Chicago-area seniors and people with disabilities will start to enroll
in state-contracted private health insurance plans today under the
Integrated Care Program (ICP). The Medicaid-managed care system will be
headed by the Illinois Department of Healthcare and Family Services
(HFS), but health care advocates were quick to caution that it might not
be a good deal for Illinois in the long run.
In fact, the Illinois
Campaign for Better Healthcare now questions how Illinois Health
Connect, another HFS program that they say is more cost-efficient with
higher quality care, will survive.
The Integrated Care Program
takes on 40,000 Medicaid-eligible people in suburban Cook, DuPage, Kane,
Kankakee, Lake, and Will Counties who will enroll in health plans by
either Aetna Inc. or Centene Corp’s IlliniCare program. A Tribune report
noted this new system is poised to save Illinois $200 million in the
next five years and is part of a new law signed in January that requires
coordinated care to cover at least 50 percent of the state's 2.9 million Medicaid
users by 2015.
A report released last summer, on the other hand,
shows Illinois Health Connect saves $0.25 billion annually by simply
coordinating care between the private sector, government, and medical
industry, according to Jim Duffett, executive director of the Campaign
for Better Health Care. Health Connect tracks patients within Medicare
and provides case management that has lead to better quality care. “The
insurance industry doesn’t like it because they’re not at the center of
the spoke of the wheel, but we already have a good program,” Duffett
said. While Health Connect remains intact for now, Duffett said
advocates are worried about how it will survive as the Integrated Care
Program is expected to expand.
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