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Top Innovative Initiatives led by Medicaid MCOs in 2019 Highlighted in New IMI Report


February 26, 2021



Top Innovative Initiatives led by Medicaid MCOs in 2019 Highlighted in New IMI Report

Medicaid managed care organizations (MCOs) across the country are leading important programs to support the needs of Medicaid enrollees. These initiatives are focused on reaching specific populations, addressing social needs, and improving care management practices.

The Institute for Medicaid Innovation (IMI), the non-profit, nonpartisan Medicaid research and policy group, released the third edition of its annual Medicaid MCO survey report in December. The survey collected information from Medicaid managed care organizations (MCOs) in eight critical categories, demonstrating the current state of the industry in 2019 and trends from 2017-2019. To accompany the release of the report, innovative initiatives and best practices led by health plans in each of the eight categories are highlighted in IMI’s companion report.

Through a competitive review process, IMI’s survey subcommittee, comprised of representatives from health plans across the nation, selected the top innovative initiatives submitted by MCOs in each of the survey categories. The health plan finalists in each category are listed below:

High-Risk Care Coordination

  • AlohaCare
  • University of Utah Health Plans

Value-Based Payment

  • L.A. Care Health Plan
  • Community Health Plan of Washington

Pharmacy

  • UnitedHealthcare Community & State
  • Community Health Plan of Washington

Behavioral Health

  • AlohaCare
  • Horizon Blue Cross Blue Shield of New Jersey

Women’s Health

  • L.A. Care Health Plan
  • Horizon Blue Cross Blue Shield of New Jersey
  • UPMC for You

Child and Adolescent Health

  • Horizon Blue Cross Blue Shield of New Jersey
  • UPMC for You

Managed Long-Term Services and Supports

  • L.A. Care Health Plan
  • Horizon Blue Cross Blue Shield of New Jersey
  • UnitedHealthcare Community & State

Social Determinants of Health

  • L.A. Care Health Plan
  • Horizon Blue Cross Blue Shield of New Jersey
  • Community Health Plan of Washington

To access the report and read about the best practices and innovative initiatives, click here.

 

About the Institute for Medicaid Innovation

The Institute for Medicaid Innovation (IMI) is a 501(c)3 nonprofit, nonpartisan research and policy organization that provides independent, nonpartisan information and analysis to inform Medicaid policy and improve the health of the nation.

Media Contact

Lydia Tonkonow

ltonkonow@medicaidinnovation.org