Local health firm loses state pact

About 47,000 Medicaid patients in Clark County may soon be forced to find new doctors. But so far, patients have no reassurance there will be enough local physicians willing to serve them.

The state Health Care Authority, which oversees seven health programs, has selected five health insurance plans that appear to have successfully bid to provide Medicaid services to Washington residents. The selected insurance plans will manage care for the state’s Healthy Options and Basic Health members, who are mostly women and children.

Columbia United Providers, a Vancouver-based group which currently provides the health plans, was not selected. CUP has filed a formal protest to the decision. The contracts are set to be finalized Feb. 29 and will be in effect from July 1, 2012 to Dec. 31, 2013.

If the decision stands, the local CUP members will have to select new health insurance plans and, in most cases, new primary care physicians. The decision would also leave the 80 workers at CUP unemployed.

CUP is a community-based health insurance plan owned by PeaceHealth Southwest Medical Center and other Clark County health care providers. The group has managed the health care for local Medicaid patients since 1994.

The five plans recently selected by the state are Amerigroup, Community Health Plan of Washington, Coordinated Care Corp., Molina Healthcare of Washington and UnitedHealthcare Community Plan.

Amerigroup and UnitedHealthcare are Fortune 500 companies and Coordinated Care Corp. is a subsidiary of Centene, another Fortune 500 company.

Molina Healthcare is a for-profit company based in Long Beach,

Calif., and provides health care services to 4.3 million people in 16 states. Community Health Plan is a Washington-based nonprofit group founded by a network of community and migrant health centers in the state.

CUP officials fear the state’s bidding process may represent a fundamental change in the values of the state’s managed Medicaid program.

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