Sources: Office of Health Transformation and Ohio Health Policy Institute
Ohio Medicaid recently released a three-year evaluation of the MyCare Ohio demonstration program that reports significant benefits for Ohioans enrolled in the program and taxpayers. MyCare plans coordinate Medicare and Medicaid services across physical, behavioral, and long-term services and support for 107,000 individuals in 29 counties.
In just three years, MyCare plans have reduced nursing facility stays four percent, decreased taxpayer costs per person 6.8 percent, and currently are saving Ohio Medicaid $2.4 million every month. Despite early challenges, MyCare plans now pay 90 percent of all provider claims within 30 days and 99 percent of claims within 90 days. Most importantly, Ohio's MyCare plans were in the top ten percent of plans in the country on nearly half of the patient-focused quality measures that are reported nationally (HEDIS 2016). MyCare plans also outpace national averages on care plan completion rates, documentation of care plan goals, and follow-up care visits.
The report was released at a time when Gov. John Kasich is trying to save his plan to move the last group of Medicaid beneficiaries into private managed care plans, more than 150,000 mostly elderly and disabled Ohioans receiving long-term care services at home or in nursing facilities.
About 90 percent of the 3 million poor and disabled Ohioans enrolled in the tax-funded health care program are already in managed care. The rest, with some exceptions, would transition from fee-for-service beginning in July 2018 under a proposal included in the Republican governor’s two-year budget plan.