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:6/27/2016)... Overland Park, KS (PRWEB) , ... June 27, 2016 , ... ... leader in retailers of Eyeglasses . , Millions of individuals in the United ... life, eyeglasses have become a way to both correct vision and make a fashion ...
(Date:6/26/2016)... ... ... legally blind and certified personal trainer is helping to develop a weight loss fitness plan ... fix the two major problems leading the fitness industry today:, , ... They don’t eliminate all the reasons people quit their exercise program ...
(Date:6/25/2016)... ... June 25, 2016 , ... "With 30 hand-drawn hand gesture animations, FCPX users ... - CEO of Pixel Film Studios. , ProHand Cartoon’s package transforms over 1,300 ... Pro X . Simply select a ProHand generator and drag it above media or ...
(Date:6/25/2016)... ... June 25, 2016 , ... Conventional wisdom preaches the ... In terms of the latter, setting the bar too high can result in disappointment, ... just slow progress toward their goal. , Research from PsychTests.com reveals ...
(Date:6/24/2016)... ... June 24, 2016 , ... The ... in Dallas that it will receive two significant new grants to support its ... PHA marked its 25th anniversary by recognizing patients, medical professionals and scientists for ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... ITASCA, Ill. , June 23, 2016  In a startling ... states are failing their residents by lacking a comprehensive, proven plan ... , a definitive ranking of how states are tackling the ... rating to only four states – Kentucky , ... and Vermont . Of the 28 failing states, ...
(Date:6/23/2016)... , June 23, 2016 Bracket , a ... its next generation clinical outcomes platform, Bracket eCOA (SM) ... on June 26 – 30, 2016 in Philadelphia ... electronic Clinical Outcome Assessment product of its kind to fully ... Bracket eCOA 6.0 is a flexible platform for ...
(Date:6/23/2016)... -- Guerbet announced today that it has been named a ... One of 12 suppliers to receive the ... of Premier members through exceptional local customer service and ... lower costs. "We ... customer service from Premier," says Massimo Carrara , ...
Breaking Medicine Technology: