KY, not KS (0.00 / 0)

Passport is unhappy they are no longer being the only game in town. The state recently completed a procurement and made awards to some new players in the market they previously controlled. Disagreement between an awardee and the state over the assignment formula is not mismanagement.

I don't think you can cite 'the level of mismanagement in some states' without providing more support than this example (which IMO is not mismanagement). Certainly, managed care is not a panacea. It is simply a tool, and some states use it more effectively than others. States use it for budget certainty, and I don't think anyone can argue that there isn't more attention paid to quality and access under Medicaid managed care than Medicaid FFS. Where I think some states fall short is in the level of sophistication of their oversight, and using all the information they require contracted plans to provide for program improvement. But there is so much more accountability with managed care, and so much more information available to the state and the public on performance, that there historically with FFS.

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by: hopemorrison @ Thu Nov 08, 2012 at 19:08:31 PM UTC