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

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7. <strong>Managed</strong> care must learn to contract with a new set of players
who interact with and provide care for disabled people.
Community based agencies, long term care facilities, personal
care attendants, special home care and transportation agencies
are just a few examples.
8. The service coordination role for this population will need to be
discussed. Where does it reside? At the county, the state, a
private agency, or the HMO? There are pros and cons to each
approach. Perhaps we should test each model and decide which
is best.
And finally...
9. The term managed care itself may be a problem. Many disabled
individuals feel that they have "managed their care" quiet well and
are unclear as to what value the managed care organization
brings to the table. <strong>Managed</strong> care organizations will have to
continue to educate people about the value they bring around
network management, claims processing, credentialing providers,
measuring quality, aggregating insurance risk, profiling-physicians
and service and product discounts, to name a few.
On behalf of my peers and colleagues in the disabled and managed
care communities in Minnesota, I appreciate the opportunity to testify in front
of the <strong>Senate</strong> <strong>Special</strong> <strong>Committee</strong> on Aging. I look forward to your comments
and questions. Thank you.