Home Opinion Dear Editor Centennial Care complicated, inefficient

Centennial Care complicated, inefficient


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Dr. Vijay Chechani’s recent letter to the editor elucidated the dizzying array of complications and inefficiencies for patients and physicians who utilize Centennial Care plans. Centennial Care is the name of the New Mexico Medicaid program.

He points out that formulary change, i.e. prescription coverage changes, can be executed in the blink of an eye, well, monthly actually, without prior notification to physician, patient or pharmacist. He also states that prior authorizations are being required for the medicines to treat common respiratory maladies such as asthma and COPD. The high number of people with these conditions would force Dr. Chechani increase his staff.

The net effect is that poor people in need of life quality/sustaining medication are being denied due to unnecessary impediments imposed by the State Medicaid program.

This reminds me of the private sector health insurance problem of surprise medical billing. The Office of the Superintendent of Insurance (OSI) did a study on surprise medical billing involving 554 responses to its online questionnaire. I’m not sure if Centennial Care would be within the purview of OSI, but it would be worth a shot.

Steven Young

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