As a result of the Patient Protection and Affordable Care Act, Medicaid programs will turn to managed care to controls costs as Medicaid eligibility expands. Previously uninsured patients are likely to purchase subsidized coverage from managed care organizations (MCOs) operating in the State health benefit exchanges. To participate in this new environment, grantees should consider participating in managed care networks. This session will provide grantees with information on the different types of managed care, the key provisions in managed care contracts, and strategies for negotiating contracts with MCOs.
Learning Objectives: