HealthSpring, a Cigna company, has been awarded a three-year contract with the Illinois Department of Healthcare and Family Services to provide managed care services to dual-eligible beneficiaries in Greater Chicago as part of the Illinois Medicare-Medicaid Alignment Initiative (ILMMAI). The ILMMAI program, upon receiving federal approval, will be part of the Centers for Medicare & Medicaid Services’ (CMS) Medicare-Medicaid Plans (previously referred to as Financial Alignment Demonstration Plans), which center on integrating Medicare and Medicaid benefits and services to create a unified, easy-to-navigate health care system for the dual-eligible population.
The ILMMAI program is one in a series of the State’s initiatives to transform the health care environment in Illinois to one that is more patient-centered, with a focus on improved health outcomes, enhanced patient safety and better access to care. Illinois health care data indicate a clear need to improve care delivery for dual-eligible beneficiaries and to shift long-term care utilization from institutions to community-based services. A 2011 CMS report showed that Illinois is the nation’s sixth highest in potentially avoidable hospital readmission rates among dual-eligible beneficiaries.
“We are pleased to join together with the Illinois Department of Healthcare and Family Services to offer a full array of health care benefits and services to Illinois residents,” said Herb Fritch, president of HealthSpring. “HealthSpring’s coordinated care model has yielded proven results for dual-eligible patients and our focus on personalized and preventive care aligns well with the State’s vision to deliver better access to care and improved patient outcomes for the dual-eligible population.”
Under the ILMMAI program, HealthSpring will be responsible for coordinating enrollees care and for providing the following:
- Medical services
- Behavioral health services
- Pharmacy services
- Long-term services and supports (LTSS)