Health Insurance Coverage in Missouri
| Insurance Company | Missouri Department of Social Services |
|---|---|
| State | Missouri |
| Website | mydss.mo.gov |
| Number of Hospitals in Network | 5 |
| Number of Plans Offered | 3 |
3 plans
| Plan Name | Plan Type |
|---|---|
| Medicaid-Missouri | MEDICAID |
| Medicaid (Missouri) | MEDICAID |
| Missouri Care | MEDICAID |
Responsible for the fiscal, operational management, legislative and regulatory objectives of Healthy Blue. Establishes strategies, aligns strategy to achieve business goals, builds a culture of accountability, manages profit and loss. Head of Executive Leadership Team responsible for developing strategic plan and making strategic decisions. Staffs Board of Directors meetings and provides reports. Establishes and maintains funding sources and develops long term business and financial plan. Oversees operating gain. Was previously Market Vice President Medicaid Plan Operations for Healthy Blue. Worked for 10 years in Federally Qualified Health Centers at Jordan Valley Community Health Center and served as CEO of Community Health Center of Central Missouri, leading initiatives focused on quality improvement, financial and operational feasibility, healthcare affordability and access. Graduated and earned an MBA from Missouri State University.
Served as President of Missouri Care. Recognized Dr. Ronald F. Lopez as an accomplished healthcare executive and physician leader in 2018. Was named president of Anthem Blue Cross and Blue Shield's commercial health plan in Connecticut, succeeded by Jeff Davis at Healthy Blue in March 2021.
Oversees the plan's medical strategy and the clinical direction of medical services and quality improvements to help ensure the best possible health outcomes for MO HealthNet Managed Care (Medicaid) members enrolled in Missouri Care. Accomplished healthcare executive and a physician leader with broad experience in clinical medicine and healthcare delivery systems. Has significant experience building strong relationships between healthcare plans and providers. Previously served as chief medical officer for Molina Healthcare of Utah and president/CEO of Hidden Valley Family Medicine, Inc. Founded RFL Consulting, specializing in consultation services on population management, medical disability and group medical practice management. Inventor of the 'Smart Bed'. Received bachelor's degree from Whittier College and medical degree from the University of California, San Diego. Completed a postdoctoral fellowship.
MD, MPH, MBA. Listed in a 2019 Missouri Department of Social Services document related to Missouri Care's Care Management.
Listed in a 2019 Missouri Department of Social Services document related to Missouri Care's Care Management.
Listed in a 2019 Missouri Department of Social Services document related to Missouri Care's Care Management.