Iowa Specialty Hospital

Making the Rounds

January 18, 2018

The Health Care Mess

Today I attended the Iowa Hospital Association “Engaged MD” program.  As opposed to some conferences, this one was valuable and very much worth the time.  The first thing I noticed was that attendance tripled since last year.  It is excellent that physicians are finally jumping in with the IHA to try to make health care better for Iowans! We were briefed on the beginning of year two of the 87th assembly of the Iowa State Legislature.  Gov. Reynolds started off by admitting that the Medicaid MCO’s were administered poorly and that we need to turn that around.  Those comments were met with a bipartisan standing ovation.  The speaker of the house (a nurse practitioner from Clear Lake) made similar comments.  

CMS (the federal government) has the state of Iowa working on a corrective action plan (CAP) – that is how badly the MCO initiation has gone.  What does this mean to us locally?  We have not been paid, or not paid correctly for services rendered.  It has helped to make our financial margins tight.  To our credit, our patients have noticed little difference.  Thanks to our culture, the mission remains consistent and we continue to be the best place for patients to receive care. I have never been much of a political advocate, but I encourage you (as I encourage myself) to take interest in this issue if you want to see healthcare improve in Iowa.  It affects ALL IOWANS!  For more information, including IHA position papers, please visit

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