Managed Care Bureaucracy

Alabama State Capitol

Alabama’s Governor Supports Plan to Shift Medicaid Over to Managed Care

The Decatur Daily.com reports that Alabama’s Governor Robert Bentley is throwing his support behind managed care changes for Alabama’s Medicaid system. As part of his announcement, the governor stated: “We now have the opportunity to turn Medicaid into a new system that is efficient and effective.” Many... [continue reading]

sneeze

Managed Care is Just Around the Corner for Florida Seniors on Medicaid

Managed care will soon be the norm for Florida seniors on Medicaid. Yesterday, Kaiser Health News reported that the state’s health officials approved what amounts to the first phase in shifting tens of thousands of seniors into managed care—namely allowing for Medicaid eligible long-term care patients to... [continue reading]

Hand Writing Prescription

Physicians, Pharmacists Must Scrutinize Managed Care Contracts Going Forward

There are many horror stories about how sketchy managed care contracts have had a negative impact on physicians and their practice of medicine. An article from Health Leaders Media points out the need to closely scrutinize the new managed care contracts. “You’ve heard the advice before: Review... [continue reading]

lady-at-pharmacist

Florida’s Managed Care Pharmacy Program Needs Open Access, Transparency and Proof of Cost Savings

What happens when a state spends more than it can afford on Medicaid services? In the case of Florida, the answer is pretty straightforward: expand a Medicaid managed-care pilot program statewide and hope for the best. Unfortunately for Florida, the problem with this solution is that managed-care... [continue reading]

TX capitol

South Texas Pharmacy to Close Due to Inadequate Medicaid Reimbursements

And another one bites the dust… A pharmacy in South Texas that has been struggling to keep its doors open since Texas cut Medicaid pharmacy reimbursements in the name of managed care will close its doors on Friday. The Med-Aid Pharmacy in Mission, Texas has been serving... [continue reading]