Sole Source or Preferred Provider Contracts Aren’t the Solution for Our Medically Complex Kids.
Ohio Medicaid managed care organizations (MCOs) can currently enter into sole source or preferred provider arrangements in an attempt to manage enrollee medical needs.
In this practice, a contract is established between the MCO and a durable/home medical equipment provider, designating the company as the sole provider of products and services prescribed to a patient and eliminating their right to choose.
These contracts have a negative impact on patients, physicians, and payers – which is why we’re advocating for a bill in the state legislature that would prohibit MCOs from entering into these arrangements.