By relaunching the agreements, DHS hopes to improve the coordination of care by placing greater emphasis on responsible care organizations (ACOS) and patient-centered medical homes. DHS is also focusing on better integration of physical and behavioural health systems and improving access to care for people living in rural areas using telemedicine. Aetna disputed that the “heritage” factor is a “secret” criterion that favours suppliers with greater market share in the affected areas. DHS stated that it used the Heritage factor to avoid disruption among HealthChoices participants. However, the fact that the use of this inheritance factor was not disclosed during the RFP trial was not disclosed and, on July 19, 2016, the court issued a publication ban against the enforcement and implementation of PSR agreements pending further legal action. It was back to the drawing board for DHS. It also ensures that patients take care of themselves when they need them. Work stoppages in the health sector can be a challenge for patients, including Medicaid patients. The 2021 contract would include a provision to ensure that plan network providers have conflict resolution agreements to avoid a interruption of care due to a work stoppage with a five-year waiting period.

This promotes patient stability while offsetting the needs of employers and workers. Since 9 July 2020, four managed care (MCO) organisations have filed five events after their non-selection. These MCOs include: Aetna Better Health, Gateway Health, Pennsylvania Health and Wellness (Centene) and UnitedHealthCare. As a result, DHS is prohibited from advancing the availability verification process or implementing new agreements until the protests are resolved. Update, September 2017 The Pennsylvania Department of Human Services (DHS) is currently staying for the introduction of new Physical HealthChoices contracts, scheduled to begin on January 1, 2018. The protests that were rejected by DHS are contested in the Commonwealth Court. Until these calls are resolved, all existing physical health MCOs will continue to work in their respective areas. Pennsylvania`s efforts to regularize its Physical HealthChoices agreements have made a number of hooks, as bidders who lose market share have filed protests against the state. The RFP has been published twice, each time with formal procurement and protests from various potential losers. Since the announcement of the second round of contracting, the number of protesters has increased. Aetna, which had lost the only area it had received in the first round, is now completed by United Healthcare, which has not gone to any allocation area of the five zones, and AmeriHealth Caritas Pennsylvania, which has been pushed out of the lehigh-capital zone.