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Ohio Department of Medicaid Announces Six Partners to Further Next Generation of Managed Care

For immediate release: April 9, 2021

Lisa Lawless, Communications Director, Ohio Department of Medicaid
614-813-5358 ǀ lisa.lawless@medicaid.ohio.gov

Ohio Department of Medicaid Announces Six Partners to Further Next Generation of Managed Care

Organizations charged with focusing on the individual rather than the business of managed care

COLUMBUS, Ohio — Ohio Department of Medicaid Director Maureen Corcoran today announced the selection of six health care organizations to lead the department’s evolution of managed care services for its more than 3 million members and thousands of medical providers.

The selection comes after more than two years of intensive stakeholder engagement to define opportunities to strengthen the structure of Ohio’s $20 billion managed care program. It addresses Governor Mike DeWine’s direction at the beginning of his term to re-evaluate Ohio’s managed care system with the goal of making the system more focused on the health and well-being of individuals.

“Since the start of this process, we have listened to input and guidance from Ohio Medicaid members and their families, Ohio health care providers, and community advocates and stakeholders,” said Ohio Medicaid Director Maureen Corcoran. “This is a bold, new vision for Ohio’s Medicaid program – one that focuses on people and not just the business of managed care.”

The announcement, which follows a rigorous procurement process, “is a giant step toward a comprehensive overhaul of Ohio’s managed care structure; it will deliver the kind of health coverage that Ohioans need and deserve,” she said.

The guiding principles of Ohio Medicaid’s vision for the next generation of managed care are a commitment to:

  • Improve wellness and health outcomes.
  • Emphasize a personalized care experience.
  • Improve care for children and adults with complex needs.
  • Reduce administrative burdens to give providers more time with patient care.
  • Increase program transparency and accountability.

The six managed care organizations announced Friday are:

  • UnitedHealthCare Community Plan of Ohio, Inc.
  • Humana Health Plan of Ohio, Inc.
  • Molina Healthcare of Ohio, Inc.
  • AmeriHealth Cartias Ohio, Inc.
  • Anthem Blue Cross and Blue Shield
  • CareSource Ohio, Inc.

Ohio Medicaid is deferring for additional consideration its decision related to Buckeye Community Health Plan.

Ohio Medicaid’s next generation managed care selection, contingent upon the signing of contracts, will begin covering members in early 2022. Members will continue to receive services with their current plans through the transition period and will have the opportunity to select a new plan through an open enrollment period beginning in late summer.