Mississippi Today
Medicaid’s managed care contracts at a standstill after two companies cry foul

More than a year after Mississippi Medicaid announced it was contracting with three companies to manage the care of their beneficiaries, those contracts have not been awarded.
That’s because two companies that weren’t chosen say the selection process was unfair.
UnitedHealthcare and Amerigroup, two for-profit managed care companies, were not chosen by Mississippi Medicaid as one of its contracted companies entrusted with managing beneficiaries’ health care. The two organizations have subsequently filed protests with the state, alleging the selection process was flawed, leading to a months-long stalemate over who will manage Mississippi Medicaid beneficiaries’ care after next summer.
The stakes are high: the contracts, funded by state and federal dollars, are worth billions.
The majority of Medicaid recipients in most states are enrolled in managed care organizations. Through a lucrative contract agreement, divisions pay these companies to deliver services to beneficiaries.
In exchange for a monthly payments — regardless of whether services were or were not used by a beneficiary during that period — the managed care organization must maintain a network of providers for its enrollees and ensure enrollees are not billed for covered services.
Managed care for Mississippi Medicaid beneficiaries began in 2011 with the inception of the division’s “coordinated care program,” or its managed care system called MississippiCAN.
According to its website, MississippiCAN currently provides health insurance benefits for more than 480,000 of the state’s most vulnerable citizens, including poor adults and children, people who are disabled and pregnant people. Medicaid insures about 837,000 Mississippians total as of September.

Though they’re theoretically well-intentioned — to increase services for beneficiaries and reduce costs for Medicaid — managed care organizations have been criticized by politicians, patients and health care leaders for prioritizing profit and hindering patient care.
Managed care organizations’ performances can vary greatly, and which ones the Medicaid agencies contract with is up to them. That’s decided through a process called procurement.
In December 2021, the Division of Medicaid began seeking new contracts and solicited “requests for qualifications” from managed care companies. Five prospective contractors submitted proposals in March 2022.
Mississippi Medicaid announced in August 2022 that it intended to award contracts to three of those: TrueCare, Magnolia Health and Molina Healthcare.
TrueCare, a not-for-profit company, was created by hospitals along with the state hospital association to provide what they believe is better care to patients, compared to traditional managed care organizations.
Molina Healthcare and Magnolia Health are both privately-owned companies that already administer services to Medicaid beneficiaries, along with UnitedHealthcare.
Magnolia has gotten the biggest contracts of all three — almost $9.3 billion for its contracts with Medicaid since 2017, which includes $1.2 billion in the emergency contract.
Magnolia is a subsidiary of health giant Centene. The St. Louis-based company is the nation’s largest Medicaid managed care company and one of Gov. Tate Reeves largest campaign donors.
Centene was previously investigated over suspicions it was over-inflating bills to Mississippi’s Medicaid division. The company never admitted wrongdoing, though Centene settled with the state in June of 2021 for $55.5 million.
Medicaid spokesperson Matt Westerfield said there were no “rules that would exclude Magnolia from the process due to the Centene settlement” when asked why, if the company was previously investigated, it was awarded one of the contracts.
Since 2017, Molina has been paid $2.8 billion to provide services for MississippiCAN and Medicaid’s Mississippi Children’s Health Insurance Program, according to the state’s contract database. In the most recent contract, the emergency contract that runs from 2023 until 2024, the company is getting paid more than half a billion dollars.
For the same services in the same time period, United received nearly $8.4 billion. The current emergency contract pays out more than a billion dollars for their services over the course of a year.
Companies involved in the process have seven days to file protests before the agency can officially award the contracts. Then, the contracts go to the state’s procurement review board for final approval.
Following Medicaid’s announcement about the new contracts in August, UnitedHealthcare, which had a contract with the agency the prior year, and Amerigroup, the two companies that were not chosen, submitted protests.
It’s unclear what United’s claims are. Mississippi Today did not have a copy of their protest at the time of publication.
Amerigroup’s protest alleges that Mississippi Medicaid failed to conduct a “blind” evaluation process, didn’t follow the state’s rules for contract procurement, the process was structurally flawed and “outside influences” affected its fairness.
Amerigroup cites several instances where it says companies shared identifying information. According to the protest, TrueCare revealed its connection to the Mississippi Hospital Association by mentioning the health information exchange program, which allows hospitals to share important information about patients with each other. It’s the only company with access to the exchange because of its association with hospitals.
Amerigroup also takes issue with Molina including a company-specific vaccine incentive program, “curved” graphics similar to their logo and “well-known” Molina food insecurity initiatives in its proposal. Magnolia’s proposal included mentions of its partnership with Adelade and AT&T, which would have been enough to identify them, the protest claims.
Magnolia and Molina did not respond to Mississippi Today’s requests for comment regarding these allegations. TrueCare’s CEO Richard Roberson declined to answer questions because “under the Division of Medicaid’s rules, all offerors are prohibited from making public disclosures to the media regarding the procurement.”
The “outside influences” cited by Amerigroup’s protest refers to a letter Sen. Kevin Blackwell, R-Southaven and chairman of the Senate Medicaid Committee, sent to Mississippi Medicaid Executive Director Drew Snyder on Dec. 3, 2021, a few weeks before the procurement process began. Blackwell in the letter vouches for TrueCare and criticizes the performances of the current managed care organizations.
Westerfield said the letter was “never seen by any evaluator, nor was any evaluator made aware that it had even been written.”
“It had no effect on the RFQ process or outcome,” he said.
The protest also includes a screenshot of texts between Drew Weiskopf, a consultant assisting with the evaluation, and Margaret Middleton, a lawyer for Mississippi Medicaid. In the texts, Weiskopf appears to insinuate that the evaluators were able to identify the companies — he refers to their “urge to standup (sic) and shout ‘I know who this is!’” and uses a GIF from the movie Elf in which a character identifies Santa Claus. The texts were allegedly sent during the evaluation meetings scoring the blind proposals.
“The texts do not reflect that any evaluator expressed knowledge of any Offeror, nor could the texts have done so, as no expression was ever made,” Westerfield said.
The Division of Medicaid’s response to the protests, which was to affirm its decision to award the contracts to the three managed care organizations, were issued this past summer. Both organizations appealed the agency’s decision to the procurement review board, and both of those protests are still pending.
As a result of the ongoing complaints, Medicaid extended the contracts of the current managed care organizations — United, Molina and Magnolia — and then issued one-year emergency contracts to them. Those contracts, which began in 2017, will be in place until June 2024.
Violations during the “blind” portion of the process have previously derailed Mississippi Medicaid’s procurement process.
Medicaid Executive Director Drew Snyder told lawmakers at a Senate Medicaid Committee hearing last February that “following the instructions for blind evaluations is one of the perilous spots where procurements can go off the rails.”
“I’m sure more than one agency can share a story of a lengthy procurement that had to be terminated because every vendor revealed some kind of identifying information about itself,” he said.
During a Medicaid procurement for different services two years ago, the agency confirmed that a company’s name appeared in a footnote, which delayed the process.
During the current procurement for managed care contracts, Medicaid said it took several steps to ensure the process was fair, including extensively reviewing submissions, including an independent review by a government office that plays a major role in state procurement processes, which found no problems. The agency also required mandatory training for procurement evaluators, who were “told repeatedly to inform [the Division] if they found any identifying information,” according to the agency.
“No evaluator ever notified DOM that he or she knew the identity of any Offeror, nor did any evaluator make any statement in the evaluation process inferring that he or she knew the identity of any Offeror,” Westerfield said via email.
The fate of the contracts now rests with the procurement review board, which has not yet set a date to hear the protests.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
A win for press freedom: Judge dismisses Gov. Phil Bryant’s lawsuit against Mississippi Today
Madison County Circuit Court Judge Bradley Mills dismissed former Gov. Phil Bryant’s defamation lawsuit against Mississippi Today on Friday, ending a nearly two-year case that became a beacon in the fight for American press freedom.
For the past 22 months, we’ve vigorously defended our Pulitzer Prize-winning reporting and our characterizations of Bryant’s role in the Mississippi welfare scandal. We are grateful today that the court, after careful deliberation, dismissed the case.
The reporting speaks for itself. The truth speaks for itself.
This judgment is so much more than vindication for Mississippi Today — it’s a monumental victory for every single Mississippian. Journalism is a public good that all of us deserve and need. Too seldom does our state’s power structure offer taxpayers true government accountability, and Mississippians routinely learn about the actions of their public officials only because of journalism like ours. This reality is precisely why we launched our newsroom nine years ago, and it’s why we devoted so much energy and spent hundreds of thousands of dollars defending ourselves against this lawsuit. It was an existential threat to our organization that took time and resources away from our primary responsibilities — which is often the goal of these kinds of legal actions. But our fight was never just about us; it was about preserving the public’s sacred, constitutional right to critical information that journalists provide, just as our nation’s Founding Fathers intended.
Mississippi Today remains as committed as ever to deep investigative journalism and working to provide government accountability. We will never be afraid to reveal the actions of powerful leaders, even in the face of intimidation or the threat of litigation. And we will always stand up for Mississippians who deserve to know the truth, and our journalists will continue working to catalyze justice for people in this state who are otherwise cheated, overlooked, or ignored.
We appreciate your support, and we are honored to serve you with the high quality, public service journalism you’ve come to expect from Mississippi Today.
READ MORE: Judge Bradley Mills’ order dismissing the case
READ MORE: Mississippi Today’s brief in support of motion to dismiss
This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.
Mississippi Today
Meet Willye B. White: A Mississippian we should all celebrate
In an interview years and years ago, the late Willye B. White told me in her warm, soothing Delta voice, “A dream without a plan is just a wish. As a young girl, I had a plan.”
She most definitely did have a plan. And she executed said plan, as we shall see.
And I know what many readers are thinking: “Who the heck was Willye B. White?” That, or: “Willye B. White, where have I heard that name before?”
Well, you might have driven an eight-mile, flat-as-a-pancake stretch of U.S. 49E, between Sidon and Greenwood, and seen the marker that says: “Willye B. White Memorial Highway.” Or you might have visited the Olympic Room at the Mississippi Sports Hall of Fame and seen where White was a five-time participant and two-time medalist in the Summer Olympics as a jumper and a sprinter.
If you don’t know who Willye B. White was, you should. Every Mississippian should. So pour yourself a cup of coffee or a glass of iced tea, follow along and prepare to be inspired.
Willye B. White was born on the last day of 1939 in Money, near Greenwood, and was raised by grandparents. As a child, she picked cotton to help feed her family. When she wasn’t picking cotton, she was running, really fast, and jumping, really high and really long distances.
She began competing in high school track and field meets at the age of 10. At age 11, she scored enough points in a high school meet to win the competition all by herself. At age 16, in 1956, she competed in the Summer Olympics at Melbourne, Australia.
Her plan then was simple. The Olympics, on the other side of the world, would take place in November. “I didn’t know much about the Olympics, but I knew that if I made the team and I went to the Olympics, I wouldn’t have to pick cotton that year. I was all for that.”
Just imagine. You are 16 years old, a high school sophomore, a poor Black girl. You are from Money, Mississippi, and you walk into the stadium at the Melbourne Cricket Grounds to compete before a crowd of more than 100,000 strangers nearly 10,000 miles from your home.
She competed in the long jump. She won the silver medal to become the first-ever American to win a medal in that event. And then she came home to segregated Mississippi, to little or no fanfare. This was the year after Emmett Till, a year younger than White, was brutally murdered just a short distance from where she lived.
“I used to sit in those cotton fields and watch the trains go by,” she once told an interviewer. “I knew they were going to some place different, some place into the hills and out of those cotton fields.”
Her grandfather had fought in France in World War I. “He told me about all the places he saw,” White said. “I always wanted to travel and see the places he talked about.”
Travel, she did. In the late 1950s there were two colleges that offered scholarships to young, Black female track and field athletes. One was Tuskegee in Alabama, the other was Tennessee State in Nashville. White chose Tennessee State, she said, “because it was the farthest away from those cotton fields.”
She was getting started on a track and field career that would take her, by her own count, to 150 different countries across the globe. She was the best female long jumper in the U.S. for two decades. She competed in Olympics in Melbourne, Rome, Tokyo, Mexico City and Munich. She would compete on more than 30 U.S. teams in international events. In 1999, Sports Illustrated named her one of the top 100 female athletes of the 20th century.
Chicago became White’s home for most of adulthood. This was long before Olympic athletes were rich, making millions in endorsements and appearance fees. She needed a job, so she became a nurse. Later on, she became an public health administrator as well as a coach. She created the Willye B. White Foundation to help needy children with health and after school care.
In 1982, at age 42, she returned to Mississippi to be inducted into the Mississippi Sports Hall of Fame and was welcomed back to a reception at the Governor’s Mansion by Gov. William Winter, who introduced her during induction ceremonies. Twenty-six years after she won the silver medal at Melbourne, she called being hosted and celebrated by the governor of her home state “the zenith of her career.”
Willye B. White died of pancreatic cancer in a Chicago hospital in 2007. While working on an obituary/column about her, I talked to the late, great Ralph Boston, the three-time Olympic long jump medalist from Laurel. They were Tennessee State and U.S. Olympic teammates. They shared a healthy respect from one another, and Boston clearly enjoyed talking about White.
At one point, Ralph asked me, “Did you know Willye B. had an even more famous high school classmate.”
No, I said, I did not.
“Ever heard of Morgan Freeman?” Ralph said, laughing.
Of course.
“I was with Morgan one time and I asked him if he ever ran track,” Ralph said, already chuckling about what would come next.
“Morgan said he did not run track in high school because he knew if he ran, he’d have to run against Willye B. White, and Morgan said he didn’t want to lose to a girl.”
This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.
Mississippi Today
Early voting proposal killed on last day of Mississippi legislative session
Mississippi will remain one of only three states without no-excuse early voting or no-excuse absentee voting.
Senate leaders, on the last day of their regular 2025 session, decided not to send a bill to Gov. Tate Reeves that would have expanded pre-Election Day voting options. The governor has been vocally opposed to early voting in Mississippi, and would likely have vetoed the measure.
The House and Senate this week overwhelmingly voted for legislation that established a watered-down version of early voting. The proposal would have required voters to go to a circuit clerk’s office and verify their identity with a photo ID.
The proposal also listed broad excuses that would have allowed many voters an opportunity to cast early ballots.
The measure passed the House unanimously and the Senate approved it 42-7. However, Sen. Jeff Tate, a Republican from Meridian who strongly opposes early voting, held the bill on a procedural motion.
Senate Elections Chairman Jeremy England chose not to dispose of Tate’s motion on Thursday morning, the last day the Senate was in session. This killed the bill and prevented it from going to the governor.
England, a Republican from Vancleave, told reporters he decided to kill the legislation because he believed some of its language needed tweaking.
The other reality is that Republican Gov. Tate Reeves strongly opposes early voting proposals and even attacked England on social media for advancing the proposal out of the Senate chamber.
England said he received word “through some sources” that Reeves would veto the measure.
“I’m not done working on it, though,” England said.
Although Mississippi does not have no-excuse early voting or no-excuse absentee voting, it does have absentee voting.
To vote by absentee, a voter must meet one of around a dozen legal excuses, such as temporarily living outside of their county or being over 65. Mississippi law doesn’t allow people to vote by absentee purely out of convenience or choice.
Several conservative states, such as Texas, Louisiana, Arkansas and Florida, have an in-person early voting system. The Republican National Committee in 2023 urged Republican voters to cast an early ballot in states that have early voting procedures.
Yet some Republican leaders in Mississippi have ardently opposed early voting legislation over concerns that it undermines election security.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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