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DES MOINES, Iowa — Iowa association with Medicaid bloom advantage won’t be able to commonly use the Mayo Dispensary back the accompaniment accouterment the $4 billion affairs to clandestine administration aing week.

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The Des Moines Register letters that the three managed-care companies that will run the state’s Medicaid affairs told assembly this anniversary that they haven’t been able to accommodate affairs with Mayo’s acclaimed hospital system, amid aloof beyond the bound in Roer, Minn.

Amerihealth’s top controlling in Iowa, Cheryl Harding, told legislators that her close has active affairs with three Mayo-affiliated primary affliction clinics in Iowa, but not with the capital medical centermost in Roer. UnitedHealth and Amerigroup additionally said they haven’t acquired such contracts.

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“The hospitals accept notified all of us that they do not ambition to be a provider for Iowa Medicaid any longer, which is unfortunate,” Harding said.

The three managed-care companies say they’ll abide aggravating to actuate Mayo to assurance affairs to accord accepted affliction for the 560,000 Iowa association on Medicaid.

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However, Mayo has agreed to accede single-case affairs for Iowa Medicaid recipients who charge accurate affliction that isn’t provided elsewhere.

“Mayo Dispensary will assignment with Medicaid-eligible patients in Iowa and their managed affliction organizations to accomplish this allowance advantage alteration as bland as possible,” Mayo backer Kelley Luckstein wrote in an email. “If specialized affliction is not accessible abroad in Iowa, Mayo Dispensary will assignment with patients’ MCOs (managed affliction organizations) to try to get above-mentioned allotment to abide affliction at Mayo Clinic.”

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Iowa Department of Human Services backer Amy McCoy said 5,800 Medicaid associates in the accompaniment acclimated the Roer medical centermost in 2015. She said that with the accepted situation, these arctic Iowa patients would accept to biking to Iowa City.

Sen. Amanda Ragan, D-Mason City, asked the managed-care admiral why the leaders at Mayo beneath the affairs to serve Iowa Medicaid participants.

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“We didn’t get a lot of reasoning, except that they aloof fabricated a business decision,” Harding said.

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