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Thread: Medicaid privatization in Iowa hitting some bumps

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    Re: Medicaid privatization in Iowa hitting some bumps

    Quote Originally Posted by cpwill View Post
    Indiana did quite a bit more than that - they started the shift from a single-payer model to one in which medicaid recipients were making spending decisions with money that would otherwise become theirs. They introduced actual market pressure. As you know.
    The "shift from single-payer" is exactly what I'm talking about--the conversion of Medicaid for key populations in most states from a single public insurance payer into a private multi-payer design (privatization). Which is what Iowa just did.

    The fact that Indiana is one of a handful of states that funds savings accounts for Medicaid beneficiaries is not what makes Indiana's program privatized. (The savings accounts are just intended to incentivize preventive care utilization and discourage utilization of other services.) Its program is privatized because the beneficiaries are insured by private payers.

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    Re: Medicaid privatization in Iowa hitting some bumps

    Medicaid privatization in Iowa continues to go not great.

    DES MOINES, Iowa — Iowa’s decision to help Medicaid managed-care companies shoulder deep financial losses would only cost the state government about $10 million, but it could cost the federal government up to $225 million, state officials say.
    The state’s recent agreements to help the three private management companies mop up their red ink were disclosed Friday in response to an open-records request from The Des Moines Register. The "risk-corridor" agreements would help the companies make up for an estimated $450 million in losses since they began running Iowa’s Medicaid program, which is jointly financed by the federal and state governments.
    A related cost increase could come soon, as a result of negotiations between the three companies and state officials over the base rates that the companies are paid for covering Iowa Medicaid recipients. The companies are expected to seek large increases. If they succeed, the increased Medicaid spending could further pinch the state budget.

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