This week, our In Focus section reviews the request for proposals (RFP) issued on October 31, 2017, to add one or more Medicaid managed care organizations (MCOs) to the statewide IA Health Link managed care program. It was confirmed this week that one of the three current MCOs, AmeriHealth Caritas Iowa, would be exiting the program. The RFP is seeking to add one or more new MCOs, and current contract holders, Anthem’s Amerigroup and UnitedHealthcare, are not required to bid. IA Health Link covers roughly 600,000 members with annual capitation payments of more than $1.5 billion.