Nursing homes report payment disruption under managed care
Nursing home operators in the state say they haven’t been paid for their work since the state transitioned to managed care for certain Medicaid services on July 1.
Nursing home operators in the state say they haven’t been paid for their work since the state transitioned to managed care for certain Medicaid services on July 1.
An estimated 130,000 Hoosiers over the age of 60 using Medicaid will receive notices in early 2024 advising them to choose a Managed Care Entity to coordinate their health coverage.
The agency tasked with managing Indiana’s Medicaid program has recommended four different managed care entities as potential managers when the new program starts in July 2024.
Health insurance has long been a business-to-business endeavor between insurers, employers, hospitals and doctors. Patients received benefits, but they weren’t really customers. That’s all about to change.
Dr. Ben Park joined Anthem Blue Cross and Blue Shield in 1993 to start a large group of primary care physicians who would
institute a concept called managed care. Now American Health Network is
well-positioned to take advantage of the new version of managed care, called accountable care.