Health Affairs January 11, 2022
Shao-Chee Sim, Jo Z. Carcedo, Sara Rosenbaum, Peter Shin, Caitlin Murphy, Rebecca Morris, Morgan Handley

With nearly 70 percent of all Medicaid beneficiaries enrolled in comprehensive managed care plans, state purchasing strategies to improve health and health care have become a subject of intense interest. As with insurers operating in a competitive market, Medicaid managed care plans’ immediate focus is their members’ day-to-day health care needs. But the industry has also embraced another broader imperative focused on deeper health improvement as a value-added service that gives companies a competitive edge. Furthermore, because of the concentrated nature of much of US poverty, these efforts can begin to have a cumulative impact across a broader geographic region. As state Medicaid agencies build health improvement into their marketwide purchasing expectations, the effect may be to bring resources to...

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Topics: Govt Agencies, Insurance, Medicaid, Patient / Consumer, Payer, States
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