State settles Medicaid lawsuit saving approximately $100 million annually
Under the agreement, DHHR will submit all
Currently, the state spends more than
Additionally, the settlement requires state
According to the settlement, any managed care company that fails to meet the 85 percent level would have to rebate the difference.
The settlement will "help stop the wasteful spending that we've seen by requiring medical loss ratios that are higher than what the state had been getting on these no-bid, illegal contracts," Forbes said.
DHHR, its
Currently,
Forbes said the four "are hand picked to the tune of
Calls seeking comment to the managed care contractors went unreturned Monday.
None of these current contracts are the result of competitive bidding. BMS operates its program under a waiver approved by the federal
One of the provisions of the waiver is that the state must contract with at least two HMOs. Having multiple awards in competitively bid contracts is allowed for in
Not getting competitive bids for the
Forbes said, "
"Because
In a written response to questions about the settlement, DHHR's Deputy Secretary
"DHHR stands by the position that its contracting practices for
When asked why DHHR did not comply with state law, Samples said the administration has been contractually tough and diligent to make significant changes to improve quality and control costs. DHHR Secretary
Analyses of the no-bid managed care
-- Email: [email protected]
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