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Report: BadgerCare Plus losing millions of dollars in SE Wisconsin

by
Health care graphic copyright Midwest Communications, Inc.
Health care graphic copyright Midwest Communications, Inc.

MILWAUKEE (WTAQ) - Wisconsin’s BadgerCare Plus program – which offers health care to the working poor – appears to be in trouble in the state’s most populated area.

The Milwaukee Journal Sentinel says at least three of the four major groups that provide BadgerCare services in southeast Wisconsin are losing millions of dollars on it. And at least one provider – United Health Care – will end its contract with the state in 12 days.

The state reduced its payment rates to the providers by 11 percent in each of the last two years, as part of the effort to balance its budget.

The state Health Services Department says it’s developing rates for next year which will guarantee that adequate health networks are in place to continue the BadgerCare coverage.

In the meantime, about 174,000 patients served by United Health Care will not be affected.

Starting in November, the state will pay doctors and hospitals directly instead of going through United.

Meanwhile, the Molina Health Care group – which manages BadgerCare Plus for 42,000 Wisconsinites – is also considering a pullout. Molina said it spent almost $4 million more in medical claims than the state reimbursed. 

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