Aetna and Coventry Health Care have said that Gov. Bobby Jindal’s administration did not abide by its own rules in scoring 10 companies’ proposals for managed care networks that will serve a majority of the state’s Medicaid recipients. The state decided not to release scoring documentation or the winning proposals, submitted by Louisiana Healthcare Connections, Amerihealth Mercy of Louisiana and AmeriGROUP Louisiana.
These three firms have been chosen to run the state’s pre-paid coordinated care networks, under which the state will pay a monthly fee to the networks for each Medicaid enrollee. The company is then responsible for managing patient care, approving services and paying in-network providers.
Aetna said that state analysts unfairly compared the firms’ proposals to each other rather than evaluating them based on the request for proposals. The state secretary has 10 days to respond to the challenges.
Read the Times-Picayune report on Aetna and Coventry.
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