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The administration announced that they will be negotiating with Community Health Network to administer the entire state Medicaid program as of January 1st. Based on the state’s community health centers, CHN has been a participating managed care provider for HUSKY since its inception sixteen years ago. The managed care program will expand beyond the current 400,000 children and families to include 120,000 seniors, single adults (formerly SAGA members) and people with disabilities. The new program will not be capitated and will focus on coordinating care and building patient-centered medical homes to both improve quality and rein in costs. CHN’s contract is estimated to be between $70 and 73 million for the first year. CHN expects to contract with McKesson for intensive care management and data analytics and with Value Options for intensive case management.
Ellen Andrews