Medicaid Managed Care - U.S. Senate Special Committee on Aging
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Medicaid Managed Care - U.S. Senate Special Committee on Aging

Medicaid Managed Care - U.S. Senate Special Committee on Aging Medicaid Managed Care - U.S. Senate Special Committee on Aging

aging.senate.gov
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29.07.2013 Views

5601 Smetua- Drive PO. r,. 9310 Mmnrapohs, MN 55440-9310 6129942 2900 99 Presentation to ong>Senateong> ong>Specialong> ong>Committeeong> on Aging Tuesday, July 8, 1997 By Patricia A. Riley Vice President, Government Programs Allina Health System MEDICA. HEALTH PLANS ALLINA HEALTH SYSTEM

100 Members of the ong>Committeeong>, my name is Patricia Riley and I am Vice President of Government Programs for Medica Health Plans which is part of Allina Health Systems. -Allina Health System is comprised of 17 hospitals, 600 employed physicians and a 1 million member health plan called Medica, which contracts with over 7000 physicians and hundreds of hospitals, nursing homes and other allied providers throughout Minnesota. Medica has over 160,000 government enrollees, 80,000 of which are enrolled in the Prepaid Medical Assistance (PMAP). Our PMAP membership includes AFDC and the elderly. Currently, Minnesota does not mandate the disabled population to enroll in a managed care organization (MCO) however, this is being developed as we speak. Medica has participated in the Prepaid Medical Assistance program since its inception in 1985. I have made available to the committee a copy of an article which describes our ong>Medicaidong> program and focuses on several of our accomplishments to date. Program highlights include: * A transportation program called Provide-A-Ride, which provides 90,000 cab or bus rides to doctors appointments each year. * Welcome calls -- to explain health plan and determine need for services. * Multi-lingual staff -- staff-are fluent in Spanish, Russian, Chinese, Hmong, and Vietnamese. * Multi-lingual materials -- enrollment and communication materials are printed in multiple languages. * Social Service Coordinators -- problem solvers who connect members to non-medical services. These are just a few of the programs we have added since beginning to work with low income and elderly populations ten years- ago. These innovations are illustrative of the important value added features managed care organizations must be willing to develop and invest in, in order to adequately meet the needs of non-traditional managed care members. Each of the above programs was designed to address barriers identified by our members and our providers, to getting needed services. We quickly learned that coverage does not equal access, and by merely enrolling the AFDC and elderly populations into a managed care plan and expecting them to look and behave like a commercial population is a big mistake indeed.

5601 Smetua- Drive<br />

PO. r,. 9310<br />

Mmnrapohs, MN 55440-9310<br />

6129942 2900<br />

99<br />

Presentati<strong>on</strong> to<br />

<str<strong>on</strong>g>Senate</str<strong>on</strong>g> <str<strong>on</strong>g>Special</str<strong>on</strong>g> <str<strong>on</strong>g>Committee</str<strong>on</strong>g> <strong>on</strong> <strong>Aging</strong><br />

Tuesday, July 8, 1997<br />

By<br />

Patricia A. Riley<br />

Vice President, Government Programs<br />

Allina Health System<br />

MEDICA.<br />

HEALTH PLANS<br />

ALLINA HEALTH SYSTEM

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