CHARLESTON (AP) — West Virginia Medicaid officials hope to save around $15 million annually by expanding managed care.
The officials also told lawmakers Monday that the main goal of shifting some 57,000 Medicaid recipients is to improve their care.
These people are low-income seniors or have disabilities. The state Bureau of Medical Services wants to start moving them into managed care in December.
Through managed care, primary physicians develop individual treatment plans, and refer enrollees to a network of providers. Pre-approval is required for certain procedures or for seeing an out-of-network provider.
Officials told lawmakers that his approach will embrace several recently passed health-related measures. They include physician-sponsored networks and medical homes, which also aim to coordinate care.
Nearly all states cover at least some people on Medicaid through managed care.