Join, Follow & Connect
Join Modern Healthcare's LinkedIn group Follow Modern Healthcare on Twitter Join Modern Healthcare's Facebook group Follow Modern Healthcare's Pinterest board Modern Healthcare's Flickr page Modern Healthcare's YouTube Channel Get a Modern Healthcare news feed

 
Comment Buy Reprints Print Article Share on LinkedIn Share on Facebook Share on Twitter Email this page to a colleague
Healthcare Business News
 

N.H.'s move to Medicaid managed care smooth so far


By Associated Press
Posted: December 15, 2013 - 5:30 pm ET
Tags:

New Hampshire health officials say they are pleased so far with the state's transition to a managed care system for its Medicaid program.

Since the program launched Dec. 1, the number of calls to the three contracted health plans have been what officials expected, and problems that have come up have been resolved quickly. One trouble spot has involved pharmacy claims, because pharmacies need to know which plan the customer has selected in order to fill a prescription.

Advertisement | View Media Kit

 

"Though some instances have required work behind the scenes to assure continuity of care and timely payment, in early every such instance, the challenges were resolved rapidly and the member experience was smooth," said Deputy Medicaid Director Lisabritt Solsky.

New Hampshire is switching from a fee-for-service healthcare system to managed care to save money and try to provide Medicaid clients with better access to healthcare, especially those with chronic illnesses such as diabetes. The system is being implemented in phases. Switching to managed care is mandatory for most clients during the first phase, which covers medical care, such as doctors.

Three companies are offering plans: Meridian Health Plan, New Hampshire Healthy Families and Well Sense Health Plan. State officials said all Medicaid recipients should now have their health plan identification cards.

Last month, Senate Republicans rejected plans to extend Medicaid coverage to an estimated 49,000 poor adults under President Barack Obama's healthcare overhaul law, but lawmakers are expected to consider the issue again next year.


What do you think?

Share your opinion. Send a letter to the Editor or Post a comment below.

Post a comment

Loading Comments Loading comments...

Search ModernHealthcare.com:


 

Switch to the new Modern Healthcare Daily News app

For the best experience of ModernHealthcare.com on your iPad, switch to the new Modern Healthcare app — it's optimized for your device but there is no need to download.