NPR October 18, 2018
Health insurance wasn’t available through his job, so Jose Nuñez turned to Medicaid, the nation’s public insurance program that assists 75 million low-income Americans.
Like most people on Medicaid, the Los Angeles trucker was assigned to a private insurance company that coordinated his medical visits and treatment in exchange for receiving a set fee per month — an arrangement known as managed care.
But in 2016, when Nuñez’s retina became damaged from diabetes, the country’s largest Medicaid insurer — Centene — let him down, he says. After months of denials, delays and erroneous referrals, he is claiming in a lawsuit, the 62-year-old was left nearly blind in one eye. As a result, he lost his driver’s license and his livelihood.
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