A majority of states throughout the nation, together with right here in Iowa, at present use managed take care of no less than some portion of their Medicaid program. This strategy makes an attempt to establish and tackle a person’s present and even potential well being care points earlier than they turn out to be power, extreme, and dear. For instance, common physicals and different well being care screenings might help with early detection of diabetes, coronary heart points, most cancers and extra. Essentially, the sort of strategy is about precise “well being” care the place individuals entry medical companies to dwell more healthy lives reasonably than a “sick” care system the place they go to the physician solely once they turn out to be sick.
In Iowa, we now have almost 800,000 people who find themselves enrolled within the Medicaid system. With these varieties of numbers, it stands to motive most Iowans know somebody who’s a Medicaid member, whether or not that may be a good friend, prolonged member of the family, or neighbor. Inside this inhabitants, there are roughly 417,000 youngsters who obtain well being care by means of Medicaid, which makes it all of the extra necessary that this system is absolutely funded and delivering the total vary of companies the state has promised.
Greater than six years in the past, the state of Iowa, underneath the management of then Gov. Terry Branstad and present Gov. Kim Reynolds, made the choice to shift Medicaid to managed care. I imagine this was the suitable choice. For Medicaid members, it means higher well being care outcomes. For policymakers and taxpayers, it supplied a mechanism to deliver extra stability to our state price range and in doing so helped keep away from the skyrocketing well being care value will increase that might have pressured cuts in different areas like schooling and infrastructure.
That’s to not say, nevertheless, that there haven’t been challenges alongside the way in which. For well being care suppliers throughout the state, there have been points transitioning from a completely state-run program to a privately managed system. This has induced complications in the case of billing and funds, which have the potential to create monetary strains for suppliers of all sizes. A pair managed care organizations who had been chosen to manage this system selected to depart the state citing a disparity between the companies they had been required to cowl and the funding allotted to supply them.
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Moreover, I imagine there’s room for enchancment in Iowa’s Medicaid reimbursement charges, significantly for dentists equivalent to myself. As chances are you’ll know, Iowa’s Medicaid program solely reimburses twenty cents on the greenback for dental companies. This has induced many dentists all through the state to cease accepting Medicaid members as sufferers. Much more have been pressured to limit the variety of Medicaid sufferers they tackle. This limits the care choices for low-income Iowans, who might not have the power to journey lengthy distances to seek out dental care.
Luckily, the state of Iowa has established a course of to gather information to allow them to frequently consider the Medicaid program in a complete and significant method. This enables the governor’s workplace, the Iowa Division of Human Companies, different members of the legislature, and extra to make any essential modifications. Fortunately, that is largely what they’ve carried out within the six years since managed care was initiated. This dedication is to their credit score and my hope is that they proceed that strategy now.
As we speak, the state of Iowa has a billion-dollar price range surplus. That’s initially a mirrored image of sound budgeting practices and a continuous dedication to fiscal accountability. Nevertheless it’s additionally a sign that the state has the sources obtainable to completely fund our Medicaid program. Taking this necessary step will make sure that the almost 800,000 Iowans, together with 400,000 plus youngsters, who depend on this program are receiving the well being care companies they’ve been promised and make sure the managed care mannequin of well being care is greatest positioned to succeed. Merely put, managed care has labored effectively in Iowa and may proceed to take action if we’re prepared to make the suitable and essential investments right this moment.
Dr. Steven Bradley is a Republican state consultant from Maquoketa.
Iowa soccer made history on Friday, besting Georgetown 1-0 to reach the Sweet Sixteen. Unfortunately, the magical season came to an end on Sunday when the Hawkeyes fell 1-0 to Virginia Tech.
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Friday’s match was evenly matched throughout. The teams each notched three shots in the first half, but none truly challenged the goalkeepers. Iowa looked to play the ball long early and often but was just a tick off on their timing throughout the first half, being whistled offside four times in the first half.
As the second half began, the Hawks began to tilt the field, controlling the ball more and more in the offensive half. In the 54th minute, Iowa won a free kick near midfield. Goalkeeper Macy Enneking stepped up as she often does for long-range free kicks and sent a ball into no man’s land in the box.
The Hoyas goalie and defender had some miscommunication, running into each other as they each went to clear the ball. The deflected ball bounced to Maya Hansen, who headed it to the top of the box where Meike Ingles was ready and waiting to launch a wonderful volley over the goalkeeper and into the back of the net.
The final 30 minutes of the match were intense, but the Hawkeye defense was up for the challenge. The Hoyas only created one major scoring opportunity, which Enneking saved, and otherwise were held in check as the Hawkeyes continued to push for an insurance goal. Iowa never did find the back of the net again, but the defense was more than enough to power the Hawkeyes through to their first-ever Sweet Sixteen.
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The win gave this team a share of the school record for wins in a season and Sunday’s matchup against Virginia Tech gave the Hawks a perfect opportunity to rewrite the history books yet again, but it was not meant to be.
The teams played to another first half scoreless stalemate, but each spent a portion of the half threatening to break the game open. While Friday’s game was played more in the midfield, with each team struggling to create scoring chances, Sunday’s match was more open. The Hawkeyes generated the best opportunities of the half, floating a cross in that had to be saved by a diving Hokie keeper. creating an opportunity for a wide-open header in the box, which was unfortunately not turned on net, and sending another shot off the crossbar, missing the back of the net by inches.
As the second half began, the physicality took a major step up. The Hawks and Hokies each had players booked and the whistles came early and often as each team laid it all on the line for a chance at the Elite Eight. Iowa put together another great opportunity in the 62nd minute after a loose ball in the box fell to an open Hawkeye. The shot beat the keeper but was again denied by the woodwork. In the 79th minute, Virginia Tech sent a cross into the box that was deflected by Enneking and found its way to the back of the net. The goal would go on to be the game-winner, an especially brutal gut punch for a group that had accomplished so much throughout the season.
The loss stings most because Iowa had the best chances of the game and were only inches from turning a 1-0 loss into a 2-1 or even 3-1 win. The Hawkeyes matched Virginia Tech’s physicality and generated chances through well-placed through balls and combination passing. For the match to end on a fluky goal feels unfair to a team that accomplished so much throughout the season and a senior class that has elevated this program to a new stratosphere.
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Enneking ends her Iowa career as the Hawkeyes’ all-time leader in wins and shutouts, while Ingles finished the season tied for the lead in goals with freshman Berit Parten. Grad students like Rielee Fetty, Maya Hansen, Elle Otto, Kenzie Roling, Kelli McGroarty, and Maggie Johnston were mainstays in the lineup throughout their careers. With their graduations, the Hawkeyes lose the last members of that 2020 Cinderella team.
The group came into the 2020 postseason with only two conference wins and made the tournament only because of COVID scheduling quirks. Instead of folding, the Hawks put together four straight upset wins, setting the stage for the miraculous growth for the Hawkeyes over the next four years, a legacy that now includes two Big Ten Tournament titles, three NCAA tournament berths, four NCAA tournament wins and the school’s first-ever Sweet Sixteen.
The loss hurts and will always feel like a missed opportunity, but it shouldn’t negate what was an incredible season for this group of Hawkeyes and extraordinary careers for the most accomplished senior class in program history. Head coach Dave Dianni and these seniors put this program on the map, and the Hawkeyes are motivated to make this year the standard, rather than the exception.
Congratulations to Coach Dianni and the entire Hawkeye soccer team on an amazing year.
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Women’s Wrestling
Iowa women’s wrestling competed in the Missouri Valley Open over the weekend, racking up five top-three finishes. Brianna Gonzalez was the Hawkeyes’ lone champion on the weekend, claiming the title at 117 with a 10-0 tech fall win against Camille Fournier from Texas Wesleyan.
Rianne Murphy (103), Ava Bayless (110), and Naomi Simon (180) all finished second in their respective weight classes, and Emilie Gonzalez finished 3rd for Iowa at 110.
The Hawkeyes earned the most match points of any school competing with 661 and led the tournament with 37 tech falls. The Hawks will be back on the mat on December 7th when they compete in the Jewell Dual Tournament in Liberty, Missouri.
Volleyball
Hawkeye volleyball (10-20, 4-14 Big Ten) dropped a pair of matches in straight sets last week, falling 3-0 to #2 Nebraska (28-1, 18-0) and 3-0 to #16 Minnesota (18-10, 11-7). The Hawkeyes were overmatched talent-wise in both matches. Against the Huskers, Iowa did what they could to keep up, but weren’t able to put the points away often enough and the athleticism of the Huskers eventually overpowered Iowa.
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Against the Gophers, Iowa played hard during the first two sets, fighting back in the first set before falling 25-20 and leading Minnesota 15-12 in the 2nd set. Unfortunately, a 13-3 run by the Gophers gave them the set 2 win and they kept the momentum rolling into the 3rd set, which they won 25-12.
Claire Ammeraal registered a double-double against Minnesota with 16 assists and 10 digs and Michelle Urquhardt was just short of a double-double of her own with nine kills and nine digs.
Iowa will close out its season on the West Coast this week, facing UCLA (13-14, 7-11) (coached in part by this writer’s younger brother) on Wednesday (9:00, BTN+) and USC (19-9, 11-7) on Friday (9:00, BTN+).
Swimming and Diving
Iowa swimming and diving hosted the Hawkeye Invitational last weekend, coming away with a slew of podium finishes, lifetime bests, top-10 marks, and even a school record. Olivia Swalley was the star of the weekend for the Hawkeyes. She won the 400IM event with a school-record time of 4:10.54, besting the previous Iowa record by nearly two seconds. Just for good measure, Swalley also bettered her 4th-best mark in the 200m breaststroke with a 2:12.42 PR and won the 200IM with a 1:57.89 mark that improved on her 2nd-best time in school history.
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Olivia Frantum and Alix O’Brien each set career-bests in the 1,650m freestyle, with Frantum finishing in 16:39.75 to claim 9th on Iowa’s all-time list and O’Brien finishing in 16:42.33 to claim 10th. O’Brien also entered the top-10 in the 500m free with a 4:48.53 mark which is 10th in school history.
Two freshmen broke into Iowa’s top-10 on the weekend as well. Freshman Rachel Dildine swam Iowa’s 6th-fastest 50m free ever with a 22.90 time on Thursday and Nora Kemp swam Iowa’s 9th-fastest 200m free in 1:48.46.
Makayla Hughbanks won the 3m diving competition, improving on her 4th-best mark in school history with a 358.10 score.
The youngest members of the Hawkeye team continue to be its stars. Swalley looks like one of Iowa’s best-ever, even as a Sophomore, and the new freshman class is already making its way into the Iowa record books. The Hawks are going to have multiple NCAA qualifiers this season and it’s a joy to see as the program continues its rebuild post-Covid cuts.
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They’ll be back in the pool on December 13th against Iowa State
There will be little time for the Iowa State men to sit and think following a heartbreaking loss to Auburn Monday night at the Maui Invitational.
The fifth-ranked Cyclones (3-1) jump right back on the floor Tuesday against Dayton, who fell to No. 12 North Carolina in the final quarterfinal round game on the big island.
After jumping out to a 16-point halftime lead, and taking an 18-point advantage on No. 4 Auburn, Iowa State could not hold the Tigers off. Johni Broome, Auburn’s All-American candidate, scored on a putback with time winding down for an 83-81 victory.
Prior to the loss, the Cyclones had cruised past their first three opponents, besting Mississippi Valley State, Kansas City and IU Indianapolis with ease. It looked as if another win was in the works before Iowa State went cold from the floor.
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Keshon Gilbert scored a game-high 23 points on 8 of 10 shooting while Curtis Jones added 14. Tamin Lipsey was held to just six on 3 of 9 shooting as Auburn held a 35-27 advantage on the glass.
The Flyers (5-1) built a commanding lead on UNC before seeing it evaporate much like Iowa State had happen vs. Auburn, They led 51-33 at the break before the Tar Heels caught fire late to score the comeback victory.
With a win Tuesday night, Iowa State will play Wednesday at 1:30 p.m. CT against either two-time defending national champion Connecticut or Colorado. If they lose, they play Thursday at 11 p.m. against the loser of the UConn-Colorado contest.
Here are details on how to watch Iowa State’s contest vs. Dayton on Tuesday, Nov. 26:
Who: Iowa State vs. Dayton in men’s basketball action
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When: 7:30 p.m. CT | Tuesday, November 26
Where: Lahaina Civic Center | Lahaina, Hawaii
Live Stream: Stream Iowa State vs. Dayton live on fuboTV (Start your free trial)
TV Channel: ESPNU
Betting Odds: Not available. Odds courtesy of FanDuel Sportsbook
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Our Prediction: Iowa State 71, Dayton 60
Live Updates, Highlights: Follow the game on Iowa State on SI for live updates, in-game analysis and big-play highlights throughout Monday’s matchup.
No. 4 Iowa State faces No. 5 Auburn in college basketball action on Monday in the Maui Invitational Tournament in Lahaina, Hawaii.
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Both teams come into this game with undefeated records with the Tigers sitting at 4-0 and the Cyclones at 3-0, but one team will suffer its first loss of the season on Monday. Tune in to ESPNU at 9:00 p.m. ET and stream live on fuboTV.
How to Watch Auburn vs Iowa State:
Date: Monday, November 25, 2024
Time: 9:00 PM EST
Channel: ESPNU
Stream: Fubo (Try for free)
Auburn is coming off a 102-69 win over North Alabama last time out. It was a big night for Johni Broome as he scored 30 points on 13-for-17 shooting in the victory. Broome also grabbed 17 rebounds and blocked three shots.
The other four Auburn starters all scored in double figures, led by 13 points from Denver Jones, who also added nine assists to the stat sheet as well.
Iowa State is coming off an 87-52 win over IU Indianapolis last time out. Curtis Jones came off the bench to score a team-high 20 points on 7-for-14 shooting while grabbing six rebounds.
Joshua Jefferson had a double-double with 16 points and 10 boards while Tamin Lipsey added 17 points and five steals.
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Auburn ranks 28th in scoring offense and 19th in scoring defense this season while Iowa State is 57th in scoring offense but has allowed just 50.7 points per game, the best mark in the country.
Live stream the Auburn vs Iowa State game on Fubo: Start your free trial now!
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