"Overall, I think it's gone well,"
Iowa Total Care, a subsidiary of
The state's roughly
As of Monday, Amerigroup Iowa -- the existing managed care organization -- had 351,392 members and Iowa Total Care had 239,951 members, said Human Services spokesman
UnitedHealthcare -- whose officials criticized the state for underfunding the Medicaid program, stating it had lost millions of dollars in three years -- announced earlier this year it would leave at the end of June, forcing Medicaid members and health care providers into another transition.
UnitedHealthcare was the second managed care organization to depart since the program privatized in 2016 -- following AmeriHealth Caritas, which exited in 2017.
On Thursday, Randol said that while
"I'm confident both are here for the long term," said Randol of the two currently contracted companies.
He told Iowa Idea participants he is confident "the state continues to save money with managed care" versus the old state-run, fee-for-service model. He said he expects Human Services officials will work on actuarial numbers into January before starting a new round of contract talks for fiscal 2021. He also said he expects the state will issue requests for proposals to find a third organization, but did not have a timetable for bringing another private company on board.
Damiano said some states have chosen to privatize their Medicaid program on a piecemeal basis while
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