Medicaid Specialty Health Plan Enrollment Increases By 18% – OPEN MINDS Releases 2018 Update On Medicaid Vertical Carve-Outs

Gettysburg, PA, April 04, 2018 -- A new study by OPEN MINDS found that enrollment in Medicaid specialty health plans, also known as vertical carve-out plans, has increased by 18% between 2016 and 2018. The study analyzed the contracts covering 414,369 Medicaid beneficiaries in these specialty health plans in eight states – Arizona, District of Columbia, Florida, Georgia, New York, Texas, Washington, and Wisconsin. OPEN MINDS has released the study findings in their recent report, The Changing Medicaid Carve-Out Market: The 2018 OPEN MINDSUpdate On Vertical Carve-Outs.

“The push for ‘whole person’ care has created the demand for these specialty health plans, replacing traditional ‘carve-outs’,” said OPEN MINDS Market Intelligence Director Athena Mandros. “Complex, high-needs populations – like children in foster care, consumers with serious mental illness (SMI), children who are medically fragile, and consumers with HIV/AIDs – are the focus of these new plans. These are consumer groups will benefit from care coordination that spans all services.”

The report, The Changing Medicaid Carve-Out Market: The 2018 OPEN MINDSUpdate On Vertical Carve-Outs, can be purchased in the OPEN MINDS estore for $495 (it is available at no charge to Premium and Elite members of the OPEN MINDS Circle). The report provides information on:

• State Medicaid behavioral health financing models in a state-by-state reference guide – carve-ins, carve-outs, and specialty health plans, by state
• Medicaid specialty health plan enrollment-by state and by consumer type, with changes over time
• Medicaid specialty health plan enrollment from 2016 to 2018
• The specific health plans offering specialty health plans in every state
• The national insurers with the largest specialty health plan enrollment

Learn more about becoming an OPEN MINDS Circle member online at www.openminds.com/membership.

For additional questions and inquiries, please contact Sarah Threnhauser, Executive Vice President, OPEN MINDS at 717-334-1329 or [email protected].

ABOUT OPEN MINDS

OPEN MINDS is a national market intelligence and strategic advisory firm focused on the sectors of the health and human service field serving consumers with chronic conditions and complex support needs. Founded in 1987 and based in Gettysburg, Pennsylvania, the 175+ associates provide market insights and innovative management solutions designed to improve operational and strategic performance. Learn more at www.openminds.com.

Tim Snyder
OPEN MINDS
7173341329
[email protected]