Becker's Healthcare October 18, 2024
Community health plans could be facing hundreds of millions in losses in Medicaid this year due to inadequate state payment rates, according to the Alliance of Community Health Plans.
Ceci Connolly, president of the organization, told Becker’s a “perfect storm” has created a sicker Medicaid patient population, and in many states, rates are not adequate to cover their care.
“So far, a number of states, mysteriously, are not making adjustments. We know of local, community health plans that have been on the ground serving Medicaid beneficiaries for years, if not decades, are looking at losing hundreds of millions of dollars this year, and potentially the same next year,” Ms. Connolly said.
The Alliance represents 29 non-profit health...
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