Iowa Medicaid Director Refutes Managed Care Audit Results

As the Iowa Dept. of Human Services considers making changes to its managed Medicaid program, IA Health Link, State Auditor Rob Sand last month released a damning report that says the state’s 2016 transition to managed Medicaid led to an 891% increase in “illegally denied services or care.” The report also details how two managed care organizations violated provisions of their contracts with the Dept. of Human Services, although DHS says the report is flawed. Since 2019, only two insurers have been serving the program, but DHS is considering adding up to two more.

© 2021 MMIT

Lauren Flynn Kelly Managing Editor, Radar on Medicare Advantage

Lauren has been covering health business issues, including drug benefits and specialty pharmacy, for more than a decade. She served as editor of Drug Benefit News (the predecessor to Radar on Drug Benefits) from 2004 to 2005 and again from 2011 to 2016, and now manages Radar on Medicare Advantage. Lauren graduated from Vassar College with a B.A. in English.

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