Free Declaration - District Court of Arizona - Arizona

EXHIBIT 23
TO
SUPPLEMENTAL DECLARATION
OF
ELLEN KATZ
Case 2:03-cv-02506-EHC Document 138-9 Filed O3/10/2008 Page 1 0f 2

Lindley, Robert
From: Coury, Monica U
Sent: Wednesday, February 21, 2007 9:33 AM
To: Lindley, Robert
Subject: FW: Cost Sharing Proposals
Follow Up Flag: Follow up
Flag Status: Completed
Maybe you should attend".
From: Betlach, Tom
Sent: Wednesday, February 21, 2007 9:23 AM
To: Rodgers, Anthony - AHCCCS Director; Coury, Monica; Hott, Jennifer
Subject: RE: Cost Sharing Proposals
Those are very good arguements — another is that putting the infrastructure in place over all our plans and all the I
exceptions required by CMS is difficult- if we are forced to do cost sharing the easiest and cheapest method is premiums
From: Rodgers, Anthony - AHCCCS Director
Sent: Wednesday, February 21, 2007 9:18 AM
To: Betlach, Tom; Coury, Monica; Hott, Jennifer (
Subject: Cost Sharing Proposals
Regarding legislative proposals on cost sharing ( I assume co—payments or coinsurance type cost sharing).
Cost sharing works against the notion of managed care. Cost sharing is imposed to change beneficiary behavior or to
make the beneficiary financially responsible for the service choices "they" make (like overuse the emergency room). PPO
r— or open network health plans use cost sharing because they don't medically manage the members. If you are going to put
co-payments and co—insurance on AHCCCS MCO members it will work against the health plans medical management
programs. The reason that AHCCCS has one of the lowest PMPM of all state Medicaid programs is our managed care
model. Health plan manage the utilization of members better than any cost sharing program would do. Cost sharing is
for States that don't have Medicaid managed care. .
Anthony D. Rodgers
Director
AHCCCS
(602) 417-471 1 . _ `
Anthony.Rodgers @ azahcccs.g0v . l
w·vwr.r.ahcccs.state.az.us
180 _
Case 2:O3—cv—O2506-EHC Document 138-9 Filed O3/10/2008 Page 2 of 2

EXHIBIT 23 TO SUPPLEMENTAL DECLARATION OF ELLEN KATZ

Case 2:03-cv-02506-EHC

Document 138-9

Filed 03/10/2008

Page 1 of 2

Case 2:03-cv-02506-EHC

Document 138-9

Filed 03/10/2008

Page 2 of 2