KanCare

File Photo / Kansas News Service

Federal officials this week approved a corrective plan for Kansas’ privately managed Medicaid program, easing pressure on the state before a year-end deadline.

As part of the plan, state officials agreed to keep track of the number of grievances and appeals they receive from Kansans in Medicaid who say they were denied appropriate services. That and other elements of the plan were outlined in a letter the state received Monday from James Scott, associate regional administrator for Medicaid and children’s health operations at the Center for Medicare and Medicaid Services.

Susie Fagan / Kansas News Service

Republican leaders in the Kansas House say it is unlikely they will schedule another vote on Medicaid expansion in the final weeks of the legislative session.

But Democrats say they will attempt to force one.

House Majority Leader Don Hineman, a Dighton Republican, said lawmakers facing tough votes on the budget, taxes and school finance don’t want to further complicate the final weeks of the session by adding Medicaid expansion to the mix.

File Photo / Kansas Public Radio

A third of the way to an end-of-year deadline, Kansas officials still do not have federal approval to extend KanCare.

In January, the federal Centers for Medicare and Medicaid Services denied the state’s request for a one-year extension of the waiver that allowed it to privatize its Medicaid program. The denial letter said neither the Kansas Department of Health and Environment nor the Kansas Department for Aging and Disability Services was doing enough to hold the three private companies that run the program responsible for providing services accountable to Medicaid rules.

File Photo / Kansas News Service

Editor's note: This story was updated  at 10:30 a.m. April 14 to clarify that expansion supporters will attempt to pass a new bill, not override Gov. Sam Brownback's veto.

Advocates of expanding Medicaid eligibility are planning a another attempt to overcome Gov. Sam Brownback’s opposition to an expansion bill when lawmakers return in May to wrap up the 2017 session.

Stephen Koranda / Kansas Public Radio

Editor’s note: This story was updated at 11:20 a.m. Tuesday, March 28.

Buoyed by the failure of Republicans in Congress to repeal the Affordable Care Act, the Kansas Senate on Tuesday gave final approval to a Medicaid expansion bill in a 25-14 bipartisan vote.

The Senate vote sends the bill to Republican Gov. Sam Brownback, whose spokeswoman reaffirmed his opposition to expansion in tweets during nearly three hours of Senate debate Monday but did not say whether he would veto it.

Jim McLean / Kansas News Service

Kansas lawmakers are now a step away from what could be a showdown with Republican Gov. Sam Brownback on the political football issue of Medicaid expansion.

Susie Fagan / Kansas News Service

A dispute about the cost and potential benefits of expanding Medicaid eligibility is heating up ahead of a Kansas Senate committee vote on a bill.

In testimony Monday to the Senate Public Health and Welfare Committee, supporters of expanding eligibility for KanCare, the state’s privatized Medicaid program, said expansion would more than pay for itself.

Stephen Koranda / Kansas Public Radio

With all of the talk in recent years about Kansas’ budget problems, it can be hard to keep track of what programs have been cut and by how much.

So, some Kansans may not remember that last summer Gov. Sam Brownback ordered more than $56 million in cuts to KanCare, the state’s privatized Medicaid program. Including the amount of federal matching funds lost, the cuts amounted to $128 million.

Kansas lawmakers remember the cuts, and they are taking steps to reverse them.

Stephen Koranda / Kansas Public Radio

Kansas lawmakers appear poised to pass a Medicaid expansion plan despite objections from Gov. Sam Brownback and uncertainty about the future of federal funding.

Senate President Susan Wagle, a Wichita Republican, doesn’t hesitate when asked if the expansion bill, which passed the House in late February, will clear the Senate later this month.

“I believe the bill passes on the Senate floor,” Wagle says, adding that she believes it will be approved by a wide margin.

Morgan Said / KCUR 89.3

As a source says that Kansas Gov. Sam Brownback could be leaving the statehouse, Senate President Susan Wagle (R-Wichita) talks about how a new Governor could change this legislative session.

File Photo

The first weeks of the legislative session are a time for lawmakers to put forward their favorite ideas that have little chance of becoming law. In most years, that list would include changes to Medicaid, but things are different with the 2017 Kansas Legislature.

All three of the private insurance companies that manage the Kansas Medicaid program made a profit on it in 2016 — the first year that has occurred.

UnitedHealthcare was by far the most financially successful of the three, with $30.2 million in profits. Sunflower State Health Plan, a subsidiary of Centene, had a $5.5 million profit and Amerigroup made about $3.4 million.

The three companies lost millions in 2013 and 2014, the first two years of KanCare.

Matt Hodapp / KCUR 89.3

On this week's Statehouse Blend Kansas, Rep. Susan Concannon (R-Beloit) talks about passing Medicaid Expansion out of the Kansas House and its prospects both in the Senate and on the Governor's desk.

The Republican majority in Congress is intent on repealing the Affordable Care Act, also known as Obamacare. Freshman Kansas 1st District Rep. Roger Marshall is on board. So he’s gathering input from constituents on how to proceed with repealing and replacing the ACA with what he calls needed “free-market reforms.”

The Great Bend Republican recently mailed a survey to 50,000 households in the Big First. 

Stephen Koranda / KPR

Every major advancement of African-Americans since the Civil War has been met and opposed by "white rage," says Carol Anderson. Today, she explains how resentful whites have looked to halt the progress of blacks through discriminatory policies, laws, intimidation and violence.

Jim McLean / Kansas News Service

Kansas was out in front of just about every other state in 2013 when it fully privatized its Medicaid program and renamed it KanCare.

The switch to managed care was one of the first big policy changes made by Gov. Sam Brownback, who promised it would both improve health care and lower costs.

KanCare was immediately controversial.

File Photo / Kansas News Service

Supporters of expanding Medicaid eligibility to more low-income Kansans succeeded Wednesday in a last-gasp effort to advance a measure, overpowering opponents who thought they had blocked it earlier in the week.

File Photo / Kansas News Service

KanCare is a $3 billion program that provides health insurance to more than 425,000 Kansans — complex and bureaucratic by its nature.

And lately it seems the privatized Medicaid program has drawn more than its share of complaints from Kansas medical providers, beneficiaries and applicants.

Some are the result of a switch in 2013 to management not by the state but instead by three private insurance companies, while others stem from court rulings or policymaker decisions.

Andy Marso / Kansas News Service

All that Michael Sykes has to show for his months-long quest to get his mother’s nursing home bed covered by Medicaid is a pile of paperwork.

Kansans like Sykes have been facing long waits to find out if they qualify for health coverage under KanCare, the state’s privatized Medicaid program. The state has cleared up much of the backlog over the past year, but thousands of applications for long-term care coverage remain hung up.

Meg Wingerter / Kansas News Service

Editor’s note: This story was updated at 5 p.m. Feb. 20.

A bill to expand KanCare most likely is dead after a House committee voted Monday to table it until April.

The House Health and Human Services Committee was expected to vote on a bill that would expand eligibility for Kansas’ privatized Medicaid program known as KanCare. Instead, the members narrowly approved a motion by Rep. John Barker, an Abilene Republican, to sideline it until the veto session, a move that most likely kills the bill.

File Photo / Kansas News Service

Editor’s note: Due to the illness of a committee member, the vote on Medicaid expansion has been postponed until Monday, Feb. 20. 

Kansas lawmakers are getting ready to do something they have never done before: vote on a Medicaid expansion bill.

For the past three years, conservative Republicans who controlled the Legislature refused to allow a vote on the issue.

Things are different this session due to the ouster of several conservative incumbents by moderate Republican and Democratic challengers.

Matt Hodapp / KCUR 89.3

On this week's Statehouse Blend Kansas, Sen. Barbara Bollier (R-Mission Hills) talks about the various tax plans making their way through the Kansas Senate, KanCare, and the possibility of getting primaried in the future.

File photo

The message delivered to a legislative committee Thursday by opponents of expanding Medicaid eligibility in Kansas boiled down to this: Expansion has been a disaster in the states that have enacted it, so don’t do it.

Gregg Pfister, legislative relations director for the Florida-based Foundation for Government Accountability, ticked through a list of expansion states where costs and enrollment significantly exceeded projections.

Susie Fagan / Kansas News Service

A yearlong campaign aimed at building support for Medicaid expansion culminated Wednesday in a show-of-force lobbying effort aimed at convincing Kansas lawmakers that they still have time to act.

A crowd of approximately 200 filled the north wing of the Statehouse for a rally before the House Health and Human Services Committee convened a hearing on a bill that would expand eligibility for KanCare, the state’s privatized Medicaid program, to more low-income Kansans.

Andy Marso / Kansas News Service

Kansas legislators are weighing plans to restore cuts to Medicaid, but health care providers may not see the extra boost until 2018 or even 2019.

The Senate’s budget committee heard testimony Monday on Senate Bill 94, which would increase a fee on HMO insurance plans to draw down federal funds and replace the cuts made to KanCare, the state’s privatized Medicaid program.

File Photo / Kansas News Service

KanCare expansion advocates say confusion in Washington, D.C., is helping their cause as they gear up for Statehouse hearings this week on an expansion bill.

Andy Marso / Kansas News Service

Federal officials are evaluating a state plan to fix problems with disability support services for Kansans in Medicaid.

State officials submitted the plan Tuesday after the Centers for Medicare and Medicaid Services notified them in December about deficiencies uncovered during audits last year of KanCare, the state’s privatized Medicaid program.

File Photo / Kansas News Service

Advocates of expanding Medicaid in Kansas are trumpeting new poll numbers that show them gaining ground despite what appear to be long odds of success.

The poll, conducted in December just before the start of the 2017 legislative session, indicated that 82 percent of Kansas voters supported expanding KanCare, the state’s privatized Medicaid program, according to the American Cancer Society Cancer Action Network, which commissioned the survey.

File photo / Kansas News Service

Editor’s note: This story was updated at 3:30 p.m. Jan. 23 with information from legislative hearings.

As Kansas lawmakers move forward with efforts to increase oversight of KanCare, Lt. Gov. Jeff Colyer says Brownback administration officials are addressing the issues that federal regulators cited in denying a one-year extension of the program last week.

Colyer still says he thinks politics played a role in the decision, which came in the final days of Barack Obama’s presidency.

Andy Marso / Kansas News Service

Kansas legislators are seeking answers from the Brownback administration after federal officials denied a one-year extension of the state’s Medicaid program known as KanCare.

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