Skepticism over Iowa's Medicaid math led AmeriHealth to pull out
Iowa state officials refused to provide data used to justify Medicaid payment rates to a private management company that canceled its contract with the state this week, according to documents obtained by the Des Moines Register
The state's response prompted AmeriHealth Caritas to accuse Iowa of using inaccurate information to justify low payments and ultimately resulted in AmeriHealth ending its 18-month run as one of three private companies managing the state’s $4.2 billion program, documents show.
In a June 8 letter to then-Department of Human Services Director Chuck Palmer, AmeriHealth's market president Cheryl Harding wrote that the state's rates are "unsound" for the company's Medicaid clients.
Harding wrote that those rates "do not support a sustainable Medicaid managed-care program."
Read more: http://www.dmjuice.com/story/news/investigations/2017/11/02/skepticism-over-iowas-medicaid-math-led-amerihealth-pull-out/819515001/