On April 9, 2021, Ohio Department of Medicaid Director Maureen Corcoran announced the selection of six health care organizations to lead the department’s evolution of managed care services for its more than 3 million members and thousands of medical providers.
- UnitedHealthcare Community Plan of Ohio, Inc.
- Humana Health Plan of Ohio, Inc.
- Molina Healthcare of Ohio, Inc.
- AmeriHealth Caritas Ohio, Inc.
- Anthem Blue Cross and Blue Shield
- CareSource Ohio, Inc.
Ohio Medicaid is deferring for additional consideration its decision related to Buckeye Community Health Plan.
The selection comes after more than two years of intensive stakeholder engagement to define opportunities to strengthen the structure of Ohio’s $20 billion managed care program. It addresses Governor Mike DeWine’s direction at the beginning of his term to re-evaluate Ohio’s managed care system with the goal of making the system more focused on the health and well-being of individuals.
“Since the start of this process, we have listened to input and guidance from Ohio Medicaid members and their families, Ohio health care providers, and community advocates and stakeholders,” said Corcoran. “This is a bold, new vision for Ohio’s Medicaid program – one that focuses on people and not just the business of managed care.”
The announcement, which follows a rigorous procurement process, “is a giant step toward a comprehensive overhaul of Ohio’s managed care structure; it will deliver the kind of health coverage that Ohioans need and deserve,” she said.
- Improve wellness and health outcomes
- Emphasize a personalized care experience
- Improve care for children and adults with complex needs
- Reduce administrative burdens to give providers more time with patient care
- Increase program transparency and accountability.