The News Courier in Athens, Alabama

Local News

March 25, 2013

State Legislature to take on revamp of Medicaid

(Continued)

The committee asserts in its report that the key to better health care and lower Medicaid costs is preventative services. With children comprising more than half of Medicaid consumers, the new model would reward providers by keeping them healthy until they outgrow the system.

If the regional care organization is unable to improve the health of its members through preventive services, provide more effective health care delivery and meet other requirements, the State Medicaid Agency would be able to replace them.

One area where supporters of the new plan hope achieve significant cost savings is in fewer emergency room visits. It is not unusual for a child with asthma to visit the emergency room for a breathing treatment that could have been prevented by timely trips to a doctor's office. Substituting high tech trauma room care for routine doctor's visits cost taxpayers millions in budget dollars annually.

Kentucky's experience with a managed care company contracted to provide Medicaid services offered a lesson to Alabama. That company didn't see enough profit and left the state and its patients in limbo.

The reorganization plan under consideration attempts to put steps in place to insulate taxpayers against the substantial financial risk that Kentucky faced. The bill requires any company wanting to be a regional care organization to put $2.5 million in escrow and have other reserves that would be ceded to the state agency if they stop doing business.

Those requirements may set the financial bar too high for local consortiums considering being the provider for a region. If no RCO comes forward, commercial management care companies, referred to in the legislation as "alternative providers," will be tapped by the Medicaid agency to run the region's health care.

The language of the bill allows an organization that's public, private or a combination thereof to be selected as the Medicaid administrator for each region.

Text Only
Local News
Photos


Poll

Which foreign crisis is the biggest threat to the security of the United States?

Russia-Ukraine
Israel-Palestine
Iraq
None of the above
     View Results
Facebook
AP Video
Texas Scientists Study Ebola Virus Smartphone Powered Paper Plane Debuts at Airshow Southern Accent Reduction Class Cancelled in TN Raw: Deadly Landslide Hits Indian Village Obama Chides House GOP for Pursuing Lawsuit New Bill Aims to Curb Sexual Assault on Campus Russia Counts Cost of New US, EU Sanctions 3Doodler Bring 3-D Printing to Your Hand Six PA Cops Indicted for Robbing Drug Dealers Britain Testing Driverless Cars on Roadways Raw: Thousands Flocking to German Crop Circle At Least 20 Chikungunya Cases in New Jersey Raw: Obama Eats Ribs in Kansas City In Virginia, the Rise of a New Space Coast Raw: Otters Enjoy Water Slides at Japan Zoo NCAA Settles Head-injury Suit, Will Change Rules Raw: Japanese Soldiers Storm Beach in Exercises Raw: Weapons Fire Hits UN School in Gaza Raw: Rocket Launches Into Space With Cargo Ship Broken Water Main Floods UCLA
Twitter Updates
Hyperlocal Search
Premier Guide
Find a business

Walking Fingers
Maps, Menus, Store hours, Coupons, and more...
Premier Guide
Stocks
Parade
Magazine

Click HERE to read all your Parade favorites including Hollywood Wire, Celebrity interviews and photo galleries, Food recipes and cooking tips, Games and lots more.
Business Marquee