Managed care systems for Americans on Medicaid, when executed incorrectly, don't benefit anyone. And considering the level of mismanagement taking place in some states, others, including Texas, should seriously reconsider implementing managed care for Medicaid patients.
Take what's happening in Kansas. One managed-care company, Passport, has filed a formal complaint because the state miscalculated the amount of patients the company would receive under the new program, dropping it from 41 percent down to 27 percent. As a result, Passport is formally complaining that the state has violated its own bidding process.
On top of that, Passport claims that if the state were to assign them an even larger share, an astonishing 80 percent of the region's population, the state would save an estimated $80 million.
Instead of focusing on providing quality health care for patients, Kansas and its managed care companies are fighting each other over who gets assigned the largest patient load. This simply will not work.
Texas needs Medicaid reform that makes sense, and helps patients. Visit Pharmacy Choice and Access Now to find out more.