Iowa Ideas is a nonpartisan, statewide learning experience designed to explore the key questions and big ideas that will shape the future of Iowa.

Created by The Gazette, Iowa Ideas consists of in-depth, solutions-focused journalism and events. Engaged citizens, community advocates and industry leaders are invited to join us.

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Conference replay: The future of Medicaid in Iowa

"Managed care is about more than insurance reform -- it's also about health care reform"

    Director of the Iowa Department of Human Services Jerry Foxhoven, left, listens to Iowa State Senator Liz Mathis (D-34th District) speak during a a session titled "The Future of Medicaid in Iowa" during the 2017 Iowa Ideas Conference at the DoubleTree by Hilton Hotel Cedar Rapids Convention Complex in downtown Cedar Rapids on Thursday, September 21, 2017. (Cliff Jette/The Gazette)
    Health Care
    Oct 23, 2017 at 11:33 am

    Audio: replay conversations from Iowa Ideas 2017

    Nearly one in four Iowans relies on Medicaid for health care coverage, and that number is only expected to grow. Medicaid is projected to serve nearly 770,000 Iowans or 24 percent of Iowa’s population in SFY17 and over 795,000 or 25.7 percent of Iowa’s population by SFY19.

    At Iowa Ideas 2017, September 20-22 in Cedar Rapids, Jerry Foxhoven, director of the Iowa Department of Human Services, and state Sen. Liz Mathis, D-Robins, sat down with The Gazette's health care reporter Chelsea Keenan for an in-depth discussion on the current state and future of Medicaid in Iowa. 

    Some quick background: In April 2016, Iowa transitioned the majority of its Medicaid program from a traditional fee-for-service program to a managed-care system. The state has contracted with three private insurers to administer the program – AmeriHealth Caritas Iowa, Amerigroup Iowa and UnitedHealthcare Community Plan of Iowa. 

    Medicaid covers low-income adults over age 65, blind, disabled, pregnant women and children. The Iowa Wellness Plan (Medicaid expansion) covers adults ages 19 to 64 with incomes at or below 100 percent of the federal poverty level -- $11,880 for individuals or $16,020 for a family of two in 2016.

    Enter your email address to access the full audio and subscribe to our health care newsletter:

     

     

    Full story based on this conversation: Iowa's human services director Foxhoven takes tough stand with Medicaid insurers 

    More from Iowa Ideas: Hospitals work to treat complex, low-income patients through population health management 

    Iowa’s Medicaid program at a glance: 

    -- Total spending: $4.7 billion

    -- Number of enrollees: About 630,000

    Population breakdown:

    -- Hawk-I (low-income children) : 44,966

    -- Iowa Wellness Plan (Medicaid expansion): 143,700

    -- Medicaid: 429,301

    -- Percent of Medicaid enrollees in managed care: 94 percent 

    -- Births financed my Medicaid in 2015: 37 percent

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