After Pamela Morris graduated from college, she began working as a caseworker for the state of Ohio and saw the challenges that Medicaid recipients faced in finding service providers who would accept them.
She wanted to help these Medicaid patients, so in 1986 she moved to Dayton to create the Dayton Area Health Plan, a consortium of health care professionals in the area.
While she had great experience due to her time as a caseworker and her expertise working with Medicaid, she faced a difficult journey. All the other managed care companies that had started had gone out of business, but she vowed to not make the same mistakes they had.
Morris met with government officials in Washington, D.C., to get a federal waiver that wouldn’t allow Medicaid providers to charge a fee for service and to ensure Medicaid recipients could choose from at least two managed care providers. After two years, the waiver passed.
She next had to get an HMO license, which was supposed to cost $50,000, but during the process, the state notified her it now cost $300,000. Undeterred, she came up with the money and got the license. She also overcame a class-action lawsuit that was filed to stop her efforts.
Three years and three major obstacles later, the state’s first managed care plan was finally launched in 1989, now called CareSource Management Group. The company serves more than 525,000 consumers, and Morris continues to build the business to ensure future success and care for Medicaid consumers.
HOW TO REACH: CareSource Management Group, (937) 224-3300 or www.csmg-online.com