Decision Resources, Inc.
    781-296-2606                              781-296-2563
    losgood@hl-isy.com                        emarshall@dresources.com


'/>"/>
SOURCE HealthLeaders-InterStudy
Copyright©2009 PR Newswire.
All rights reserved

Related medicine news :

1. Providence Service Corporation Comments on $87 Billion Medicaid Assistance for States in the American Recovery and Reinvestment Act Signed into Law Yesterday
2. Medicaid Health Plans of America Lauds Stimulus Bills Conference Agreement Which Provides $90 Billion in Medicaid Relief for Nations Most Vulnerable Citizens
3. Availity Offers No Cost Florida Medicaid Transactions to Providers
4. AMERIGROUP Health Plan in Nevada Begins Serving Medicaid Enrollees
5. Nationally Recognized Medicaid Fraud Prosecutor Tim Terry Joins Successful Whistleblower Law Practice, Specializing in "Qui Tam" Citizen Suits Under False Claims Acts
6. Circumcision rates lower in states where Medicaid does not cover procedure
7. Providence Service Corporation Provides The Center on Budget and Policy Priorities Preliminary Analysis of Potential Medicaid Assistance for States in the House Economic Recovery Package
8. Providence Service Corporation Provides Update on Potential Medicaid
9. Whistleblowers Complaints Lead Eli Lilly to Pay $800 Million to Settle Civil Medicaid Fraud Charges, According to Berg & Androphy
10. Highmark Medicare Services Awarded New Contract from Centers for Medicare & Medicaid Services
11. Substance abuse adds millions to Medicaids total health care costs
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:1/15/2017)... ... January 15, 2017 , ... Going above ... program that strives to better communities around the world by offering the Gensuite ... provides the opportunity for team members to become involved in a cause that ...
(Date:1/15/2017)... ... January 15, 2017 , ... San Francisco Magazine ... Bay Area counties for 2017. Almost 1,000 nominations were submitted and a little ... process. Results were announced the magazine’s January 2017 issue . , Under ...
(Date:1/14/2017)... ... January 14, 2017 , ... Healthy ... expanding line of activated charcoal products. With more and more people opting to ... products according to how they cater to specific needs. , Moody Zook focused ...
(Date:1/13/2017)... ... January 13, 2017 , ... People ... levels. Counting carbohydrates is as easy as checking the nutrition label on foods ... blood sugar levels. Despite being sugar-free, proteins can influence — either positively or ...
(Date:1/13/2017)... ... , ... With the increasing public preference for chemical-free personal ... alternatives for customers who have grown more conscious about maintaining their health and ... charcoal products, Moody Zook Chief Executive Officer Nate Ginsburg explained their company’s decision ...
Breaking Medicine News(10 mins):
(Date:1/16/2017)... YORK , Jan. 16, 2017 ... Densitometers Market Outlook to 2022", provides key market data ... provides value, in millions of US dollars, volume (in ... Dual Energy X-Ray Absorptiometry (DEXA) and Quantitative Ultrasound (QUS). ... shares data for each of these market segements, and ...
(Date:1/16/2017)... 16, 2017  Verathon ® Inc., a leading manufacturer and ... new GlideScope ® Spectrum TM Single-Use video laryngoscopes. ... and Ambient Light Reduction TM technology, which actively optimizes ... ... Introducing another bright idea ...
(Date:1/16/2017)... , Jan. 16, 2017 When synthetic Fentanyl ... market their product as top-rate. They offered free samples, inviting ... customer service. Soon, business was booming. ... described as 100 times more powerful than morphine, has racked ... in last 2 years. One dealer,s recorded fentanyl sales ...
Breaking Medicine Technology: