Modern Healthcare September 13, 2019
States have mixed results when coordinating patient care and addressing the social determinants of health to manage healthcare costs for high-cost Medicaid beneficiaries, according to a new Government Accountability Office report released Thursday.
The GAO found that all the states surveyed offered care management assistance to providers to better manage physical and mental health conditions for fee-for-service beneficiaries. Most of the states also contracted with managed care organizations to care for high-cost beneficiaries for a fixed payment. Many of the states used other strategies to control expenditures for high-cost beneficiaries such as case managers, mandatory care management services for particular fee-for-service beneficiaries and home health programs.
But these efforts have had inconsistent results. While some states reported that they’d experienced...
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