Avalere Health, a healthcare advisory company, recently released a report estimating that by 2015, about 75% of Medicaid enrollees in the United States will receive their benefits through one of several managed care organizations (MCOs). MCOs are private health insurance plans that contract with providers like Medicaid-certified nursing facilities.

States are moving away from traditional fee-for-service Medicaid programs and favoring MCOs for administering Medicaid programs due to efficiency and budget considerations. States moving in this direction believe that an MCO-run Medicaid program would improve the quality of Medicaid benefits and give the state more budget certainty. MCOs can coordinate care themselves and offer services not available under traditional state-run Medicaid programs.

If you have questions about Ohio’s move toward an MCO-run Medicaid program, contact one of DLM Legal’s experienced Healthcare Attorneys at info@dlmlegal.com or 216.635.0002.