$9 billion in Illinois managed care business up for grabs

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Insurance providers and hospital groups have until May 15 to submit bids for Illinois’ Medicaid managed care business as the state aims to limit the insurers involved.

In the state’s current managed care system, first passed in 2011, 12 organizations offer plans in the state, but options are limited in certain rural areas. Under an overhaul announced by Gov. Bruce Rauner in February, the goal would be to offer at least five plans in all parts of the state and up to seven in the more populous region around Chicago, with enrollment rising from 65 percent to 80 percent of the state’s total Medicaid population.

As reported by WCIA, the state’s Department of Healthcare and Family Services plans on taking until July 1 to judge the bids, then awarding four-year contracts for the $9 billion business.

What may complicate matters is the state’s lack of a budget, with some MCOs threatening to stop seeing patients due to delayed payments, along with the threat of Medicaid cuts in the proposed American Health Care Act.

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