HMA Weekly Roundup

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  • This week, our In Focus section comes from Ellen Breslin in our Boston office who provides an overview of MassHealth’s Duals Demonstration 2.0 (“Duals Demo 2.0”) proposal to the Centers for Medicare and Medicaid Services (CMS) which is designed to Read More
    Roundup:

    Florida Awards Additional Medicaid Managed Care Contracts Following Protests

    Maine Judge Orders Governor LePage to Submit Medicaid Expansion Plan

    New Jersey Provides Update on Fiscal Intermediary Transition

    New York Director of the Division of Long Term Care Resigns

    New York Attorney General Approves Centene Acquisition of Fidelis Care

    Conservatives Release New Proposal for ACA Repeal, Replace

    SAMHSA to Award $930 Million in State Opioid Treatment Grants

  • This week, our In Focus section highlights HMA Medicaid Market Solutions’ (MMS) efforts to support state flexibility in designing and implementing Section 1115 Demonstration Waivers promoting member engagement and personal responsibility. Over the coming weeks, HMA MMS will present a Read More
    Roundup:

    Florida Announces Additional Medicaid Managed Care Awards

    Arkansas Medicaid Director Resigns

    Maine Appeals Medicaid Expansion Court Order

    Mississippi Releases CHIP Managed Care RFQ

    New Hampshire Awards Centene Correctional Healthcare Contract

    Virginia Governor Signs Budget Expanding Medicaid

    CMS Releases Guidance on Combating Opioid Epidemic

    GAO Urges CMS to Address Risk of Overpayments to Medicaid Managed Care Plans

  • Health Management Associates is proud to announce its third annual conference on trends in publicly sponsored health care: The Rapidly Changing World of Medicaid: Opportunities and Pitfalls for Payers, Providers and States. Read More
    Roundup:

    Judge Orders Maine Governor to Implement Medicaid Expansion

    Arkansas Launches Medicaid Work Requirements

    Florida Announces Additional Awards for Statewide Medicaid Managed Care Procurement

    New Jersey Passes Individual Health Insurance Mandate

    Alaska Announces Coordinate Care Demo Awards

    CMS Releases Medicaid, CHIP Quality Scorecard

  • This week, our In Focus section reviews the North Carolina Department of Health and Human Services (DHHS) Medicaid Managed Care Proposed Policy Paper released on May 16, 2018, Prepaid Health Plans in North Carolina Medicaid Managed Care. This policy paper Read More
    Roundup:

    Washington Announces Medicaid MCO RFP Awards

    Florida to Enact Cuts to Correctional Treatment Programs

    Utah to Vote on Medicaid Expansion Ballot Measure in November

    Virginia Senate Approves Medicaid Expansion

    Minnesota Seeks Waiver to Use Medicaid Funding for Residential Drug Treatment

  • This week, our In Focus, written by HMA Principal Anne Winter and Senior Consultant Aimee Lashbrook, examines American Patients First: The Trump Administration Blueprint to Lower Drug Prices and Reduce Out-of-Pocket Costs, released May 11, 2018. Over time, the Read More
    Roundup:

    Centene Awarded Managed Care Contract in Iowa, Correctional Health Contract in Tucson, Arizona

    New Mexico Rejects Protests of Medicaid Managed Care Contract Awards.

    Virginia Senate Delays Budget, Medicaid Expansion Talks

    Louisiana Tables Tax Reviews for Medicaid Eligibility

    Michigan Shelves Work Requirements Exemption Tied to County Unemployment Rate

    UnitedHealth Report Finds Exchange Coverage Is More Costly Than Medicaid

  • CMS Approves Maryland All-Payer Model Connecticut Budget Reverses Medicaid Cuts Fidelis Care Files Petition with New York Attorney General Alaska Medicaid Backlog Stalls Provider Payments Vermont Voluntary All-Payer ACO Enrollment Hits 112, 000 Trump Administration Announces Plan to Lower Drug Read More
    Roundup:

    CMS Approves Maryland All-Payer Model

    Connecticut Budget Reverses Medicaid Cuts

    Fidelis Care Files Petition with New York Attorney General

    Alaska Medicaid Backlog Stalls Provider Payments

    Vermont Voluntary All-Payer ACO Enrollment Hits 112,000

    Trump Administration Announces Plan to Lower Drug Prices

  • This week, our In Focus, written by HMA Principal Jen Burnett in collaboration with the National Association of States United for Aging and Disabilities (NASUAD), summarizes key considerations and policy decisions that states should consider as they work to implement Read More
    Roundup:

    CMS Rejects Kansas Medicaid Lifetime Limit Waiver Proposal

    Medicaid Expansion to Appear on Utah Ballot

    New Hampshire Gains Approval for Medicaid Work Requirements

    Texas HHSC Commissioner Retires Amid Contract Scrutiny

    Illinois to Expand Medicaid Mental Health, Substance Abuse Treatments

    Harvard Pilgrim Health Care, Partners Healthcare in Merger Discussions

  • This week, our In Focus is the second in a series written by HMA Medicaid Market Solutions (MMS). MMS works with states to design and implement Section 1115 Demonstration Waivers that support individual state goals for member engagement and personal Read More
    Roundup:

    Florida Announces Winners of Medicaid MCO Procurement, Protests Follow

    Idaho to Decide on Medicaid Expansion with Ballot Initiative

    Maine Advocates File Lawsuit to Force Governor to Expand Medicaid

    New Jersey MCO Carve-In of Mental Health, SUD Services for Certain Eligibility Groups Planned for July 1

    Ohio Medicaid Submits Work Requirements Waiver

    Non-Expansion States Should Reconsider Medicaid Work Requirements, CMS Cautions

    Uninsured Rate Rises, Commonwealth Fund Report Shows

  • This week, our In Focus reviews two recently released papers outlining North Carolina’s and New Hampshire’s plans to implement Medicaid managed care long-term services and supports (MLTSS). The North Carolina Department of Health and Human Services released “North Carolina’s Vision Read More
    Roundup:

    Florida Announces Winners of Statewide Medicaid Managed Care Procurement

    Alabama Releases RFP for Administrator of LTSS Patient-Centered Care Program

    District of Columbia Proposes 4 Percent Cut to Medicaid MCO Rates

    Medicaid Work Requirements Debated in Kansas, Michigan, Pennsylvania, Tennessee

    New York DoH Approves Centene, Fidelis Deal

  • This week, our In Focus section highlights HMA Medicaid Market Solutions (MMS) which is supporting state flexibility in designing and implementing initiatives, including Section 1115 Demonstration Waivers, promoting member engagement and personal responsibility. Over the coming weeks, HMA MMS will Read More
    Roundup:

    Utah to Decide on Medicaid Expansion through Ballot Initiative

    Tennessee House Rejects Medicaid Expansion Amendment

    Louisiana Medicaid Expansion Results in Jobs, Generates Tax Revenues, Study Says

    Illinois Freezes Medicaid Enrollment at BCBS-IL

    New York Receives Approval for Care Coordination for Individuals with I/DD

    More Governors Propose Medicaid Enhancements Than Cuts, Says Kaiser Study