State Selects Plans for Dual Eligible Pilot Project

The state of Ohio has announced the five health plans that will participate in its new Integrated Care Delivery System (ICDS), which serve dual eligibles, those individuals covered by both Medicaid and Medicare.

All totaled, Ohio’s five managed care organizations will provide coverage for the estimated 115,000 dual eligibles in seven regions throughout the state. The regions are all centered around areas of higher population. Aetna Better Health of Ohio and Buckeye Community Health Plan Inc. will serve the Toledo area, Aetna and Molina Healthcare will serve the Cincinnati area, Buckeye and Molina are in the Dayton area, Aetna and Molina will serve the Columbus area, UnitedHealthcare Community Plan of Ohio and Caresource will serve both the Akron/Canton and Youngstown regions and UnitedHealthcare, Buckeye and Caresource are in the Cleveland area.

Medicaid Director John McCarthy was quoted as saying the goal of the shift is to coordinate care and improve health outcomes.

More from the state on the ICDS is available here.

Want to continue the discussion on the OSMA Community? Click here to post your thoughts and connect with your peers on the OSMA’s member-only forum.