While a very short time frame for implementation has challenged Kentucky’s move to a managed-care model for its Medicaid program [“Problems arise after Kentucky shifts to private health plans,” news, July 15], the commonwealth and other states are seeing that managed care works. Through managed care, states have a clearer view of their health-care spending, more data that allow them to get better insight into health-care trends, more resources to educate individuals on how to stay healthy and a wealth of best practices to help them overcome barriers to access to care.

Our most vulnerable citizens deserve access to good care, as well as resources to help them get well and stay healthy. That is best achieved through a strong partnership among managed-care companies, state leaders, providers and community organizations. Together, we can improve the health of beneficiaries while maximizing the return for every health-care dollar.

Pamela Sedmak, Hartford, Conn.

The writer is president of Aetna Medicaid.

The Post did a service to us all in highlighting the problems of converting Medicaid recipients to private insurance. The pivotal piece here is managed care, and the practices illustrated in Kentucky’s debacle shows how destructive managed care is to access to proper medical treatment.

It is even worse for those seeking mental health treatment, in which the managed-care arms of insurance companies use what they term “behavioral health care” in order to dumb down the severity and treatment needs of those who suffer from mental health issues. We need more coverage like this to unearth egregious practices, linguistic and otherwise, of “managed care” greed and incompetency.

Danille Drake, McLean