Hennepin Health: A Case Study

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My organization, Hennepin Health is a Medicaid HMO plan that has 10,000 recipients, and we only service Hennepin County residents. Medica health plan announced last year, they are exiting the Medicaid market, due to increased deficits. There will be 300,000 people in the public healthcare market that need to select a health plan. The following health plans will receive an influx in enrollment: BCBS, Hennepin Health, Health Partners, and UCare. My department recently restructured our department and provider relations is not the liaison for trending issues for provider’s claims payment. Customer Service area is supporting all claims issues. It’s unfortunate that we can no longer go out on site visits with the providers. The top three health

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