Medica won't bid on Medicaid in Iowa

Enrollees still limited to 2 companies

(image via Medica.com)

Medica logo
(image via Medica.com) Medica logo

Medica Health Plans will not bid to become an administrator of Medicaid plans in Iowa, a spokesperson told The Gazette this week.

Greg Bury, spokesman for the Minnesota-based insurance company, told The Gazette the company would not bid to become the third managed-care organization in the state’s Medicaid program.

“We just collected information about what the state was looking to do,” Bury said.

The state’s program previously had three managed-care organizations administering plans for Medicaid recipients. AmeriHealth Caritas left the state at the beginning of this year.

Medicaid enrollees’ choice of insurer was further limited when Amerigroup Iowa — one of the two remaining Medicaid administrators — announced in November it did not have capacity to take on new members. Those who were not moved to the state’s fee-for-service system were placed with the remaining insurer, UnitedHealthcare.

The Department of Human Services posted a request for proposals at the end of October to find another Medicaid administrator, which would be available to enrollees beginning July 1, 2019.

In a notice posted by DHS on Nov. 22, the department listed Medica as an entity intending to bid in the first round.

However, Bury said, Medica “never entered into formally making a bid for it.”

The Nov. 22 DHS notice also lists Iowa Total Care — a subsidiary of Centene Corporation — as posting an intent to bid.

Medica is currently the only insurer on the exchange for individual plans.

CONTINUE READING

MORE Health ARTICLES TO READ NEXT ...

As the population increasingly ages, government programs that many rely on to pay the high cost of long-term care are not keeping pace and even then sometimes get delayed - often leaving nursing homes struggling to make ends meet. ...

When Mary and Joshua Haun began their relationship in 2013, they were together more than 160 pounds heavier than they are now. The couple, who were married in October 2017, has been committed to the Ketogenic diet for more than a ...

Give us feedback

Have you found an error or omission in our reporting? Tell us here.

Do you have a story idea we should look into? Tell us here.