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KDHE reports KanCare steady state, outlines MCO oversight, CHIP data and program-integrity efforts
Summary
KDHE told the Bethel committee that KanCare implementation has reached steady state earlier than planned, outlined monthly MCO operational metrics and new monitoring dashboards, and provided an overview of the Children's Health Insurance Program and ongoing program-integrity automation efforts.
Kansas Department of Health and Environment Secretary Laura Stanek and KDHE staff briefed the Bethel committee on KanCare operations, managed care oversight and CHIP policy and finances.
Stanek said the Healthy Blue implementation moved from roll-out into “steady state” a month earlier than planned and KDHE will begin monthly monitoring of MCO service-level agreements, applying contractual remedies where performance falls short. She said KDHE has defined 49 operational metrics across quality, care coordination, network adequacy, finance and data management, and is building internal and public dashboards to increase transparency.
On social determinants of health, KDHE outlined contract requirements for MCOs to screen members and to track housing, food,…
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