Managed Medicaid

Managed Medicaid is a health delivery system that was developed to manage cost, utilization, and quality. Medicaid managed care provides for the delivery of Medicaid health benefits and additional services. This happens through contracted arrangements between state Medicaid agencies and managed care organizations (MCOs) that accept a set per-member, per-month payment for these services. The ultimate goal of Managed Medicaid is to see improvements in health plan performance and health care quality.

  • PACE:
    • The Programs of All-Inclusive Care for the Elderly provides a team of health care professionals that will work with you and your family to get the necessary care you need.
  • DSRIP:
    • The Dual Eligible Special Need Plans enroll beneficiaries who are entitled to both Medicare and Medical Assistance from a State Plan. This program offers the opportunity of enhanced benefits by combining those available through Medicare and Medicaid.
  • TANF:
    • Temporary Assistance for Needy Families is a program that helps with the children of families who’s parents or other guardians cannot provide for the family’s basic needs.
  • D-SNP:
    • The Delivery System Reform Incentive Payment program’s purpose is to fundamentally restructure the health care delivery system by reinvesting in the Medicaid program, reducing avoidable hospital use.
  • MA:

 

Commercial Plans