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- This week, our In Focus section provides an initial overview of recent US Supreme Court rulings that reshape the landscape of national healthcare policy and operations. Read MoreRoundup:
Idaho Releases Medicaid Dual, MLTSS Programs RFP
Illinois Receives Federal Approval for Section 1115 Healthcare Transformation Demonstration
Illinois Advisory Council Begins Hearings on Medicaid Financing for Sickle Cell Disease Therapies
Minnesota Rural Hospitals Form Clinically Integrated Network
New York Medicaid Seeks Approval to Provide Continuous Medicaid, CHIP Coverage for Children
Oregon Launches OHP Bridge to Expand Adult Medicaid Coverage
North Carolina Seeks Federal Approval to Help Relieve $4 Billion Medical Debt
Texas Faces Lawsuit Over Medicaid STAR, CHIP Contract Awards
More News Here
Five States Receive Federal Approval to Provide Reentry Services for Incarcerated Individuals Prior to Release
CMS Proposes 1.7 Percent Cut to Medicare Home Health Provider Rates
Optum Drops Out of Bid to Purchase Steward Health Care Physician Group
Elara Caring Acquires Caregivers Home Health
More News Here
- This week, our In Focus section delves into important and complex regulatory policy changes that affect coverage and services for the 12.9 million individuals who are dually enrolled in both Medicare and Medicaid. Read MoreIn Focus:Roundup:
Alaska Releases Coordinated Care Demonstration Project RFI
California Budget Deal Delays Healthcare Worker Minimum Wage Raise
District of Columbia Submits 1115 Behavioral Health Transformation Demonstration Renewal Request
Florida Awards Two Incumbents With Statewide Medicaid Prepaid Dental Program Contracts
Kansas Faces Protests from Aetna, CareSource Over KanCare Awards
Nevada Receives Approval for Dental Benefit Demonstration for Adults with Diabetes
New York City Awards $10.3 million in Funding to Expand Supportive Housing
Oregon Awards Contract to Acentra to Help Implement Medicaid HRSNs
Pennsylvania to Submit LTC Demonstration Amendment Requests in September 2024
Washington Opens Apple Health Expansion Registration for Undocumented Adults
CMS Releases Final Rule on Medicare Part D Electronic Prescribing, Adoption of Health IT Standards
CMS Releases D-SNP Enrollee Advisory Committee Insights
BrightSpring Health Services to Acquire FL-based Hospice Care Providers
- This week, our In Focus section highlights a report that the Center for Workforce Solutions (CWS) released on May 28, 2024, titled Crosswalk of National Behavioral Health Workforce Recommendations. Read MoreRoundup:
California Medicaid Doctors Introduce Ballot Measure for Higher Pay
Idaho to Release Dual Eligible, LTSS Managed Care Procurement in June 2024
Illinois Governor Signs Medicaid Omnibus Bill
Michigan Releases HIDE SNP RFP to Transition MI Health Link Dual Demo
New Mexico Medicaid to Reimburse Tribal Community Health Workers
Oregon Receives Federal Approval to Establish Basic Health Program
Rhode Island Submits Addendum Request to Section 1115 Comprehensive Demonstration for HRSN Services
Texas HHSC Rejects Protests Over Medicaid, CHIP Awards
Texas Medicaid Application Delays May Cost State Millions in Federal Funding
MACPAC Releases June 2024 Report to Congress
Insurers Estimate $1.1 Billion in MLR Rebates Across Commercial Markets in 2024
Addus HomeCare Signs Agreement to Acquire Gentiva Personal Care
Elevance Wins Medicare Advantage Star Rating Lawsuit
Judge Blocks DOJ from Dismissing Humana Medicare Advantage Lawsuit
Judge Denies FTC Injunction to Block Novant Health’s Acquisition of North Carolina Hospitals
- This week’s In Focus section delves into the Next Generation MyCare Ohio managed care program, spotlighting the request for applications (RFA) that the Ohio Department of Medicaid (ODM) released on May 31, 2024. Read MoreRoundup:
Arkansas to Transition Medicaid Managed Care Dental Program Back to Fee-for-Service
Colorado Governor Signs Bills Addressing Housing, Nutrition Support Funding, Prescription Drug Access
Florida Governor Signs Bill to Establish Rural Emergency Hospitals
Indiana Receives Federal Approval to Transition LTSS to Managed Care
Michigan Selects Eight PIHPs for Substance Abuse Recovery Incentives Pilot Program
Minnesota Releases Medicaid, MinnesotaCare IHP RFP
Tennessee Awards Medicaid Dental Contract to Renaissance Life & Health Insurance Company
CMS Releases ACO Primary Care Flex Model RFA
HHS Selects Ten Additional States to Participate in CCBHC Demonstration
Evolent Health to Acquire AI Assets from Machinify
Solarity Announces Strategic Growth Investment from Private Equity Firm TA Associates
More News Here
- This week, our In Focus section considers the increasing emphasis on quality at all levels of our healthcare system, especially for work that affects federally funded health insurance programs. Read MoreRoundup:
Arkansas DHS Collaborates with State University to Strengthen Medicaid HCBS Programs
Delaware Senate Passes Provider Tax to Support Medicaid
Kansas to Face Protest from Aetna Over KanCare Awards
Oregon Names Emma Sandoe as Medicaid Director
Minnesota Medicaid Managed Care Program Will Stop Contracting with For-profit Insurers in 2025
New Hampshire Senate Committee Advances Legislation to Alter Medicaid Enhancement Tax
New York to Invest $30 Million at Increasing Inpatient Psychiatric Capacity
South Carolina Lawmakers Propose Study Committee to Examine Medicaid Expansion
Express Scripts to Collaborate with CPESN USA to Improve Healthcare Access at Independent Pharmacies
Elevance Health Foundation to Provide $10 Million in Funding to Address Health-related Social Needs
- This week’s second In Focus section delves into the Ensuring Access to Medicaid Services final rule. The Centers for Medicare & Medicaid Services (CMS) published the access rule May 10, 2024, alongside the similarly significant Medicaid managed care final rule. Read MoreRoundup:
California Governor Retracts on Budget Deal to Use MCO Tax Revenue for Medicaid, Hospital Investments
Colorado Releases Accountable Care Collaborative Phase III RFP
Colorado Releases Behavioral Health ASO RFP
Florida Governor Signs Bill Allowing Medicaid Home Health Services Ordered by Nurses, Physician Assistants
Kansas Announces Intent to Award KanCare, CHIP Medicaid Managed Care Contracts
Michigan Invests $1.3 Million to Expand Hospital Rooming-in for Substance-exposed Babies
Missouri House Committee Advances Medicaid Hospital Tax Renewal
New York Releases RFA for Medicaid Housing Subsidies, Services through $87 Million Grant Funding
Oklahoma Hospitals See Higher Payments Under Managed Care
Texas Releases STAR Kids RFP
CMS Extends Medicaid Unwinding-related Waiver Demonstrations to June 2025
DOJ Creates Antitrust Task Force to Combat Healthcare Consolidations, Acquisitions Violating Laws
Eventus WholeHealth Acquires Premier Geriatric Solutions
- This week, our In Focus section highlights a new Health Management Associates, Inc. (HMA), report released on May 7, 2024, titled Medicare Physician Fee Schedule Reform: Structural Topics and Recommendations to Strengthen the System for the Future. Read MoreRoundup:
Arizona Restructures Medicaid Agency, Expands Leadership Roles
Arkansas Launches Four Preventative Pilot Programs for Children with Behavioral Health Conditions
Massachusetts Submits Amendment Request for MassHealth Section 1115 Demonstration
Michigan Requests Section 1115 Demonstration Extension Including SUD Pilot Program
Montana Medicaid Expansion Helps Decrease Inpatient, Emergency Service Costs
Nebraska Seeks Input on Medicaid Enterprise System Modernization Jump to section
Joint Commission to Launch Rural Health Clinic Accreditation Program
Senate Finance Committee Introduces Legislation to Create Medicare Drug Shortage Prevention, Mitigation Program
Justice Department Advances Cigna’s Medicare Advantage Sale
- In this week’s In Focus section, Health Management Associates (HMA) Managing Director Matt Powers and Associate Principal Lora Saunders discuss observations and perspectives as we approach completion of the Medicaid unwinding. Read MoreRoundup:
Alabama Legislators Hear from Arkansas, North Carolina Officials on Medicaid Expansion Jump to section
Arkansas Cancels Medicaid Dental Services Procurement; Fails to Reach Agreement with Bidders Jump to section
California to Adopt Health Care Spending Limit Beginning 2025 Jump to section
Colorado Extends Medicaid Eligibility for Beneficiaries Living with Disabilities Jump to section
Connecticut House Passes Bill Aimed at Improving Elder Health Care System Jump to section
Illinois CBOs to Receive More than $5 Million in Funding for Maternal, Infant Healthcare Jump to section
Kansas to Implement Supplemental Waiver to Shorten IDD, Physical Disability Waiver Waitlists Jump to section
Mississippi Medicaid Expansion Bill Heads to House, Senate for Vote Jump to section
Oregon Medicaid Program Offers Equipment to Protect Beneficiaries Against Climate Change Jump to section
CMS, NCQA Grant Two Week Extension for Insurers to Submit Star Quality Data Jump to section
FTC Finalizes Rule to Prevent Digital Health Apps from Releasing Sensitive Medical Data Jump to section
CVS to Acquire Medicare Advantage Broker Hella Health Jump to section
- This week, our In Focus section reviews significant Medicaid policy announcements from the Centers for Medicare & Medicaid Services (CMS). Read MoreRoundup:
Connecticut Lawmakers Plan to Revisit Medicaid Managed Care for Enrollees Jump to section
Florida Receives Eight Intents to Protest Against SMMC Awards Jump to section
Georgia Governor Signs Bill to Relax Certificate-of-need Regulations, Form Health Commission Jump to section
Maryland Total Cost of Care Model Improved Medicare Spending, Decreased Health Disparities in First Four Years Jump to section
Massachusetts Receives Federal Approval to Provide Medicaid-funded Temporary Housing for Emergency Shelter Program Jump to section
Michigan Medicaid to Offer Maternal Health Quality Payments Jump to section
New York Enacted Fiscal 2025 Budget Invests in Health Equity, New Policies Promoting Access to Care Jump to section
New Mexico Extends Medicaid Coverage for Seniors Receiving Long-term Care, Individuals with Disabilities Jump to section
Texas Lawmakers Urge Governor to Cancel, Delay STAR, CHIP Awards Jump to section
HHS Launches Investigation Examining PBMs Jump to section
Change Healthcare’s Patient Personal Data Still in Jeopardy Jump to section
- This week, our In Focus section reviews a wide-ranging and comprehensive final rule released April 4, 2024, by the Centers for Medicare & Medicaid Services (CMS). Read MoreIn Focus:Roundup:
California Medicaid FFS Contracts with Heali’s Food as Medicine Platform Jump to section
Colorado Settles Lawsuit Regarding Mental Health Care for Children, Agrees to Outside Examination of Program Jump to section
Avesis, Elevance Health Partner with Uber to Improve Maternal Health in Georgia Jump to section
Michigan Announces Medicaid Managed Care Awards Jump to section
New York Governor Invests $359 Million to Expand Supportive Housing Options Jump to section
North Dakota Approves Pilot Program for Paid Family Caregivers Jump to section
Vermont Receives Approval for Medicaid Mobile Crisis State Plan Amendment Jump to section
Virginia Governor Vetoes Prescription Drug Affordability Board Legislation Jump to section
CMS Announces Final Rule to Promote Competition, Access to Care in Medicare Advantage, Part D Plans Jump to section
Medicaid Supplemental, Base Payments Vary Among States, MACPAC Finds Jump to section
Lawmakers Call on FTC, DOJ to Block Optum-Steward Acquisition Jump to section
