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Other key findings from the Milwaukee Market Overview:
- Shifting enrollments: Carriers who administer
Medicaidbenefits will see shifts in enrollment as the BadgerCare program is reformed. Any resident earning below the federal poverty level will be enrolled in the program, including all childless adults. Adults living above poverty will be removed from BadgerCare and will be encouraged to enroll in private plans through the state's health insurance exchange.
- Medicaid MCO competition: Former managed
Medicaidmarket leader UHG will likely be the biggest challenger to the region's top managed Medicaidplans for enrollment. UHG's expansive network of providers and name recognition will likely be big draws for new BadgerCare beneficiaries.
- "Though UnitedHealth will likely pose the greatest enrollment threat to current market leaders, some residents may be hesitant to enroll in UHG plans because of its decision to withdraw from the market in 2012. Beneficiaries could view plans that have had a consistent presence in
- "New BadgerCare beneficiaries, many of whom have been uninsured, will likely have a higher prevalence of untreated chronic conditions and comorbidities. Trilogy's care coordination agreement with IPN may provide a template for other insurers to manage beneficiary health and keep costs low."
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