Illinois Gov. Bruce Rauner outlined a reboot of the state's Medicaid managed-care program, which would require insurers picked through a competitive bidding process to be held accountable for patient outcomes. Previously, insurers bid for specific types of patients in managed care, such as those who have disabilities, but now they'll have to pitch themselves as a one-size-fits-all insurer.
About 65% of the state's 3.1 million Medicaid recipients are in managed care. Rauner wants to expand managed-care services statewide and add another 15% of all Medicaid enrollees to the program.