Aetna Better Health is asking the state to accept its apology for not living up to the terms of its $1 billion KanCare contract.
Company officials addressed issues with its provider network, credentialing backlogs, inaccurate data and claims payments during a House and Senate committee meeting recently, according to the Topeka Capitol-Journal.
The Kansas Department of Health and Environment sent Aetna a notice of noncompliance July 24 and rejected the company’s correction plan after it was submitted Aug. 6 — saying Aetna didn’t make a good-faith effort to serve more than a quarter of the 400,000 Kansas residents on Medicaid.
Since the first correction plan was rejected, Aetna has changed its leadership team, including the removal of CEO Keith Wisdom and the move of Aetna Medicaid regional vice president Deb Bacon to Aetna Better Health.
Aetna is one of three firms chosen by the state as KanCare providers, replacing Amerigroup last year and joining Sunflower and UnitedHealthcare. Both had management issues of their own right after KanCare was first rolled out six years ago.
