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Rhode Island Will Restart Process to Award Massive Medicaid Contract

The price of the doctor’s visit you calculated online might not reflect what you’ll be billed.
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President Trump and his allies have indicated they see Medicaid as a potential source of cuts. How much and how deep remains to be seen.

In a sign of uncertainty over looming federal budget cuts, Rhode Island officials have once again postponed any decision over who will manage the state’s largest health insurance program

Nearly 320,000 Rhode Islanders rely on Medicaid — one out of every three people. Medicaid is the biggest line item in the state budget.

One-third of Rhode Island’s spending every year goes to pay for the program, which is a safety net for low-income individuals and families. More than half of those costs are paid by the federal government.

The program has been bedeviled by problems.

The computer system that helps manage the program, RIBridges, is currently down due to a cybersecurity threat. That’s made it harder for individuals to access their benefits.

Participants and providers alike have long complained that obtaining coverage is not always easy because there’s too much red tape.

Meanwhile, costs have been skyrocketing.

The state relies on private healthcare companies to manage the program. Currently, three companies share the contract: Neighborhood Health Plan of Rhode Island, United Healthcare, and Tufts Health Plan.

The process of awarding a new $15.5 billion contract for the next 5 years — which began 3 years ago — has been messy to say the least. State officials have stopped and restarted the bidding process multiple times.

As of Wednesday, they’re back to square one again.

This story was reported by The Public's Radio. You can read the entire story here.

David Wright is a veteran TV, radio, and digital reporter who recently joined the Ocean State Media team.
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