New York Health Department to Decide Soon Whether Medicaid Beneficiaries With HIV/AIDS Should Be Moved Into Managed Care Plans
August 26, 2008
The New York State Department of Health in the next few weeks is expected to issue a final decision on whether to switch Medicaid beneficiaries with HIV/AIDS from fee-for-service plans to managed care plans, the AP/Long Island Newsday reports (AP/Long Island Newsday, 8/24). Since the late 1990s, the state's 65,000 people living with HIV/AIDS who are enrolled in New York's Medicaid program have been exempt from a statewide enrollment drive to place beneficiaries into managed care plans. About 10,000 HIV-positive beneficiaries were enrolled in Medicaid managed care plans as of late last year (Kaiser Daily HIV/AIDS Report, 12/3/07).
According to the AP/Newsday, the state health department said studies it has conducted indicate that all patients, including people living with HIV/AIDS, are more likely to thrive under managed care plans. In addition, officials said that Medicaid Special Needs Plans are available and can cater to patients' individual needs. Those enrolled in such plans reported fewer interruptions in relationships with care providers than those enrolled in fee-for-service plans and had fewer emergency department visits, fewer pneumonia cases and were more likely to obtain antiretrovirals.
A separate, preliminary study found that those with HIV/AIDS who are enrolled in regular Medicaid managed care plans in New York state are more than twice as likely as those in fee-for-service plans to be screened for breast cancer or cholesterol. However, those with HIV/AIDS enrolled in fee-for-service plans were more likely to have regular dental visits and have a continuous supply of antiretrovirals. Special Needs Plans "outperformed" both regular managed care plans and fee-for-service plans, according to the AP/Newsday (AP/Long Island Newsday, 8/25).
This article was provided by Henry J. Kaiser Family Foundation. It is a part of the publication Kaiser Daily HIV/AIDS Report. Visit the Kaiser Family Foundation's website to find out more about their activities, publications and services.