Managed-care plans increasingly taking over Medicaid long-term care. Not everyone is happy about it.

Kristin Bollinger of Freehold Township, N.J., had a routine when it came to her personal and health needs. Since six weeks of age, the learning- impaired 34-year-old has suffered from a seizure disorder that requires long-term care. She has difficulty with the basic tasks of living such as swallowing her food.

For most of her adult life, New Jersey’s Medicaid agency provided a private duty nurse who spent 40 hours a week helping her manage her five anti-seizure prescriptions as well attend to her daily needs. But now the state, which turned its long-term support service program over to private managed-care companies in 2014, wants to replace her nurse with a less expensive personal care attendant.

– Modern Healthcare

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