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Post by Logan on Feb 25, 2016 6:37:16 GMT -6
Costly high-level pediatric care is driving a large part of a $28.5 million increase in Delaware's Medicaid budget request, officials said Wednesday. Overall, the request calls for a 10.4 percent increase to Delaware's Medicaid budget for the next fiscal year, increasing it from $741.8 million to about $770.3 million. The abrupt increase comes after the Medicaid department recalculated its funding projections and crunched open enrollment numbers for Highmark Blue Cross and Blue Shield of Delaware, one of the state's two Medicaid-managed care organizations. They found Highmark had enrolled more clients with complex medical needs than expected and would need to spend more money to treat them. Prior negotiations with the insurer mandated that the state make up any additional costs incurred above the company's negotiated medical-loss ratio, officials explained to members of Delaware's budget-writing Joint Finance Committee on Wednesday. Read more: www.delawareonline.com/story/news/health/2016/02/24/medicaid-reports-285-million-surprise-shortfall/80865664/
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