Tuesday, January 13, 2015

Only half of fully-insured US Medicaid providers available

A new HHS-OIG survey found that only 49% of providers listed as participating by full-risk Medicaid managed care plans were available for routine, non-urgent appointments. When CT had full-risk MCOs running our Medicaid program, a secret shopper survey found that shoppers could only schedule appointments with 25% of listed providers. But things have improved significantly in CT. A recent secret shopper survey in our self-insured program found that 68.3% of providers were taking appointments, a large improvement over CT history and exceeding the national average.