Pennsylvania Coalition of Medical Assistance Managed Care Organizations

The Pennsylvania Coalition of Medical Assistance Managed Care Organizations (the Coalition) represents Pennsylvania’s Medical Assistance physical health managed care organizations that participate in the state’s HealthChoices program. Health Choices is the state’s large-scale capitated mandatory managed care program for Medical Assistance recipients. In 2005, the Coalition commissioned The Lewin Group to conduct a comparative evaluation of Pennsylvania’s HealthChoices program to the state’s traditional fee-for-service program as well as ACCESS Plus, the state’s enhanced primary care case management program, focusing on cost-effectiveness, impact on access, the quality of services provided, and the program’s focus on and approaches to serving individuals with special needs. In 2011, the Coalition asked Lewin to update the cost-effectiveness piece of the 2005 study in an effort to identify savings provided to Pennsylvania by HealthChoices when compared to traditional fee-for-service and to ACCESS Plus.

"Throughout the engagement, Lewin consultants listened to us and delivered superb analyses and thoughtful guidance–not canned solutions."  NONPROFIT HEALTH SYSTEM