Identifying the Value of Medicaid Managed Care

Neighborhood’s Health Plan Performance Series identifies the value of Medicaid managed care for the State, Neighborhood’s members and the greater community. The papers showcase how the Company is working with its partners to transform health care delivery in Rhode Island by expanding access to care, improving health care quality and lowering the associated costs. Our recent papers include:

• COB, provider billing assistance efforts pay off - Details the significant saving Neighborhood achieves each year by identifying members who are covered by other health plans and detecting and responding to instances of erroneous billing by providers.
• Administrative expenses - Highlights Neighborhood's consistently low administrative rate in delivering Medicaid managed care services.
• Synagis® Management Program - Showcases how Neighborhood has improved care for at-risk infants while reducing costs through attentive management following evidence-based guidelines.
• Children with Special Health Care Needs Program (CSN) - Examines how CSN expands access to care and builds new service options while limiting cost growth.
• Childrens’ Behavioral Health Care Management - Outlines Neighborhood's innovative work with partners to develop a new continuum of behavioral health care that improves outcomes while controlling costs.