![]() A close second are the Governors bringing managed care to the state as an alternative to Obamacare (after all you have to “do something,” right?), or at the least as a way to sneak it past dubious voters in red(der) states. Read the headlines on Medicaid plans the last year and most of what you will see is the residue of contract negotiations designed to strengthen the state’s leverage in the arrangement. In the case of upcoming challenges for Medicaid managed care in 2016-2017, it’s a bit of both. Usually Mostly Medicaid staff will weigh in on a trend or issue in the industry when its either not yet noticed by others or if there is a perspective missing from the dialogue. What I want to talk about now are several bumps I see on the road to actually implementing expansion (beyond enrollment milestones). ![]() We’ve written extensively on the surge in stock prices and market cap for all the major plans, so I won’t re-cover that ground here. ![]() ![]() Now that the initial feast of new Medicaid dollars for the expansion population is ending, its time to digest the meal we all just engorged ourselves on.
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