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

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People lving with HIV, and their advocates, must advocate for managed care
programs that provide high quality care uniformly, despite barriers to
accessing care such as language, geogratphy and dlsability status.
A concern about <strong>Medicaid</strong> managed care is that not all beneficiaries are situated to speak up when they
experience difficulties in getting the care they need. Because of the ways in which managed care changes
many ofthe financial incentives in the health care system, <strong>Medicaid</strong> must strengthen the existing mecha-
nisms to ensure that all beneficiaries are treated uniformly and fairly.
A CRITICAL ISSUE: FOCUSING ON THE MANAGED CARE CONTRACT
Neva iKay. is the Operatirons Manager at the National 1. Provid e for a bro d ran ge o rcov red s rvices.
Academy forSae Health Policy, an ora; anldon h clot
3. .Address howr a rtngd cre oranisal wil
provides
ensttrv
tednilcal assistance to'saate MedicaId pro.
t t all ci~o wered heis l ia 'es or~e
grans. Previously,
a sle aen a c c es hled
she, ias also worked
di
In dhe Medic-
:id
car se3 r v~ice s. '
Adminise4l1ou ianwiseionsinm
. ' ..T ' 5 Ia6
:Niei believes thatkre de oposent of a strong Mad-
Sicaldsssaae~d care prarans for people isvnsg wit lilY,
depends on haying ottenfbreattieblcolurrie wfithi lea~r.
and masrablerespoInsibillties between e state Mted.
scald agery and the tnan~aged ear. orgarifaasloss.While
th followingI is net aE; exlosotve list, ishe stressets 6 . D ; Xe fl i u e h e r l e a c a n af i p e au l e r c s d nl
doeat any conceact mostm < g: ; . t q
santioss mstsreport to thsece.tlbi dshoui inrioe data:
1. iDefine medical necesit and describe dse cir-. c; oiet ior si r ir elvrlttp erainb ng t thei dation of
cu n t n e he s t e p a is r q o~ ire to p res id e a ll lsa esl*rcn e ser it sies ldtc are ovy o ss , zand fn ancW a
operadlons of th m anaged crw e orgaslsadts o s An ArUns Prn t. P.091. LitInG Sth HIV