Kansas Gov. Sam Brownback announced plans to seek a waiver from the federal government to revamp the state's Medicaid program around patient-centered models of care in order to save an estimated $853.1 million in fiscal years 2013-17 compared with current projected spending levels, according to the governor's website.
Kansas governor aims to revamp state Medicaid
Brownback's proposal is similar to the Medicaid models used in states such as Michigan, Pennsylvania, Tennessee and Texas, according to the governor's office. The proposal is the product of a task force Brownback, a Republican, launched in January under Lt. Gov. Dr. Jeff Colyer. It envisions a request for proposals for three statewide contractors to coordinate care for beneficiaries. The contractors would be measured on population-specific and statewide outcomes linked to financial incentives; 3% to 5% of total payments would be in the form of quality and performance incentives. The contractors also would be subject to penalties for poor performance or a lack of reporting.
Beneficiaries would get a health-risk assessment and health literacy education. They would be locked into a provider for one year, in order to ensure continuity in treatment. Some state agency duties will be reorganized to streamline interaction between the agencies and the Medicaid program.
The Medicaid program would be renamed KanCare. The contractors also would serve patients with disabilities and the Children's Health Insurance Program.
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