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How Medicaid Managed Care Addresses Barriers To Care

posted by Alicia Caramenico

on May 3, 2016

Millions of Americans depend on the Medicaid program, and it’s through the work of Medicaid health plans that beneficiaries across the country benefit from coordinated, high-quality care.

Oftentimes this work goes beyond medical care and treatments.

Transportation issues can make it nearly impossible for people living in rural areas to  go to a follow-up appointment or pick up a prescription. In fact, about 3.6 million Americans each year miss or delay preventive or primary care appointments because they don’t have the means to own a car or they lack access to affordable public transit. WellCare of Kentucky is helping the residents of Muhlenberg County overcome transportation barriers so they can get the treatment they need to manage their acute and chronic health conditions. The health plan – which serves 440,000 Medicaid members, 8,000 Medicare Advantage plan members and 22,000 Medicare Prescription Drug Plan members in Kentucky – has invested in a transportation voucher system to subsidize the cost of transportation to medical appointments, hospitals, pharmacies, and dental and vision services.

By directly addressing barriers to care, Medicaid health plans help beneficiaries beneficiaries and state Medicaid programs avoid costly, serious health complications in the future. And that makes a serious difference. Consider this – a new study shows that Medicaid health plans’ care coordination initiatives helped reduce the rate of hospital readmissions for kids with type 1 diabetes. That’s a great outcome, and it’s one of the many reasons why Medicaid health plans continue to lead in delivering the right type of care at the right time.

Industry leaders will discuss how Medicaid health plans are integrating care programs with local resources and the delivery system at AHIP’s Institute and Expo, June 15-17, in Las Vegas. Register and join the discussion.