Healthcare for Kansans when they need it
A Look At The Numbers provides information on how private managed care organizations (MCOs) partner with Kansas to administer Medicaid benefits. Medicaid managed care enables Kansas to deliver higher quality care, improve health outcomes of Medicaid recipients, and manage healthcare costs. The care people need, when they need it. That is the model of managed care.
KanCare: Kansas' Medicaid program
KanCare plays a vital role serving those facing economic and social barriers to getting healthcare and improving the health and well-being of these Kansans. KanCare helps over 408,000 Kansans get the healthcare they otherwise would not be able to afford.1
Program history
Serving Kansas since 2013
Since the inception of KanCare, private MCOs have been held to high standards by the state, including up to 69 quality measures annually.2
Improved population health
Increased use of primary care services
45% 7
Private MCOs have also helped increase the use of other key services. Between 2013 and 2019, prenatal care increased 7% and annual childhood dental visits increased 9%.11
In 2019, private MCOs provided more than $3.3 million in value-added services, such as smoking cessation and weight management programs, that helped Kansans be healthier.11
Kansas MCOs were also ranked in the top 10% nationally for mental health follow-up in 2019.9
Patient experience
Coordinated care for Kansans
Private MCOs coordinate care and provide a single point of contact for Kansans, creating a better experience.
In 2019, private MCOs in Kansas conducted outreach to thousands of current and potential KanCare members to help them make informed decisions about their KanCare plan and benefits. Kansas’ private MCOs also coordinated immunization clinics and worked with community-based organizations across the state to address issues related to employment, housing, and food disparities.1
78%
of adult recipients rated KanCare MCOs an 8 out of 10 or higher in 2019.9
Citations
1 https://kancare.ks.gov/docs/default-source/policies-and-reports/annual-and-quarterly-reports/annual/kancare-4th-quarter-and-annual-report-to-cms-year-end-12-31-2019.pdf?sfvrsn=b9634e1b_10
2 https://healthinsuranceratings.ncqa.org/2019/Default.aspx
3 https://www.kancare.ks.gov/about-kancare/history-of-kancare
4 http://www.kslegresearch.org/KLRD-web/Publications/CommitteeReports/2018CommitteeReports/hcbs-cr.pdf
5 https://www.kancare.ks.gov/policies-and-reports/quality-measurement
6 http://files.kff.org/attachment/fact-sheet-medicaid-state-KS
7 https://www.kslpa.org/wp-content/uploads/2019/07/r-18-006.pdf
8 https://www.kancare.ks.gov/docs/default-source/home/2018-kancare-infosheet.pdf
9 https://kancare.ks.gov/docs/default-source/policies-and-reports/eqro-reports/_20200529-annual-eqr-technical-report.pdf?sfvrsn=bc54e1b_6
10 https://medicaidplans.org/wp-content/uploads/2020/05/2020PR_MHPAStatement_HouseBill_May-15.pdf
11 http://kslegislature.org/li_2020/b2019_20/committees/ctte_jt_robert_g_bob_bethell_joint_committee_1/documents/testimony/20200228_92.pdf
A Look At The Numbers is an educational resource about Medicaid managed care, hosted and supported by Medicaid Health Plans of America, in collaboration with other Medicaid managed care organizations and state health plan associations.