The Hoosier Healthwise program is the State of Indiana’s managed care health insurance
program for children, pregnant women and low-income families. Hoosier
Healthwise is designed to provide eligible Hoosiers with access to primary
and preventive health care services.
Hoosier
Healthwise is comprised of two managed care delivery systems: primary care
case management (PCCM) and risk-based managed care (RBMC). In the PCCM
delivery system, called PrimeStep, primary medical providers (like
pediatricians, general practitioners and other doctors) contract directly
with the State. In the RBMC delivery system, primary medical providers
contract with one of three managed care organizations serving Hoosier
Healthwise members: Harmony Health Plan, MDwise and Managed Health
Services. Both the PCCM and RBMC delivery systems are dedicated to
providing Hoosiers with access to quality health care and a medical home.
The intent of
this annual report is to summarize the Hoosier Healthwise program’s
achievements in areas such as member satisfaction, quality of care, and
access to care. While the Hoosier Healthwise program has experienced
success, the state remains committed to identifying areas in which we can
achieve even greater success. Therefore, this report highlights both the
program’s successes and its areas for improvement. By identifying
opportunities for improvement, the State can then develop and implement
solutions - and ultimately make the program even more successful.
Annually, the
state will publish an updated report illustrating the improvements that
are being made in providing quality health care to members. The report
card will grow and change each year - eventually including managed care
organization-specific information. We encourage readers to provide
feedback about this report and how it can be improved at:
managedcare@fssa.state.in.us.
Below is the
first edition of the Hoosier Healthwise Report Card.
