Illinois Medicaid Moves To Managed Care

Hundreds of thousands of Medicaid recipients in Illinois are being shifted into some kind of managed care this year as part of a sweeping overhaul intended to fix a program widely acknowledged to be broken.

Sherry Loveless can see the promise of managed care right through her bedroom door.

Saddled with multiple disabilities, Loveless, 61, has been stuck in her Rockford bedroom for months because the doorway is too narrow for her wheelchair to squeeze through. When she moved into the house in December, firefighters carried her to the bed.

But next month, thanks to a restructuring in Illinois' Medicaid program, a renovation project is scheduled to widen the door and build a ramp that will allow her access to the outside.

The nonprofit that's now in charge of Loveless' health and well-being, Community Care Alliance of Illinois, also is making it easier for her to obtain medications for her arthritis, hypertension, diabetes and chronic obstructive pulmonary disease, as well as transportation to medical appointments.

The idea is that by investing upfront in Loveless' quality of life and better managing her ailments, she'll be healthier in the long run and save both the company and the government money.

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Source: Kaiser Health News