New facts from the Pennsylvania Department of Human Services show that Independence Health Group’s Keystone First unit enrolled 52. 2 percent of the 132,638 Southeastern Pennsylvania residents in the state’s new Medicaid managed care software for community-based supports and long-term care, along with nursing homes.
The program started in January in Philadelphia. It requires elderly Medicaid beneficiaries and younger individuals with disabilities to select a managed-care provider to preserve receiving home care and other services paid for via Medicaid.
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It replaces fee-for-service Medicaid and is predicted to make the billions spent on such offerings more effective. Statewide, this system was worth $5.4 billion when it was announced in 2016.
Two other providers, Centene Corp.’s Pennsylvania Health & Wellness and UPMC Community Health Choices, additionally competed for the enterprise. Centene’s proportion in January became 24.2 percent, and UPMC’s changed to 23.6 percent.