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CareSource’s Jason Bearden on Medicaid, value-based care and how he spends his spare time
Jason Bearden on the court at CareSource night at the Atlanta Hawks Game. (Credit: CareSource)
Jason Bearden is not only a leader in the health care industry in Georgia, he also has a proven record of benevolence to the Atlanta community he calls home.
Bearden is deeply rooted in Georgia. He’s a graduate of both Georgia Tech and Georgia State University.
When he's not immersed in his executive duties as president of CareSource’s Georgia market, Bearden is helping to tackle homelessness in Atlanta as a board member of Partners for HOME, or is involved in his kids’ sports games in Atlanta.
Bearden hasn’t forgotten about his core value of serving the public. And he strives to continue to build CareSource's Medicaid managed care program that many low-income families and individuals rely on to meet their health care needs. “My passion is about people, it’s about relationships, it's about life change,” he told State Affairs. “And that's really why I am at CareSource.
“You’ll hear us talk about health care with heart. And it’s all about the heart and helping people achieve their hopes, dreams, goals and aspirations. That's why I’m here. I'm the market president for CareSource Georgia, which has a lot packed in it, but it ultimately comes down to the people we serve. Everybody needs a little leg up from time to time and that's what we do.”
CareSource serves more than 2 million members in several states. The nonprofit is one of the state’s three Medicaid Managed Plans that have more than 500,000 members, Bearden said. (The other two are Amerigroup Community Care and the Peach State Health Plan.) So how do these managed health care plans help Georgians as they navigate major changes to Medicaid eligibility in Georgia?
Many Georgians who rely on health coverage through Medicaid for a range of services have been faced with potential cuts because of the process of redetermining eligibility. If the state determines a recipient is ineligible, they could lose their Medicaid coverage. Both programs provided continuous coverage through the public health emergency due to COVID-19 — but that declaration has ended.
State Affairs caught up with Jason Bearden to talk about how the Medicaid program is helping residents, the impact of the Medicaid “unwinding” process on recipients, the new report on Value Based Care (VBC) and more about his personal life.
Q. Tell us more about CareSource and its Value Based Care program.
A. I think value-based care across the country has the potential to be transformational. [At]CareSource Georgia, we serve almost half a million Medicaid individuals. And it's our goal to plug them in and incentivize them along with our providers to get preventive care that works upstream; more preventive [care] and less reactive.
Q. Can you elaborate on the findings in the new report on the VBC program?
A. It's pretty remarkable. Over-year growth, in the last year that we were able to measure, is showing our members enrolled in value-based care across the state have had significant outcomes, which in turn reduces or eliminates out-of-pocket expenses for those members and mitigates Medicaid program expenditures for the state. … More than 80% of those half a million people now enrolled in the value-based care, we've seen significant leaps.
Some of the successes are really six key focus measures that we established with the Georgia Department of Community Health that we've seen significant gains on year-over-year and from 2021 to 2022. The top six: breast cancer screenings, we've seen almost a 4% increase of breast cancer screenings; controlling blood pressure, over an 8% increase in folks being able to maintain and control their blood pressure at a reasonable level; an increase of almost 7% in childhood immunizations; prenatal care we’ve seen grow over 3% per year; and then really important in the southern states, and in Georgia in particular, that prenatal and postpartum care really expanding through value-based care on the preventive end. The postpartum care is growing almost 9% year over year. So those are really important around maternal child health and ensuring we have the outcomes we all want. And [the outcomes] we expect for our moms and our babies and our kids when it comes to even the early life childhood well visits. So those are some of the key metrics that we've found really interesting.
Q. What do the findings in the report mean for the Medicaid members of CareSource?
A. When you have significant increases in those areas, like well-checks, completions of vaccination schedules, first year of life monitoring, and other preventative health care, it really helps to stave off and prevent a lot of illnesses because we have early detection, diagnosis, where we can catch more serious diseases in earlier stages and intervene. That certainly leads to overall better wellness, better outcomes and better quality of life. So, you get that prevention and it leads to just better quality of life.
Q. The Medicaid "unwinding" process required the state to redetermine eligibility for Medicaid recipients in Georgia. How is the company's managed care plan helping to ensure qualified Medicaid members don't lose coverage?
A. It starts first with access and coverage. You can’t deliver quality health care without first having access. Our Medicaid program covers almost over 2.7 million Georgians and some projections suggest maybe as many as 20% will lose eligibility. That's more than half a million Georgians. It’s important that we make sure people are armed with the information because information is really the most vital piece around making sure key, pertinent demographic information is up to date.
So, what we're doing is certainly getting literature out to our members. We're partnering with hospitals and physician practices, embedding in those places, when individuals come in, we have tables set up, we can educate them. And what the message is, ‘Hey, make sure you update and keep your information current and up to date.’ …Hopefully we're gonna be working a little bit more closely with individuals on the tactical side and how to reenroll and the administrative process, because that can be cumbersome in and of itself.
Q. What are you, Jason Bearden, doing when not helping your members with health care services?
A. Family, work-life balance is important. So, I got three kids and spend time with family. But I think community involvement, giving back to the community is important. So, some of my free time that I'm passionate about is working on the board of Partners for HOME here in Atlanta. And it is the most dynamic board to eliminate homelessness in the city. I think we're one of the most innovative cities in the country in Atlanta in eradicating homelessness, and so that's a great board. So that's a big part of who I am and giving back while working on different boards. I'm excited about that. But on the more personal front, you're not gonna find me on a boat or on the golf course and stuff like that. It’s at the ball field. My kids are all into ball. So, when they're playing, that's what we do. That's the hobby for now, when they get a little older, we'll figure out what's next.
Read more on Medicaid unwinding and health care in Georgia:
Issac Morgan is State Affairs newsletter editor. Contact him on Twitter @issacmorgan12 or at [email protected].
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Despite opposition, both chambers pass their proposed redistricting maps
It’s crunch time for state lawmakers tasked with meeting a Dec. 8 deadline for creating new electoral maps for the Georgia General Assembly and U.S. Congress, also known as redistricting.
Our senior investigative reporters, Tammy Joyner and Jill Jordan Sieder, were covering the special legislative session at the Capitol this week. Joyner is following the Senate proceedings, while Sieder is following the House proceedings. They will be your eyes and ears during the eight-day session, which means you will find a variety of stories and live updates on what’s happening inside and even outside of the Capitol. The special session will resume on Monday. And so will we.
We’d love to hear from you — our readers. If there’s something you would like us to report on during the special session or just have a question about what’s going on, shoot us an email at [email protected].
Here are some of the highlights of Friday’s session.
In and about the Senate
Quote(s) of the day:
“In the maps being drawn by the Republican majority, 80% of the Black voters on the map who are being redistricted come from outside these new growth areas where there are large and growing Black populations. And yet the court specifically identified disenfranchisement areas within the order. Eighty percent of Black voters are being shuffled around. This is like the Republicans’ mother scolded them and said, ‘Clean your room.’ And instead of doing that, they hung up a couple of shirts and left all of the dirty underwear all over the floor.”
— Sen. Elena Parent, D-Atlanta, said of the proposed map change
“It hurts my feelings. I get defensive because I feel like I’m essentially being called a racist for supporting a map that is compliant with racial numbers the judge wants.”
— Sen. Bill Cowsert, R-Athens, who gave an eloquent history of redistricting in Georgia
Biggest thing that happened today:
The Congressional map proposed by the state Senate for the U.S. House was quietly released Friday afternoon to little fanfare after both chambers’ sessions had adjourned. Next week’s session will clearly focus on that map.
Meanwhile, after more than four hours of debate, the Senate passed Senate Bill 1 EX by a vote of 32-23. The bill is the proposed revised district map, which drew lots of opposition from voting rights groups and Democrats who say the map still dilutes Black voting power and violates Section 2 of the Voting Rights Act.
Lots of partisan volleying back and forth. Democrats accused the Senate Committee on Reapportionment and Redistricting of not allowing enough time for people to speak about the map. Republicans held firm that the map meets U.S. District Judge Steve Jones’ order.
After the Senate map’s passage, the Senate Redistricting Committee met briefly to hear public comment on House Bill 1 EX — the House’s proposed district map, which also passed the House on Friday. No action was taken.
Interesting observation inside the Capitol:
A group of children, babies in strollers and their parents with South Cobb Homeschool filed through the Capitol.
Happening while lawmakers are in session:
A group of health care professionals greeted lawmakers and visitors as they entered the Capitol with signs urging safe storage of firearms. They handed out information that noted 4.6 million children live in homes with at least one loaded, unlocked firearm. They mentioned HB 161, hoping that bill will see some movement when the Legislature reconvenes on Jan. 8.
What’s for lunch?
There was no official break for lunch. Some senators worked through lunch, grabbing snacks from the nearby mini cafe off the side of the chamber.
— Tammy Joyner
In and about the House
Quote(s) of the day:
“This map is an undemocratic, un-American, blatant exercise of partisan gerrymandering that harms the freedom of Georgians to elect their candidates of choice … Unfortunately it seems that we are repeating the mistakes of our dark past under Republican control of the Georgia Legislature.”
— Minority Whip Sam Park, D-Lawrenceville, on the proposed state House map
“I had to take a test to vote … I understand why voting matters … and as an attorney, I understand that when a judge tells you to do something in an order, you comply. He said to create five majority-Black districts — not opportunity districts or coalition districts or crossover districts. Chairman [Rob] Leverett’s map complies with everything the judge required.”
— Rep. Soo Hong, R-Lawrenceville, Gov. Kemp’s floor leader
Biggest thing that happened today:
The state House voted 101 to 78 along party lines to pass the proposed House electoral map crafted by Republican leadership, over the intense objections of Democrats, who said the map violates the Voting Rights Act by breaking up two minority opportunity districts and unnecessarily eliminating or vastly changing Democratic districts.
Minority Leader James Beverly, D-Macon, said the GOP maps “failed to remedy the wrong directed toward our African-American electorate that was disenfranchised” by the maps enacted by the Republican-controlled Legislature in 2021. He was also frustrated by the earlier decision of House redistricting committee chair Rob Leverett, R-Elberton, to bar a Democratic amendment that would have presented an alternate map for the committee to consider. The amended plan would have decoupled six incumbent Democrats and two incumbent Republicans who were paired in the same districts in the GOP plan.
Leverett said he could not find a way to comply with the court order to create five majority-Black districts without creating some incumbent pairings, noting, “we did not inflict political casualty solely on the opposing party — we took some damage ourselves.”
Interesting observation inside the Capitol:
Facility staff put the finishing touches on holiday decorations inside the Capitol, including putting the star on the giant Christmas tree in the rotunda, which will be decorated with much fanfare on Monday.
Happening while lawmakers are in session:
The Christmas decorating wasn’t limited to inside the corridors of the Statehouse. Facility staff were also sprucing up the outside with Christmas cheer, too.
What’s for lunch?
Some House members enjoyed pizza, and this intrepid reporter had what is certain to be her first — and last — Hot Pocket.
— Jill Jordan Sieder
In case you missed it, here’s what you need to know about the special legislative session.
Subscribe to State Affairs so you will have unlimited access to all of our stories.
We’d love to hear from you. If there’s something you would like us to report on during the special session or just have a question about what’s going on, shoot us an email at [email protected].
On the ground: Day 2 of the Georgia special legislative session
It’s crunch time for state lawmakers tasked with meeting a Dec. 8 deadline for creating new electoral maps for the Georgia General Assembly and U.S. Congress, also known as redistricting.
Our senior investigative reporters, Tammy Joyner and Jill Jordan Sieder, are at the state Capitol for the special legislative session. Joyner is following the Senate proceedings, while Sieder is following the House proceedings. They will be your eyes and ears during the eight-day session, which means you will find a variety of stories and live updates on what’s happening inside and even outside of the Capitol.
We’d love to hear from you — our readers. If there’s something you would like us to report on during the special session or just have a question about what’s going on, shoot us an email at [email protected].
Here are some of the highlights of Thursday’s session.
Quote(s) of the day:
“Don’t take life for granted.”
— Sen. Rick Williams receives a standing ovation from his peers after conveying his ordeal getting medical help in his rural community following a Nov. 3 heart attack.
“Do the right thing here, people, it’s not that hard.”
— Community organizer Michelle Sanchez
Biggest thing that happened today:
After some heated exchange, the Senate Reapportionment & Redistricting Committee approved its proposed map, rejecting the Democrats’ plan. The 7-5 vote fell along racial and party lines, with the committee’s five Black members voting in favor of the Democratic-drawn map. Sen. Gloria Butler, who presented the Democratic plan to the committee, expressed concern about the way the process was handled regarding the two maps. The map now goes to the Senate floor.
“Yesterday [when the Republican plan was presented], the committee didn’t ask questions. Today, the committee members got to ask questions. All of the public did not get an opportunity to express themselves but they did yesterday. So in my view, that’s two processes. We need to be consistent,” said Butler.
Interesting observation inside the Capitol:
Senators arrived for the afternoon session to find two books wrapped in a bow at their chamber desk. One book was photos of the lawmakers during the 2023 session. The other book was “Unlimited” by Benny Tate. The books are an early holiday gift from Lt. Gov. Burt Jones, president of the Senate. Tate is senior pastor of Rock Springs Church in Milner, where Jones attends services.
Happening while lawmakers are in session:
Unlike Wednesday’s opening session when community activists, school children and other visitors swelled the hallways of the Capitol, Thursday’s special legislative session was rather low-key.
What’s for lunch?
Senators had a catered lunch of chicken and steak fajitas from On the Border.
— Tammy Joyner
Quote(s) of the day:
“The truth of the matter is that we have delivered a map that we’re sure complies with the judge’s order. Y’all have not. There is a remedy. If we were to look at the area south and west of Atlanta, there’s one representative that you’re trying to save, but that one representative that you save is going to cost us all in the end. If you accept our map, then one representative may be eliminated. That’s the will of the voters. If you don’t accept our map and the judge has to do a special master, then every last one of us, 180 of us, are in jeopardy. Y’all have some big decisions to make.”
— House Minority Leader James Beverly
Biggest thing that happened today:
In the House Reapportionment and Redistricting Committee meeting, Republican members rejected an alternate House district plan proposed by Democrats and the committee voted 9 – 5 along partisan lines to approve the Republican chair’s plan already submitted.
House Minority Leader James Beverly, D-Macon, and civil rights attorney Bryan Sells presented the Democrats’ proposed plan. Sells said it cures a problem in the Republicans’ plan, which “unravels or dismantles two protected coalition districts” with majority minority voters, which he said would likely cause a federal judge to find the plan in violation of the Voting Rights Act.
Rep. Mary Margaret Oliver, D-Decatur, who has served in the Legislature for 25 years, told the redistricting committee she was shocked to learn her House District 82 in Dekalb County has been redrawn in a way that tears apart a growing coalition district of diverse minority communities. She called the changes a “glaring violation” of voting rights law that Judge Jones is likely to take issue with, and offered to help GOP lawmakers to remedy the plan.
Interesting observation inside the Capitol:
During their morning session House members watched a 120-second time-lapse video of the renovation work performed inside the Capitol over the summer and fall, which included painting virtually all the walls, columns and balconies in the building. After watching the blur of scaffolding, ladders and workers transform several spaces, members applauded all of the workers responsible for the transformation.
Happening while lawmakers are in session:
There was nothing of note happening outside the Capitol today.
What’s for lunch?
Members of the House Agriculture & Consumer Affairs Committee enjoyed Jersey Mike subs today, including roast beef, turkey, Italian and club sandwiches.
— Jill Jordan Sieder
Our stories explaining what’s behind the special legislative session:
- What is a special session of the Georgia Legislature, and why is it happening?
- Legislators schedule special assembly to address redistricting, but will they make headway?
- Say what? Terms you may hear during the special session
Subscribe to State Affairs so you will have unlimited access to all of our stories.
Georgia lawmakers push for repeal of law determining where medical facilities are built
A study committee of Georgia senators took a decisive step Tuesday toward ending a longstanding and contentious law that regulates how and where new medical facilities are located in the state.
The committee’s decision centers on the 44-year-old Certificate of Need law. It was created to control health care costs and cut down on duplication of services and unnecessary expansions. It determines when, where and if hospitals need to be built. Opponents have said the law prevents competition and enables big hospitals to have a monopoly, often shutting out small and private medical outlets.
On Tuesday, the Senate Study Committee on Certificate of Need Reform effectively said the law needs to be repealed. The committee approved, in a 6-2 vote, nine recommendations.
“Based upon the testimony, research presented, and information received, the Study Committee on Certificate of Need Reform has found that the problem Georgia’s CON law was intended to combat no longer exists,” the report said.
However, the head of the Georgia Alliance of Community Hospitals said Tuesday that repealing the law would be a bad idea.
“It would have a devastating financial impact on hospitals and the quality and access to health care,” Monty Veazey, the alliance’s chief executive, told State Affairs.
Veazey said he has not seen the recommendations yet but his organization has sent its own set of recommendations to the senate and house study committees.
“We believe that the certificate of need really does need some modernization and we look forward to working with the committee to work through those recommendations and see if we can reach a compromise position during the upcoming legislative session,” Veazey said. “We still want to see what the House committee recommends before moving forward.”
Here’s what the senate study committee recommends, according to a draft:
- Repeal CON requirements for obstetrics services, neonatal intensive care, birth centers and all services related to maternal and neonatal care across Georgia.
- End requirements for hospital-based CON on Jan. 1, 2025.
- Reform CON laws to eliminate CON review for new and expanded inpatient psychiatric services and beds that serve Medicaid patients and the uninsured.
- Repeal all cost expenditure triggers for CON.
- All medical and surgery specialties should be considered a single specialty, including cardiology and general surgery.
- Multi-specialty centers should be allowed, particularly in rural areas.
- Remove CON for hospital bed expansion.
- Revise freestanding emergency department requirements such that they must be within 35 miles of an affiliated hospital.
- Remove CON for research centers.
The committee will present its recommendations to the Georgia General Assembly when it reconvenes in January.
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Proposed redrawn Senate maps create two new Black districts, threaten two Democrats
ATLANTA — The first step in the 2023 electoral redistricting process occurred Monday when Sen. Shelly Echols, R-Gainesville, chair of the Senate Reapportionment and Redistricting Committee, released a draft proposal of new Senate district maps.
Last month, U.S. District Judge Steve Jones ordered Georgia to redraw its state House, Senate and congressional district maps, adopted in 2021 by a majority-Republican-led Legislature, after finding they violated the Votings Rights Act by diluting the power of Black voters. The Georgia General Assembly is charged with submitting new maps to comply with Jones’ order by Dec. 8, and will be meeting in an eight-day special legislative session to do so, starting on Wednesday.
The proposed Senate maps would create two Black-majority voting districts while eliminating two white majority districts in metro Atlanta now represented by Democrats. The districts of state Sen. Elena Parent, chair of the Senate Democratic caucus, and Democratic Sen. Jason Esteves, a freshman, would become majority-Black if the redrawn maps make it through the redistricting process, a change that could invite considerably more primary challenges.
The proposed maps do not significantly alter the district lines for Sen. Valencia Seay, D-Riverdale, and Sen. Marty Harbin, R-Tyrone, whose districts Jones ruled did not comply with the Voting Rights Act. It will be up to Jones to decide if the new maps pass muster.
As it stands, the proposed Senate map will leave Republicans with a 33-23 advantage in the Senate.
On Wednesday legislators will plunge into their redistricting work during a special session at the Capitol. In addition to the state Senate maps, lawmakers must also redraw electoral maps to create Black majorities in one additional congressional district in west-metro Atlanta, and in five additional state House districts in Atlanta and the Macon-Bibb County area.
The proposed Senate maps (and all proposed maps to be submitted by legislators) are available on the Legislative and Congressional Reapportionment Office’s website. Written comments can be submitted (and viewed) by the public through the portal available on the Georgia General Assembly website. Most of the reapportionment and redistricting committee’s hearings are open to the public; the daily legislative schedule is available here.
“The committee encourages public participation and values the input of the community in this vital democratic process,” Echols said in a statement released on Monday.
RELATED: Legislators will be slicing up voting districts soon after you carve your Thanksgiving turkey
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