States Moving Nursing Home Residents into Medicaid Managed Care

More than ever, states are moving nursing home residents, most of whom suffer from multiple chronic conditions, into Medicaid managed care plans run by private insurance companies. The move is expected to double the number of LTC residents currently enrolled in Medicaid care to 1.2 million people this year. According to supporters, the shift is meant to enable state officials to monitor Medicaid costs. However, many critics believe it encourages insurers to decrease benefits to boost profits. Florida is moving 45,000 nursing home residents and 40,000 consumers who receive in-home or assisted living care into Medicaid managed plans operated by private insurers. The state pays a monthly fee to seven insurers to cover the costs. Experts believe the Medicaid managed care market may soon see a large-scale membership boom.

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One thought on “States Moving Nursing Home Residents into Medicaid Managed Care

  1. Pingback: Monday Morning Recap | hmsabc

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