KanCare

Kansas News Service/File photo

The first weeks of the legislative session are a time for lawmakers to put forward their favorite ideas that have little chance of becoming law. In most years, that list would include changes to Medicaid, but things are different with the 2017 Kansas Legislature.

All three of the private insurance companies that manage the Kansas Medicaid program made a profit on it in 2016 — the first year that has occurred.

UnitedHealthcare was by far the most financially successful of the three, with $30.2 million in profits. Sunflower State Health Plan, a subsidiary of Centene, had a $5.5 million profit and Amerigroup made about $3.4 million.

The three companies lost millions in 2013 and 2014, the first two years of KanCare.

Stephen Koranda / Kansas Public Radio/File photo

The Kansas House has approved a bill that would expand the Medicaid health care program in Kansas to include people making 138 percent of the federal poverty level. Expanding KanCare would potentially offer health insurance for thousands of low-income Kansans.

The legislation passed on an 81-44 vote, but must still go through the Senate and face a possible veto from Gov. Sam Brownback, who has been a critic of Medicaid expansion. Republican Rep. Susan Concannon says supporters are not deterred.

Jim McLean / Kansas News Service

This is the second in a two-part series on KanCare. Listen to part one here.

Kansas was out in front of just about every other state in 2013 when it fully privatized its Medicaid program and renamed it KanCare.

The switch to managed care was one of the first big policy changes made by Gov. Sam Brownback, who promised it would both improve health care and lower costs.

KanCare was immediately controversial.

Kansas News Service file photo

Update Thursday, 11:23 a.m.: In final action, House Bill 2064 passed the House 81-44. It now goes on to the Senate.

Supporters of expanding Medicaid eligibility to more low-income Kansans succeeded Wednesday in a last-gasp effort to advance a bill, overpowering opponents who thought they had blocked it earlier in the week.

Andy Marso / Kansas News Service/File photo

KanCare is a $3 billion program that provides health insurance to more than 425,000 Kansans — complex and bureaucratic by its nature.

And lately it seems the privatized Medicaid program has drawn more than its share of complaints from Kansas medical providers, beneficiaries and applicants.

Some are the result of a switch in 2013 to management not by the state but instead by three private insurance companies, while others stem from court rulings or policymaker decisions.

Andy Marso / Kansas News Service

All that Michael Sykes has to show for his months-long quest to get his mother’s nursing home bed covered by KanCare is a pile of paperwork.

Sykes has already appealed an initial denial of his mom’s coverage and been turned down again. He’s mulling his options. But even before the denials, he was struggling to get answers.

Kansas News Service

Kansas lawmakers are getting ready to do something they have never done before – vote on a KanCare expansion bill.

For the past three years, conservative Republicans who controlled the Legislature refused to allow a vote on the issue.

Things are different this session due to the ouster of several conservative incumbents by moderate Republican and Democratic challengers.

Stephen Koranda / KPR/File photo

The message delivered to a legislative committee Thursday by opponents of expanding Medicaid eligibility in Kansas boiled down to this: Expansion has been a disaster in the states that have enacted it, so don’t do it.

Gregg Pfister, legislative relations director for the Florida-based Foundation for Government Accountability, ticked through a list of expansion states where costs and enrollment significantly exceeded projections.

Susie Fagan / Kansas News Service

A yearlong campaign aimed at building support for Medicaid expansion culminated Wednesday in a show-of-force lobbying effort aimed at convincing Kansas lawmakers that they still have time to act.

A crowd of approximately 200 filled the north wing of the Statehouse for a rally before the House Health and Human Services Committee convened a hearing on a bill that would expand eligibility for KanCare, the state’s privatized Medicaid program, to more low-income Kansans.

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