Iowa implements Medicaid managed care program

Iowa has officially moved its Medicaid program from fee-for-service to a managed care model led by three private insurers, AmeriHealth Caritas Iowa, Amerigroup Iowa and UnitedHealthcare of the River Valley, reports The Gazette of Cedar Rapids. A fourth insurer--WellCare--lost its bid to co-manage the Medicaid program after failing to disclose a previous false claims settlement.

The state says the move will help control the rising costs of Medicaid, though it has faced strong opposition from both the Iowa Hospital Association and Medicaid recipients who rallied at the State Capitol in protest. The transition so far has been quiet, according to The Gazette, but a spokeswoman for the state's Department of Human Services says she expects more "bumps in the road" once providers start to submit claims. Article

Suggested Articles

A new CMS report estimates that premiums for the second-cheapest silver tier plan will decline by 2% on next year.

Premiums on the ACA's exchanges for 2021 are expected to rise by about 1% as insurers struggle to figure out the impact of COVID-19, KFF report finds.

​​​​​​Global healthcare funding soared in the third quarter, hitting a new record of $22 billion. Digital health investments also reached new heights.