Author Archives: Gabby Palmieri

NH Senate Committee Advances Legislation to Alter Medicaid Enhancement Tax

New Hampshire Public Radio reported on May 22, 2024, that the New Hampshire Senate Finance Committee has advanced legislation to increase the share of funding hospitals receive from the state’s hospital provider tax — Medicaid Enhancement Tax – from 91 percent to 93 percent. The amended bill now heads to the full Senate. Read More

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NY to Invest $30 Million at Increasing Inpatient Psychiatric Capacity

Crain’s New York Business reported on May 23, 2024, that New York Governor Kathy Hochul has allocated more than $30 million to build 109 inpatient psychiatric beds at community hospitals, with up to $5 million going to nine hospitals to build psychiatric beds for adults and children. Five New York City hospitals are set to receive $19.1 million. The remaining $11.7 million will be allocated to hospitals in upstate New York. Read More

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SC Lawmakers Propose Study Committee to Examine Medicaid Expansion

WLTX reported on May 22, 2024, that South Carolina Senator Tom Davis (R-Beaufort) is leading an effort to create a legislative committee which would examine options for improving healthcare access. Expanding Medicaid is one of the options the committee would consider along with increasing the number of physicians, lowering drug prices, and relieving medical debt. The proposed committee, which would consist of members from the House, Senate, and medical professionals, would be required to report its recommendations by December 1, 2024. The legislative committee is included in the pending budget plan, which lawmakers are scheduled to negotiate in the coming weeks. SC Governor Henry McMaster is opposed to spending state funds to study a Medicaid expansion. Read More

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DE Medicaid Fee for Service vs. Managed Care Penetration, 2014-23

Total Medicaid enrollment in Delaware was 289,484 in 2023. About 81.4% of Medicaid beneficiaries were enrolled in a managed care plan. The remainder are in fee-for-service Medicaid. Total Medicaid expenditures in Delaware was $3.3 billion in 2023, with about 85.1% through managed care and the rest through fee-for-service.

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KS to Face Protest from Aetna Over KanCare Awards

The Kansas Reflector reported on May 22, 2024, that Aetna plans to protest the KanCare Medicaid capitated managed care procurement after losing its contract. Contracts went to incumbents Centene/Sunflower Health Plan and UnitedHealthcare, and non-incumbent Elevance/Healthy Blue. The state did award a contract to U-Care, another non-incumbent bidder. Read More

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WI DHS External Advocacy and Independent Ombudsman Services RFP, May-24

1. Wisconsin External Advocacy & Independent Ombudsman Services for Family Care, Family Care Partnership, PACE
(Program of All-Inclusive Care for the Elderly) and IRIS (Include, Respect, I self-Direct) Programs Request for Proposal (RFP), Issued May 21, 2024.
2. Attachments

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CT Medicaid Fee for Service vs. Managed Care Penetration, 2014-23

Total Medicaid enrollment in Connecticut was 980,628 in 2023. Total Medicaid expenditures in Connecticut were $10.3 billion in 2023. Connecticut does not have a fully capitated managed care program.

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AR Medicaid Fee for Service vs. Managed Care Penetration, 2014-23

Total Medicaid enrollment in Arkansas was 659,122,978 in 2023. Total Medicaid expenditures in Arkansas were more than $8.6 billion in 2023, with about 7.7% through managed care and the rest through fee-for-service.

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NY Comptroller Raises Concerns Over Managed Care Tax Revenue in Enacted Budget

Crain’s New York reported on May 20, 2024, that New York Comptroller Thomas DiNapoli has criticized the state’s enacted budget and its financial reliance on implementing a Medicaid managed care tax. The managed care tax has not yet received federal approval, although the state still included $350 million in expected revenue from it. The Division of Budget is expected to release an update to the state’s financial plan by the end of this month. Read More

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Private Equity Firm GTCR to Acquire Caravel Autism Health

Behavioral Health Business reported on May 20, 2024, that private equity firm GTCR is working on a deal to acquire Wisconsin-based Caravel Autism Health. Caravel Autism Health operates in eight states concentrated in the Upper Midwest. Terms of the acquisition were not announced. Read More

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