The National Library of Medicine explains Managed Care as health insurance plans intended to reduce unnecessary health care costs through a variety of mechanisms, including:

• Economic incentives for physicians and patients to select less costly forms of care
• Programs for reviewing the medical necessity of specific services
• Increased beneficiary cost sharing
• Controls on inpatient admissions and lengths of stay
• The establishment of cost-sharing incentives for outpatient surgery
• Selective contracting with health care providers
• Intensive management of high-cost health care cases

Impact of Managed Care

According to the U.S. Census Bureau there are 83 million individuals covered by government health insurance and another 45.7 million uninsured. State decision makers have a vital role in ensuring access to quality and affordable healthcare. Decisions that states face regarding healthcare are complex and require balancing the needs of many individuals.

Centene works with states to create innovative solutions that are unique and address the distinct needs of these populations. Centene has the resources to provide customized solutions to our state partners through extensive experience in the Medicaid industry and uninsured market, as well as a portfolio of specialty health solutions.