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Iowa HHS announces intent to award new contract with Iowa Total Care

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Iowa HHS announces intent to award new contract with Iowa Total Care


(Photo illustration via Getty Images)

The Iowa Department of Health and Human Services has announced its intent to award a contract to Iowa Total Care, a subsidiary of the Medicaid managed-care company Centene.

The state department this week announced its intent to award a Managed Care Organization (MCO) contract to Iowa Total Care that will begin July 1, 2025, with no change in operations. The new contract is set for four years, with a possible two-year extension.

The current contract with the organization is set to expire in 2025, after having began July 1, 2019. According to a Centene news release, Iowa Total Care plans to continue to provide care for 218,600 Medicaid, Iowa Health and Wellness Plan and Hawki members across the state’s 99 counties, with a focus on expanding home and community-based services.

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“Since 2019, Iowa Total Care has provided Iowans with local and personalized care,” Sarah London, CEO of Centene said in a Wednesday statement. “We look forward to expanding our partnership with HHS as Iowa Total Care puts the health of Iowans at the center of all it does – investing in programs and partnerships that reduce barriers to care and improve health and well-being.”

Centene paid Iowa $44.4 million in 2022 to settle claims that it defrauded the state’s Medicaid system by Iowa Total Care overbilling taxpayers for prescription drugs through transactions handled by Envolve, which is also owned by Centene.

Iowa Total Care is one of three health insurance companies companies to contract with the state to provide managed care services for the state’s $7 billion program. In 2022, Amerigroup Iowa and Molina Healthcare of Iowa were awarded MCO contracts that began July 1, 2023, taking over after AmeriHealth Caritas withdrew from its Iowa contract in 2017 and UnitedHealthcare in 2019. The companies cited major financial losses due to their MCO contracts with Iowa, while program members said they saw cuts to medical services following the 2016 move to a privatized Medicaid system.

Department officials said in a news release that Medicaid members will not see any changes to their benefits under their current plan due to the contract award. Iowa HHS director Kelly Garcia said  the state remains committed to “providing access to quality health care” through the program, and  that Iowa Total Care has shown it has advanced in its provision and standards for care during its time serving as an MCO provider for the state.

“Iowa Total Care has demonstrated a commitment to continuous quality improvement and innovation — making them a valued partner for Iowa Medicaid,” Garcia said in a statement. “We are pleased to award Iowa Total Care with this contract as they continue to meet the needs of Iowans and deliver essential medical services.”

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Waukee Northwest beats Urbandale in Iowa boys soccer state semifinal

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Waukee Northwest beats Urbandale in Iowa boys soccer state semifinal


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  • Waukee Northwest defeated Urbandale in the Iowa high school boys soccer state semifinal.
  • Sophomore Eman Alicic scored the game’s only goal on a penalty kick in the final minutes.
  • Goaltender Tate Schendel made several key saves to keep the game scoreless until the final goal.

It took two overtimes and six penalty kicks to decide a winner in Waukee Northwest’s Iowa high school boys soccer state quarterfinal matchup against Johnston on Monday.

And it looked like the semifinal would go the same way, that is, until Eman Alicic came up big on a penalty kick in the final minutes of the No. 2 Wolves’ state semifinal game against No. 3 Urbandale on Wednesday, June 3.

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“It was too long of a game last time,” joked Northwest goaltender Tate Schendel postgame. “From now on, we’re just going to try to close things out, get it done and keep moving on.”

It took more than 10 minutes for either team to record a shot, and even longer for an attempt to go on goal.

The Wolves hammered a dozen shots in the direction of Urbandale’s goal in the opening 40 minutes, but only a couple came close to going in – including a shot from Alicic that bounced out after hitting the corner of the crossbar.

The J-Hawks had fewer chances at the net, but more attempts hit the target. Of Urbandale’s seven first-half chances, four were on goal – and Schendel stopped all of them.

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With one defense keeping shots on goal away from their keeper and the other team’s goalie stepping up to make risky saves, Northwest and Urbandale headed to the locker room tied, 0-0, at halftime.

“He’s been with us now for three years as a starter, and each year he’s come up big and done great things,” Waukee Northwest head coach Carlos Acebey said about Schendel. “I don’t think he gets a lot of credit for how well he plays between the goalposts, and he’s a solid player for us.”

The Wolves took control in the second half, firing off 12 more shots – including seven on goal – to Urbandale’s three shots, only one of which made its way into Schendel’s hands. But despite Northwest’s ability to keep much of the pressure on the J-Hawks’ end of the field, the game remained scoreless deep into the second half.

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With just under four minutes remaining in regulation, Eddie Mihura won the ball around midfield, and then Alicic sent a cross-field pass that was misplayed by one of Urbandale’s players and made its way to Sully Ervin.

He took the ball downfield on a breakaway, but didn’t get a chance at the net, as a J-Hawks player took him down in the box, resulting in a penalty kick.

“He’s just a little buzz saw,” Acebey said about Ervin. “He creates a lot of problems just because he’s annoying, but he’s a great annoying for us. I love it.”

Alicic – the sophomore star and leading goal scorer on Northwest’s roster – lined up for the penalty kick and nailed it, sending the ball left as Urbandale’s goalie dove to the right.

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“He’s really wiser than people give him credit for,” Acebey said. “He’s a sophomore, but he’s very intelligent. His soccer IQ is off the charts. He’s a player that gives us a lot of confidence…and the last three teams that we played have tried to double team, triple team him, and he still is going to get the ball.”

The J-Hawks attempted to get another chance at a goal in the final minutes of the game, but Northwest had an answer for everything Urbandale tried. The final horn bellowed, and the Wolves celebrated their first trip to the championship game since the program’s inaugural season in 2022.

Northwest will face off against No. 1 Ankeny Centennial – still undefeated – at 2:30 p.m. on June 5 at Mediacom Stadium.

Alyssa Hertel is the college sports recruiting reporter for the Des Moines Register. Contact Alyssa at ahertel@dmreg.com or on Twitter @AlyssaHertel.

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Trump's primary endorsement winning streak just ended in Iowa

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Trump's primary endorsement winning streak just ended in Iowa


Until Tuesday, U.S. President Donald Trump was riding a near-perfect record of endorsements, with wins in Indiana, Louisiana and Texas. ​But that ended with the defeat of U.S. Representative Randy Feenstra in the Republican primary for Iowa governor.



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Zach Lahn projected to win Iowa GOP governor primary, upsetting Trump’s pick in a state Democrats hope to flip

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Zach Lahn projected to win Iowa GOP governor primary, upsetting Trump’s pick in a state Democrats hope to flip


Zach Lahn will win the Republican primary for Iowa governor, CBS News projects, overcoming a Trump-backed congressman and setting up a November contest against Democrat Rob Sand that could be one of this year’s most competitive gubernatorial races.

Lahn — a farmer and businessman who has touted his ties to the “Make America Healthy Again” movement — prevailed over a crowded GOP field on Tuesday. Sand, who serves as state auditor, ran for the Democratic nomination unopposed.

His victory bucks the recent winning streak of Trump-backed candidates and marks an upset over Rep. Randy Feenstra, who didn’t attend any primary debates and was viewed by many observers as a frontrunner. President Trump endorsed Feenstra last week, calling him “MAGA all the way,” and several top Iowa GOP figures backed him. 

Feenstra conceded late Tuesday night, saying in a speech surrounded by his family that the outcome “wasn’t what I wanted.” 

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Describing himself as a sixth-generation Iowan, Lahn owns a family farm and runs the agriculture, real estate and technology investment firm Homeplace Ventures. He previously worked for the conservative group Americans for Prosperity. He’s running on a populist-inflected platform that he branded “Iowa First” and has said he wants to boost local ownership of farmland, stem the flow of younger Iowans out of the state and address Iowa’s high cancer rate.

“I fear every day we are losing the Iowa we love,” Lahn said in his victory speech Tuesday, castigating out-of-state investors that he says “treat Iowa land like it’s a commodity instead of our inheritance.”

Lahn was endorsed last year by MAHA Action, a group founded by allies of Health and Human Services Secretary Robert F. Kennedy Jr., and he picked up support from the late Charlie Kirk’s Turning Point Action last week. He was also endorsed by former Rep. Steve King, who was known for incendiary comments about race before Feenstra ousted him in a 2020 primary.

Three other candidates also ran: former Iowa Department of Administrative Services Director Adam Steen, state Rep. Eddie Andrews and former state Rep. Brad Sherman.

Lahn will now face Sand, a two-term state auditor who defeated a GOP incumbent in 2018 after working in the state attorney general’s office.

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Sand has focused his campaign on government accountability and faulted Republicans for the state’s economic issues, while pitching universal pre-K and criticizing a school voucher program introduced by GOP officials. He has also sought to cultivate a moderate image on social issues, as Republicans try to cast him as a liberal in centrist’s clothing.

In a campaign video late Tuesday, Sand said Republican voters are “welcome in this campaign,” adding that the state’s political system is “broken” and “all you would get with Zach Lahn it is more of the same.”

Once considered a swing state, Iowa has trended sharply red in recent years as Democrats increasingly struggle on rural Midwestern terrain. Mr. Trump won the state three times in a row, including by a 13-point margin in 2024, and GOP Gov. Kim Reynolds won reelection by 18 points four years ago. Iowa hasn’t elected a Democratic governor in two decades, and Sand is the only statewide elected Democrat, after he won reelection by fewer than 3,000 votes in 2022.

But Democrats are hopeful that a challenging political environment for Republicans, both nationally and in Iowa, could make them more competitive in the midwestern state. The Cook Political Report has rated the Iowa gubernatorial race a tossup, one of five states with that distinction this year, and the University of Virginia’s Center for Politics says the race leans red.

Reynolds — who has led the state since 2017 — has one of the lowest approval ratings of any governor nationwide. Iowa farmers also struggled last year after the trade war with China caused Beijing to cut American soybean imports, pushing down prices of one of Iowa’s most widely grown crops, and the war with Iran has caused a run-up in fuel and fertilizer prices.

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Reynolds declined to run for reelection this year, setting up Iowa’s first gubernatorial election without an incumbent in the race since 2006.

Lahn lent his campaign $2 million last year, but is heading into the general election at a fundraising disadvantage. His campaign had just over $700,000 on hand as of mid-May, compared to nearly $18.3 million for the Sand campaign. Sand’s wife runs a sizable food and health products company founded by her family called the Lauridsen Group, and the Democrat’s campaign coffers have been bolstered by millions in contributions from his in-laws.

Sand raised about $9.7 million between the start of the year and mid-May, just over $3 million of which came from members of his wife’s family. Lahn raised just under $1 million.

Beyond the governor’s race, Iowa also has an open Senate contest after Ernst declined to seek reelection, drawing interest from Democrats, though Republicans likely have a sizable edge. Democrats are also heavily targeting two of Iowa’s four House seats, including the 1st District, where incumbent GOP Rep. Mariannette Miller-Meeks won by fewer than 1,000 votes in 2024.

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