Contracts are almost getting to be impossible today and here’s one more to where a judge had to intervene over the state Health Secretary’s choice to run Medicaid. If it isn’t Medicaid contracts, it’s Tri-Care or something else….in this case it appears Aetna gets to stay in place. Just a few months ago we had the big legal battle with Tri-Care with United suing the DOD as they seem to think they somewhat “deserve” the business. All they do is fight anymore and no matter who wins, the analytics are the next step to see where cuts and costs take place. BD
Update: UnitedHealthcare Sues Department of Defense Over Tri-Care Contracts–They Said They Would Do This – Is This A Case Of My Algorithms Are Better Than Yours?
District Judge Judge Janice Clark on Tuesday granted Aetna's request to block the plan. Aetna is protesting the state's selection of three firms—Louisiana Healthcare Connections, a subsidiary of Centene; Amerihealth Mercy of Louisiana; and AmeriGROUP Louisiana—to run "pre-paid coordinated care networks." Louisiana's health secretary, Bruce Greenstein, also selected UnitedHealth of Louisiana and Community Health Solutions of America to operate as "shared savings networks."