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CareStar has provided case management services since 1988 in various mid-western states, predominantly in Ohio and Indiana.In 2004, CareStar signed a five-year, $140 million contract with the Ohio Department of Job and Family Services to provide case management services for its medicaid waiver homecare program.
By 2010, the company was the third largest Medicaid HMO in the country, with $2.5 billion in revenue and 800,000 members across Ohio and Michigan. [12] In 2010, CareSource announced expansion of its provider network in Southeastern Ohio through a partnership with Quality Care Partners (QCP), a physician-hospital organization (PHO). [13]
Prior to July 2013, ODJFS was also the state agency responsible for the administration of Ohio's Medicaid program. In July 2013, a new state agency was created, the Ohio Department of Medicaid (ODM), Ohio’s first Executive-level Medicaid agency. ODJFS employs about 2,300 full time employees and has an annual budget of $3.3 billion. [2]
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They provide services to approximately 30 million individuals annually across the U.S. In 2019, more than 91% of patients reported incomes below 200% of the federal poverty level (i.e., $27,180 for an individual and $55,500 for a family of four), with 48% enrolled in Medicaid and 23% uninsured. [9]
In 1985, Medicaid patients made up 28% of all CHC patients but only 15% of CHC revenues. [5] By 2007, the share of Medicaid patients matched their share of revenues. In the same time period, grants for the uninsured decreased from 51% to 21%. [5] In 2008, Medicaid payments had grown to account for 37% of all CHC revenues. [4]
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