Case Managers and Medicaid Reimbursements from States

In an effort to improve care and reduce the costs of providing Medicaid services to recipients, some states in the U.S. are taking a different approach to their Medicaid reimbursement programs. This is of particular interest to Case Managers as they continue to coordinate services and advocate for patients in a medical climate where change is happening very quickly.

Last year, a few states took the step of increasing reimbursement for providers, while others kept reimbursement rates at the same level and some even reversed reductions that had been in place the previous year. There isn’t any real consistent approach the states are taking to this situation, but the trend seems to be that fewer states are cutting pay for Medicaid providers than in the past. Still, some increase payments to hospitals while reducing benefits for inpatient and outpatient services, while others cut reimbursements to hospitals but not to other providers. In some instances, laws have been enacted that result in an increase in coverage or a decrease in barriers to Medicaid and the CHIP (Children’s Health Insurance Plan) program. This indicates a definite trend away from the perception that the goal has been a focus on saving money at the cost of providing quality health care.

Whether they work for providers, hospitals or physicians, Case Managers are highly qualified leaders with excellent strategic, management and communication skills, and they are committed advocates for patients to ensure they receive the appropriate health care services. All of these changes are affecting the work of Case Managers everywhere, offering many challenges to providing efficient, high quality health care at a lower cost that will result in positive outcomes.

If you are a passionate leader with experience in Case Management, then a leading academic children’s hospital in the Midwest has an exciting opportunity for you.  Consider joining this 288 bed facility that is #9 on the Honor Roll of U.S. News & World Report’s “Best Children’s Hospitals” for 2012-13 and is nationally ranked in all ten pediatric specialties, with five in the top ten in the U.S.

View the job description:
Administrative Director, Case Management and Care Coordination
Apply today or Contact Jill@melnic.com to learn more about the salary for this amazing leadership opportunity!

To inquire about these jobs visit Melnic Consulting Group or contact: Jill Gilliland 800-886-7906 jill@melnic.com