‘Given the severe spending budget crises a number of these states are facing, the monetary benefits of the pharmacy carve-in model are particularly important to access,’ said Menges. The analysis also observed that including a treatment option as essential as prescription medications in a Medicaid capitation plan also contributes to the effectiveness of the coordinated care model.. Adopting pharmacy carve-in approach might help 13 states realize more than $11 billion savings in Medicaid Thirteen states may realize over $11 billion cost savings in Medicaid over 10 years while strengthening their coordinated treatment models A report sponsored by Medicaid Health Plans of America released today by The Lewin Group finds large-scale cost savings may be accomplished if 13 states abandoned their current pharmacy carve-out model in favor of a carve-in strategy – – including prescription medications in health programs’ capitation payments.1 billion over 10 years through the carve-in model..
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