Datapoint: Aetna Shut Out of Medicaid Contract Awards

May 21

The Kansas Dept. of Health and Environment announced on May 14 that three insurers were awarded managed Medicaid contracts from Jan. 1, 2025, through Dec. 31, 2027. The state selected two incumbents (Centene Corp.’s Sunflower Health Plan and UnitedHealthcare Community Plan) and one new organization (Elevance Health Inc.’s Healthy Blue) to serve its Medicaid program, which is known as KanCare. Healthy Blue is a collaboration between Blue Cross and Blue Shield of Kansas and Blue Cross and Blue Shield of Kansas City. CVS Health Corp.’s Aetna, which currently has a managed care contract in Kansas, was not chosen. Aetna currently serves 132,684 Kansas Medicaid beneficiaries, about 31% of the program.

Source: AIS’s Directory of Health Plans