Medicaid Managed Care

Medicaid Managed Care is a system where state Medicaid programs partner with private insurance companies to provide health care services to eligible individuals. Instead of the state directly paying for medical services, these companies manage the care and costs for patients, offering a network of providers. The goal is to ensure beneficiaries receive comprehensive, coordinated care while controlling costs. Enrollees typically choose a primary care provider and may need referrals for specialists. This approach aims to improve health outcomes and streamline access to services, while ensuring that care remains affordable for participants.