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Three insurers to split $151M in Medicaid contracts

December 1, 2014

Three health insurance companies will divide up an estimated $151 million over the next four years in state Medicaid contracts to manage the health care of blind, disabled and senior Hoosiers.

Anthem Blue Cross and Blue Shield, MDwise Inc. and Managed Health Services of Indiana were selected last week by the Indiana Family and Social Services Administration to provide health care services under the new Hoosier Care Connect program. The roughly 84,000 Hoosiers that qualify as aged, blind or disabled can choose any of the three companies to manage their Medicaid health benefits.

The money each company will earn from the contracts will hinge on how many Medicaid beneficiaries they enroll. State officials hope the program will launch in April.

The program was created after the Indiana General Assembly passed a law in 2013 requiring the Indiana Family and Social Services Adminsitration to examine using managed care programs for diasbled Hoosiers. Anthem, MDwise and MHS already manage the care for non-disabled Medicaid recipients.

Individuals who are enrolled in Medicare and who live in an institutional setting or are enrolled in a home- and community-based services waiver won't be enrolled but will continue to receive benefits as they now do.

The state says Hoosier Care Connect's goals include improving quality of care and clinical outcomes and ensuring enrollee choice.

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