...that the firm that shithead Governor Branstad hired to administer Medicaid in the state of Iowa--has such a horrible reputation that the Mayo Clinic won't work with them.
In effect, the Mayo Clinic is no longer a choice for Iowans on Medicaid. Mayo is a short drive for many Iowans and their doctors are world-renowned. It's no longer a choice though.
Branstad privatized Medicaid in our state. The company to which he handed these processes has a horrible track record. They don't pay/reimburse doctors/clinics on time. They have an extensive public record of not paying.
So Mayo is refusing to participate. Really a blow for Iowans, who have relied on Mayo for excellent care and to cut down on travel time. The University of Iowa Hospitals and Clinics is as reputable as Mayo. However it is located in the eastern part of the state; a five (or more) hour drive for many. That also means more travel costs with overnight stays in a hotel. Many on Medicaid won't be able to afford the cost.
This affects real people. Vulnerable people, with health issues.
Branstad selected this notorious company, and I'm guessing that the entire Medicaid program will devolve into an utter failure--with Iowans not getting care and more healthcare companies refusing to do business with them.
The Republican way of wrecking the system.