Aetna to dis­con­tinue Med­i­caid plan in Delaware

Modern Healthcare - - REGIONAL NEWS - —Bob Her­man

Aetna will shut down its Delaware Med­i­caid plan by year-end after the in­surer and the state couldn’t agree on new man­aged-care rates.

Delaware has con­tracts with Aetna and United Health­care to pro­vide in­surance for the 230,000 low-in­come in­di­vid­u­als on Med­i­caid in ex­change for fixed monthly pay­ments. Those con­tracts ex­pire at the end of the year. After sev­eral months of pro­tracted talks, nei­ther Aetna nor the state could agree to new re­im­burse­ment rates.

In­stead, Delaware awarded a three­year con­tract to High­mark, ef­fec­tive Jan. 1. High­mark is a Blue Cross and Blue Shield sub­sidiary based in Pitts­burgh. United Health­care’s agree­ment also was re­newed for three years.

Aetna has 137,000 mem­bers in its Delaware plan.

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