Connecticut drops private for-profit insurers from Medicaid [View all]
http://www.usatoday.com/news/nation/story/2011-12-28/connecticut-health-care-medicare-insurance/52257962/1
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Beginning Sunday, Connecticut will jettison its private health plans from Medicaid, the state-federal health insurance program. Instead of paying the companies a set monthly fee to cover the health costs of more than 400,000 children and parents, the state will assume financial responsibility.
State officials say the companies, including Hartford-based Aetna, did not fulfill their promise of lower costs and better care.
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...Oklahoma moved away from private plans in 2005, and officials there say they have no regrets. "While achieving very encouraging marks in both member satisfaction and quality, the cost per member has grown at a very low average annual rate of 1.2% over the last five years," says Mike Fogarty, Oklahoma's Medicaid director.
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... state reports found the plans were spending too little on health services and published networks of doctors that were misleading because many doctors refused to accept Medicaid patients when "secret shoppers" called for appointments.
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