Georgia lawmakers unveiled a mental health bill that would limit the profits of the managed-care companies that serve Medicaid patients. KHN previously reported that Georgia, unlike most states, does not set a medical loss ratio for the companies’ spending on medical care and quality improvements.
States are required to set up transportation to medical appointments for adults, children and people with disabilities enrolled in the Medicaid program, and contracts can be worth tens of millions of dollars for transportation companies. But patients say the companies that deliver those rides are showing up late — and sometimes not at all — leaving them in bad weather, disrupting their care and even causing injuries.
More than 40 states have turned to managed-care companies to control costs in their Medicaid programs, which cover low-income residents and people with disabilities. As Georgia prepares to open bidding on a new contract, the question looms: Has this model paid off?