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Program stifles cost increases
Managed care principles used to save billions in Medicaid costs in Pennsylvania.
HARRISBURG, PA.-Pennsylvania has saved $2.7 billion during the past five years as a result of applying managed care principles to Medicaid through its HealthChoices Program, an analysis by the Lewin Group said.
The program has also done a better job at holding down annual increases in medical costs compared with fee-for-service, Pennsylvania's traditional Medicaid program, according to the report, which was commissioned by the Pennsylvania Coalition of Medical Assistance Managed Care Organizations.
The report focused on four areas:
"We've been able to negotiate rates with the provider community that make sense in the cost structure of [Medicaid]," he says. "We're also able to utilize education programs that talk directly to our members about how to manage significant disease states like diabetes, asthma and obesity."
DC Roundtable: Patrick Cooney of The Federal Group Drops the Latest on PBM Legislation in Washington
April 11th 2024In this episode of "DC Roundtable," Peter Wehrwein, managing editor of Managed Healthcare Executive, spoke with Patrick Cooney, president of The Federal Group, a lobbying and strategic planning firm in Washington, D.C., about recent developments in Washington concerning PBMs.
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