{"id":116475,"date":"2009-08-15T00:00:00","date_gmt":"2009-08-15T00:00:00","guid":{"rendered":"http:\/\/clarivate.com\/report\/hpdaprwisu09-marketaccess-wisconsin-summer-2009-health-plan-analysis\/"},"modified":"2009-08-15T00:00:00","modified_gmt":"2009-08-15T00:00:00","slug":"hpdaprwisu09-marketaccess-wisconsin-summer-2009-health-plan-analysis","status":"publish","type":"report","link":"https:\/\/clarivate.com\/life-sciences-healthcare\/report\/hpdaprwisu09-marketaccess-wisconsin-summer-2009-health-plan-analysis\/","title":{"rendered":"Wisconsin | Summer | 2009 | Health Plan Analysis"},"content":{"rendered":"<p>Wisconsin state officials are dictating to state HMOs that changes be made in how care is delivered in the state&#039;s Medicaid\/BadgerCare Plus program. Faced with unacceptable HMO quality scores as well as a mandate to cut up to $600 million in costs from its Medicaid program, the state&#039;s Department of Health Services has announced it will end its existing BadgerCare Plus contracts with HMOs in six southeastern Wisconsin counties, setting the stage for a competitive bidding process for the region&#039;s business. An RFP will be issued this fall, with new contracts in place by July 2010. The re-bid contracts cover about 230,000 managed care lives. Meanwhile, Wisconsin HMOs are awaiting final regulations on a new state mandate that requires them to cover intensive in-home therapy for autism. On the prescription drug front, state HMOs are facing the specter of rising specialty drug costs and are implementing a variety of strategies to control those costs. The state received a dose of good news when the administration of President Barack Obama approved the state&#039;s Pharmacy Plus waiver for its popular SeniorCare program. The program is the only one of its kind in the nation and in essence competes with the federal Medicare Part D program.<\/p>\n","protected":false},"template":"","class_list":["post-116475","report","type-report","status-publish","hentry","report-gateway-marketaccess","marketaccess-product-health-plan-data-analysis","marketaccess-state-wisconsin","marketaccess-date-549"],"acf":[],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/report\/116475","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/report"}],"about":[{"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/types\/report"}],"version-history":[{"count":0,"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/report\/116475\/revisions"}],"wp:attachment":[{"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/media?parent=116475"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}