Aug 9, 2011 9:57 AM by Lauren Wilson & AP
BATON ROUGE, La. (AP) - Two companies have protested Louisiana's choice of other companies to run managed care networks for $2.2 billion of the state's Medicaid program.
Aetna Inc. says Aetna Better Health wants information submitted in contract proposals, and state Department of Health and Hospital records about the scoring, made public. Pat Powers - head of the subsidiary - says it has found scoring inconsistencies.
A news release also says three of the five companies that won contracts have sued Louisiana to block full public disclosure of their proposals, and the protest will give the state court in Baton Rouge time to decide.
The Times-Picayune reported that Coventry Health Care of Louisiana Inc. also filed a protest. Coventry officials did not immediately answer a request for comment from The Associated Press.
Twelve companies competed for the contracts. Monday was the deadline for filing protests.
The statewide "coordinated care networks" - similar to insurance - are expected to cover about 875,000 children and others treated through Medicaid.
Louisiana Healthcare Connections Inc., Amerihealth Mercy of Louisiana Inc. and AmeriGROUP Louisiana Inc. were chosen to run networks that will be paid a monthly fee for each Medicaid recipient, and will negotiate payments with health providers.
UnitedHealthcare of Louisiana Inc. and Community Health Solutions of America Inc. were named to run programs in which they coordinate patient care and share in savings created by cutting costs or improving preventive care. In those programs, the state will continue to pay doctors, hospitals and other Medicaid providers directly.
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