Wisconsin announces Medicaid Managed Care contract
The Wisconsin Department of Health Services will award Madison, Wis.-based CommunityConnect HealthPlan the Medicaid Managed Care contract to provide benefits to enrollees in the BadgerCare Plus program in Milwaukee, Racine, Kenosha, Waukesha, Washington and Ozaukee counties.
CommunityConnect was one of four health plans selected to serve more than 240,000 enrollees in BadgerCare Plus. Beginning in September, enrollees will have the option to choose CommunityConnect HealthPlan to provide their benefits.
"Our model is built on our ability to understand and meet the needs of the members we serve," said Kevin Hayden, the health plan's president. "We know that during this difficult economy, not only are families worried about accessing healthcare, but they may also need help with resources to address housing, job placement or other social services."
The health plan's offerings include programs to improve outcomes for high-risk pregnant women and emergency department use and medical home programs designed to help members foster a relationship with a primary care physician.
Group Health Cooperative of Eau Claire, Wis., will join CommunityConnect's team, providing more than 20 years of experience with the BadgerCare Plus program and critical programs such as claims processing and customer and provider service.
"In addition to extensive community outreach, our model is rooted in strengthening care coordination by working collaboratively with physicians so that together we can meet help meet the healthcare needs of our members," said Hayden.
"We are confident that our innovative approach to Medicaid Managed Care will significantly help improve member health outcomes and improve their quality of life," Hayden said.
