An Act Implementing The Milliman Report's Recommendations To Achieve Cost Savings In The Husky Program.
Impact
This bill would amend existing statutes to integrate the specified recommendations from the Milliman Report. By doing so, it is anticipated that up to fifty million dollars could be recovered from previously overpaid amounts to managed care organizations. Additionally, conducting annual audits of the program is expected to add a layer of oversight and accountability, ensuring funds are utilized effectively, thereby enhancing the overall management within the HUSKY program.
Summary
House Bill 05056 is designed to implement various cost-saving recommendations outlined in the Milliman Report, which focuses on the HUSKY program, Connecticut's Medicaid program. The bill seeks to achieve significant financial savings through multiple mechanisms, which include recovering overpayments made to managed care organizations, transitioning from a sealed bid process to negotiated bids, and introducing statewide primary care case management. The primary aim is to enhance the cost efficiency of the HUSKY program while maintaining quality care for beneficiaries.
Contention
Notable points of contention surrounding HB05056 likely revolve around the potential impact of these changes on the availability and quality of healthcare services under the HUSKY program. Critics may express concerns regarding the effectiveness of transitioning to negotiated bids, which could affect the competitive landscape for healthcare providers. Moreover, the introduction of primary care case management for children under the HUSKY B program and members of the Charter Oak Health Plan would warrant discussions on whether these changes meet the needs of the population they serve.