Actuarial Assessment of Medicaid Managed Care Expansion Options
January 2004
Texas Health and Human Services Commission
The Lewin Group developed a comprehensive set of cost estimates for potential expansion of Texas' Medicaid managed care programs. The study included a projection of potential savings as a result of implementing various managed care expansion options, as well as a geographic analysis of potential expansion regions. The study also took into account the potential effects managed care expansion would have on other programs and benefits, such as pharmacy. Throughout the project, the Lewin team gathered input from various stakeholder groups, including hospitals, physicians, managed care plans, the PCCM vendor and State staff responsible for administering the current program to understand the concerns these groups have about the structure of the current program and their ideas for improving it. HHSC has relied heavily on the report in shaping its managed care expansion plans.