Iowa Hospital Association proposes a move from managed care
Democratic leaders and many Medicaid enrollees want a return to the previous state-run system. At the same time, a provider association wants to go forward with a third option for managed care it announced in January.
All three managed-care organizations reported losses in excess of
Enrollees were further thrown for a loop when Amerigroup announced the same month it no longer would accept new members.
The state is undergoing a search for a third insurer to replace
"Our concern all along was that
In light of developments with the state system, the association, which represents
The association's proposal is a "member-driven" approach to managing medical and behavioral services through incentives for patient health improvements and a centralized organization that would handle administrative responsibilities.
It could work here
Other groups also have proposed changes to the system, including state
Reynolds has stated she is committed to a privately managed Medicaid system, and
"We don't believe the current model is sustainable in the near or long term."
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President,
"Frankly, that's what these companies do for a living," Foxhoven told The Gazette in an early January interview. "It's not what the state of
Proponents of
According to
The hospital assocation's Norris said states such as
"Long story short, if you look at Medicaid managed care, even though people say it's in 30-some states, it's really only in large population states where they've saved anywhere from 1 percent to 3 percent," Norris said.
"It's not in small markets," he said. "In small markets, this model -- the one that we're currently using -- generally costs states more and has resulted in diminishing services to the people that are insured and all kinds of management issues for providers that are involved."
But Norris said as hospital association leaders began work on their proposal this past August, uncertainty in
"We don't believe the current model is sustainable in the near or long term," Norris said.
The hospital association's proposal would help
The proposal, which was created in partnership with health care consulting and law firm
Some 1.4 million Medicaid members in
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