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

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5. give patients opportunities to select
and change primary care providers within
the plan; and
6. ensure patient confidentiality.
VI. Governance
The governance and advisory structures of
managed care plans should represent the
interests of the community. Participation
by members of the broad community
offers a valuable mechanism for understanding
and achieving access, community
service, and other goals contained in these
Principles. Community involvement can
include board membership, advisory committees,
community forums, and other
vehicles for gathering information from
community members. The governance of
managed care plans should:
1. be dearly identifiable and accountable
entities responsible for governing the
plan;
2. provide a mechanism for local
involvement by community members,
employers and other purchasers, physicians
and other members of the health
care workforce, and institutional providers
of care; and
3. publish a mission statement identifying
the populations and communities
served and the plans' commitment to
responding to health care needs in the
community as well as to the enrolled population.
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