Senate Democrats call on federal officials for Medicaid look over
"Hospitals, nursing homes and other
Sen.
"I think it's important for them to hear from providers and members, especially the members," Mathis said. " ... We just wanted to make sure if they should come to
Mathis said no word has come from CMS if such a field visit would take place.
UnitedHealthcare took the majority of
Federal officials had delayed the start of
It was launched in
The lawmakers sent the letter less than two months since
Before coming to
The three private insurance companies that administer the KanCare program lost
Financial impact
The
During that call, Mathis said the officials said they would consider a field visit if they were provided with data on the state's system.
Reports from three provider networks were attached to the letter sent to CMS last week, including
Each of the reports from the networks, per the request of the legislators, included data on the financial impact managed care has had to statewide health care providers as well as anecdotal examples of hurdles they have faced since 2016.
According to the report from the hospital association, shortly after Medicaid switched over from the state-run program, "and despite a 90-day delay issued by (CMS) due to the state's lack of readiness, hospitals across
The hospital association, which represents all the state's hospitals, stated that the elimination of Iowa Medicaid's previous reimbursement process has resulted in about
The reports also indicated repeated denials of payments from the managed-care organizations due to a lack of authorization, as well as processing errors on the part of the insurers.
"As an agency, we have discontinued our traditional Intensive Outpatient Program in light of the requirements for prior authorization, the low reimbursements and the amount of clinician time spent in administrative/clerical duties in order to gain insurance approval," the
If federal officials do not conduct a field visit,
"Regardless if they don't come to
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