Billions in Profits, Millions in Unpaid Claims: Medicaid Insurers Leave Illinois Providers Struggling, Patients Losing Care

Billions in profits, millions in unpaid claims: Medicaid insurers leave Illinois providers struggling, patients losing care | Illinois State Bar Association

Billions in profits, millions in unpaid claims: Medicaid insurers leave Illinois providers struggling, patients losing careSmall clinics and hospitals are drowning in denied and delayed claims from Illinois Medicaid managed care organizations. To cope, some have stopped accepting Medicaid altogether. Meanwhile, MCOs see increasing profits, but aren’t meeting patient care metrics. Source: Capitol News Illinois

Billions in Profits, Millions in Unpaid Claims: Medicaid Insurers Leave Illinois Providers Struggling, Patients Losing Care

On a weekend night, long after her last patient had gone home, Crystal Stone sat at her desk at New Leaf Behavioral Health, sifting through a growing stack of unpaid Medicaid claims. The numbers didn’t add up. They never did. One denial after another— each one another threadbare explanation that left her clinic unpaid. She should have been resting, spending time with her family, but instead, she was battling insurance companies for money she had…