"In the old system, under the pay-for-services system, we had an error rate of more than 9 percent, close to 10 percent. The error rate under the new system is very close to zero."
Source of claim: Gov.
Branstad has been arguably the biggest champion of
Branstad's communications director
The report, created by the
According to that report, fee-for-service
PERM reports lump states into three-year rotational cycles, so
The specific report Branstad cites is the most recent available for
That time frame is significant when checking Branstad's claim.
In the transition, the state moved about 560,000
But in fiscal year 2014, when the PERM survey was conducted, only about 12 percent of
In that fiscal year, only Iowans receiving behavioral health services enrolled with Magellan of
Both of those MCOs left the state of
It's worth noting
For example, in 2015, fee-for-service
But again, that's a snapshot for the entire country.
The truth is, a measurement of errors for Iowa Medicaid that accounts for the state since it transitioned to a managed-care system does not exist and the report Branstad refers to measured error rates for MCOs no longer operating in the state.
The next PERM report for Iowa Medicaid won't be completed until 2017.
Comments made by Branstad in August on the number of errors among fee-for-service
The problem is the governor used that data to paint a picture of
That system has changed drastically since the April transition and we simply don't know how many payment errors have occurred among the more than 500,000 people now on managed-care
For that, we have to give Branstad a grade of C.
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