Latest From Mary Nelle
Iowa’s New Child Health Dashboard Provides Insight into How Medicaid Managed Care is Working for Kids
In April of 2016, Iowa transitioned its entire Medicaid program from a fee-for-service model to a managed care model. Over the past five years, Iowa’s Medicaid program has dealt with more than its fair share of upheaval—from managed care organizations (MCOs) reporting catastrophic losses to a lawsuit claiming that the transition to managed care deprived […]
How Are “Healthy Behavior” Requirements Working in Iowa?
Iowa is adding to the evidence that requiring specific “healthy behaviors” of Medicaid enrollees is an ineffective way to improve health outcomes. In 2013, Iowa got approval from CMS to expand Medicaid to adults up to 133 percent of poverty by way of an 1115 waiver. That waiver allowed the state to charge premiums to […]