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Managing Care: Loren Anthes on Big Changes Coming to Ohio's Medicaid Program

Oct 26, 2020

This week on Prognosis Ohio, Dan Skinner talks with Loren Anthes,  who is the William C. and Elizabeth M. Troyhaft Chair in Health Planning at the Center for Community Solutions, and leads Community Solutions’ Center for Medicaid Policy. He's also a lecturer at Ohio University's College of Osteopathic Medicine, located on the Cleveland campus.

 

***LISTEN TO THE EPISODE***

Dan and Anthes discuss Governor DeWine’s announcement that Ohio will be renegotiating its Medicaid managed care contracts. As DeWine said, "Since coming into office in January of 2019, my administration has been evaluating our Medicaid program to develop a vision of a better, healthier, and more productive state. With input from Ohioans covered by Medicaid, physicians, hospitals, health care providers, and managed care plans, this will be the first major overhaul of Medicaid in 15 years." 

 

Anthes, who is enthusiastic about the Governor's announcement, calls Ohio a “significant laggard’ with regards to Medicaid care—affecting children and women in particular. Governor DeWine’s plan includes an application process meant for vetting private insurance companies interested in bidding for Medicaid contracts to increase accessibility. Read Loren's summary of DeWine's plan here.

 

Listen to Governor DeWine talk about the plan here. For a Primer on Medicaid itself, read this.

 

Read more about the work that The Center for Community Solutions does here, including a great report Loren recently released on hospital pricing in Ohio.

Produced by Dan Skinner and Mark Frantz

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