Globe’s Alice Dembner does a fine job in today’s article outlining the contentious renegotiation between the Connector and the four Medicaid Managed Care Organizations (MMCOs) to manage coverage for the 177,000 enrollees in Commonwealth Care.
The Commonwealth wants to keep the cost of CommCare in FY09 as close to the $869 million projection in Gov. Patrick’s proposed budget as possible. Folks in the four plans think that’s not possible given the expected growth in enrollment and the projected costs of caring for this formerly uninsured population. Monthly costs per enrollee in CommCare now are in the range of $360.
A lot at stake. Negotiations such as this often get contentious. We hope both sides are able to work it out. And we hope they’ll take to heart Celia Wcislo’s comments at the conclusion of Alice Dembner’s piece:
“If the bids are high, extreme copay and premium increases for low-income families are not a morally or fiscally sound solution,” she said. “Massachusetts healthcare reform, which has been successful so far, was built on a foundation of shared responsibility.”