MCOs can help treat patients holistically, serving as the glue that binds community resources with integrated physical and mental health services. This approach helps to improve the patient experience, and in 2019, 82% of adults in Kentucky rated their health plan an 8/10 or higher.11
MCOs use information technology and real-time data analysis to develop a comprehensive picture of the member. This approach can help address potential health issues early, like decreased leg circulation as a result of advanced diabetes. After implementing Medicaid managed care, Kentucky saw a 17% decrease in amputations due to untreated diabetes.12
MCOs also help address the social factors that can affect health. Nationally, 77% of MCOs report supporting housing activities, 73% report supporting nutrition activities, and 51% report supporting education activities that aid the Medicaid population.13 Unlike the fee-for-service approach, the managed care model is built to bring together disparate parts of the delivery system.
Helping Kentuckians through the COVID-19 pandemic
MCOs have played a critical role meeting the needs of Kentuckians throughout the COVID-19 pandemic. Through advanced data modeling and analytics, MCOs have conducted outreach to at-risk individuals and ensured lifesaving measures like early testing, continued routine care, extended refills, and access to the vaccine.
MCOs are especially focused on supporting underserved inner city and rural populations, helping to vaccinate the Medicaid population through efforts such as:
- Transportation coordination for plan members.
- Homebound vaccination visits.
- Follow-up on second dose appointments based on claims data.
- Multi-channel outreach to MCO enrollees via calling, texting, and mailing information.
- Gift card incentives ranging from $25 to $100 to encourage individuals aged 12 and older to complete vaccinations.14