In its plans to transition Pennsylvania’s Medicaid long-term services and supports program to a managed care system, the Pennsylvania Department of Human Services and Department of Aging expect care coordination to play a pivotal role in reducing costs.
According to a RegBlog report:
“Pennsylvania officials expect that a managed long-term services and supports model will streamline and coordinate care in the state, ensuring that beneficiaries ‘get the right care at the right time, while avoiding unnecessary duplication of services and maintaining quality.’ … In addition to improved services and better health outcomes, care coordination under a managed-care model may reduce state and federal costs. … In theory, managed care would allow beneficiaries to receive treatment earlier, thus reducing the need for short-term acute services and unnecessary hospitalizations.”
Enrollment in the new managed care program may begin as early as January 2017.