Managed Care

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.

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Kansas is continuing to do business with a home health care agency that a few weeks ago agreed to settle a federal kickback case for $1.8 million.

State officials say that because the agency, Best Choice Home Health Care Agency Inc. in Kansas City, Kansas, did not admit liability as part of its settlement with the government, the state’s hands are tied.

State officials have scheduled five meetings to gather public comment on KanCare in advance of renewing contracts to administer the state’s privatized Medicaid program.

The contracts currently held by UnitedHealthcare, Amerigroup and Sunflower State Health Plan (a subsidiary of Centene) expire in 2018. Those private insurance companies serve as managed care organizations that operate KanCare.

Susan Mosier, secretary of the Kansas Department of Health and Environment, said her agency wants to hear from the public on what to include in the next contracts.

Bryan Thompson / Heartland Health Monitor

 

Accountability. It means taking responsibility for an action or result.

Lately, it’s taken on a new connotation in the field of health care. The Affordable Care Act provides a way for health care networks to get bonus payments by providing better care, and keeping Medicare patients healthier.

These Accountable Care Organizations are about to have a larger presence in Kansas.

Kansas has been slow to adopt Accountable Care Organizations, or ACOs. Fewer than 4 percent of the population is enrolled in some form of alternative payment model, like ACOs.

*5/13/12 Update*: Judge Drumm has dismissed the case. Molina is evaluating its grounds for appeal.

A main part of Missouri’s Medicaid program is at the center of a lawsuit right now.