Description
Book SynopsisLeading Medicaid Managed Care Plans examines leadership actions necessary to successfully operate a Medicaid managed care plan with emphasis on the relationship with the state Medicaid agency the health plan is contracted with. With appropriate operational and governance oversight, and with solid mutually respectful relationships with the state agency, Medicaid health plans are more likely to sustain success and prosperity for the long term.
The approach of Leading Medicaid Managed Care Plans builds on key infrastructure elements that need to be in place when contracting with a state agency, and for overall success of the organization. It takes a pragmatic and methodical approach, interspersed with real-life examples of what to do for success and what actions to avoid that frequently lead to failure. This approach is different from most managed care books (Medicaid or otherwise) as those mostly focus on the process of the business (such as details around c
Table of Contents
Introduction Part 1: Building a Strong Foundation Chapter 1: Mission, Vision & Values Chapter 3: Strategic Planning Part 2: Creating and Sustaining Relationships Chapter 4: Integrating for Success – Developing Provider, Member, Community and Employee Relationships Chapter 5: Creating Lasting State Relationships Chapter 6: Sustaining Success Appendix
