After a major provider agreed to stay in Iowa's troubled Medicaid program, a top aide to Gov. Kim Reynolds quietly signed a deal letting its hospitals and clinics keep $2.4 million in mistaken overpayments, according to records.
Iowa saved $126 million this year from privatizing its Medicaid system, barely half what former Gov. Terry Branstad projected when he forced the change in 2016.
Starting Aug. 1, Iowa Medicaid no longer allowed emergency departments to submit claims for treating some conditions that turn out to be non-emergent.
The battle over pre-existing condition protections has become particularly heated in two toss-up House races in Iowa, even as unregulated Farm Bureau health plans that can use medical underwriting will go on sale Nov. 1.
The law will allow the Iowa Farm Bureau to partner with a designated insurance company to offer so-called health benefit plans that technically aren't defined as insurance.
Iowa's shift to privately managed Medicaid will save the state 80% less money this year than originally predicted, according to a new state estimate.
At home games, fans sitting in Kinnick Stadium in Iowa City send a wave of support to patients sitting across the way at the new University of Iowa Stead Family Children's Hospital, and now they have t-shirts to match.
The CMS has approved Iowa's plan to cut Medicaid spending by nearly $37 million annually and slow enrollment. The move puts Iowa hospitals' financial stability at risk, according to the state's hospital association.
Frustrated by the Trump administration's slow response, Iowa's Republican leaders have withdrawn their ambitious proposal to establish an alternative individual health insurance system to replace the Affordable Care Act's exchange marketplace.
By eliminating cost-sharing reductions, Iowa's Medicaid waiver proposal would expose lower-income consumers to much higher deductible costs, potentially reducing enrollment and access to care.
It's widely expected that if HHS gives Iowa and Oklahoma the green light on their ambitious redesigns for Medicaid and the Affordable Care Act's insurance exchanges, other states soon would follow with similar proposals.
Medica said on Wednesday that it may pull from Iowa's individual insurance marketplace, potentially leaving no alternative insurance option for most residents next year.