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The Boston Globe

Nation

Problems arise after Ky. shifts to private health plans

Issues are seen as harbinger

GREENSBURG, Ky. — Kaden Stone loves playing baseball, riding his bike, and watching ‘‘Duck Dynasty’’ on television at his red-brick ranch-style house in rural, south-central Kentucky.

Despite his energy, the tiny boy of 8 with a crew cut and missing front tooth can’t eat much, the result of congenital bowel problems that have required dozens of surgeries and procedures. He needs PediaSure, says his mother, who was shocked when Kaden’s Medicaid managed-care plan stopped paying last fall for the expensive nutritional drink, saying it was not ‘‘medically necessary.’’

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