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- This week, our In Focus section reviews the Medicaid long-term services and supports (LTSS) redesign draft paper published on March 7, 2017, by the Nebraska Department of Health and Human Services (DHHS). The paper is the follow-up to a January Read MoreRoundup:
Rural Georgia Hospitals Continue to Struggle Financially
North Carolina Senate Proposes Medicaid Prepaid Dental Plans
UPMC and PinnacleHealth Agree to Affiliate
Tigue Named Rhode Island Medicaid Director
Wisconsin DHS Cancels Family Care/Partnership RFP
U.S. Senate Confirms Verma as CMS Administrator
CBO Estimates AHCA Would Increase Uninsured by 24 Million
AHCA Would Strain Hospital Finances, per Moody’s and S&P
CMS Medicaid Innovation Accelerator Program National Webinar scheduled for March 27
- This week, our In Focus section comes to us from HMA Principal Karen Brodsky and Research Assistant Anh Pham, both of our New York City office. Anh and Karen provide a review of the “Medicaid 2.0 Blueprint for the Future” Read MoreRoundup:
AHCCCS Announces ALTCS Contract Awards
Arkansas Gov. Seeks Medicaid Expansion Work Requirements, Eligibility Limits
UnitedHealth Completes Acquisition of Rocky Mountain Health Plans
Advocate, NorthShore Abandon Plans to Merge
MassHealth Selects Optum as TPA for LTSS Programs
Oregon Study Highlights Upsides, Limitations of Medicaid Expansion
House Republicans Release ACA Replacement Plan, To Cap Federal Medicaid Funding
Republican Governors Criticize House ACA Bill, Continue Drafting Alternative Proposal
Brian Neale Nominated as Director of the Center for Medicaid and CHIP Services
- This week, our In Focus section reviews the request for proposals (RFP) issued on February 27, 2017, by the Illinois Department of Healthcare and Family Services (HFS) to rebid the majority of the state’s existing Medicaid managed care program contracts, Read MoreRoundup:
Centene Ends Partnership with Alabama RCO
Kansas House Advances Bill to Expand Medicaid
New Jersey DOH Posts DSRIP Update
New York Duals Demo Extended, Expanded
Vermont All-Payer ACO Model to Begin with Medicaid Pilot
Wisconsin Releases Family Care, Family Care Partnership RFP
- This week, our In Focus section reviews the Washington Health Care Authority’s (HCA’s) request for proposals (RFP) for the North Central Regional Service Area (RSA) transition to Fully Integrated Managed Care (FIMC) under the Apple Health Medicaid program. Under the Read MoreRoundup:
MDwise to Withdraw from Indiana’s Hoosier Care Connect
Texas CHIP Rural and Hidalgo Service Areas RFP Released
Florida AHCA Posts Statewide Medicaid Managed Care LOI Responses
Colorado Medicaid to Receive Mid-year Budget Increase
Medicaid Expansion to Appear on Ballot in Maine
Minnesota Audit Finds State Lacks Adequate HCBS Oversight
House Leadership Outlines Elements of ACA Repeal and Replace
Medicaid Innovation Accelerator Program National Webinar scheduled for February 27
- This week, our In Focus section reviews publicly available data on enrollment in capitated financial and administrative alignment demonstrations (“Duals Demonstrations”) for beneficiaries dually eligible for Medicare and Medicaid (duals) in 10 states: California, Illinois, Massachusetts, Michigan, New York, Ohio, Read MoreRoundup:
Georgia Extends Hospital Assessment Program
Connecticut Governor Proposes Medicaid Cuts
New York Exceeds Global Cap Citing Drug, LTSS Spending
Moda Health Prevails in Risk Corridor Lawsuit
Magellan Awarded South Carolina Pharmacy Contract
Vermont Contracts with OneCare for One-year ACO Pilot
HHS Proposes Rule Changes Aimed at Stabilizing Exchange Markets
U.S. Senate Confirms Tom Price as HHS Secretary
Uninsured Rate Hits All-time Low of 8.8 Percent in 2016
- This week, our In Focus section reviews the request for proposals (RFP) issued by the Mississippi Division of Medicaid (DOM) for the reprocurement of Mississippi Coordinated Access Network (MississippiCAN) Medicaid managed care plans. Under the RFP, the DOM is adding Read MoreRoundup:
Arizona to Request Waiver Approval for Medicaid Work Requirement, Eligibility Cap
Arkansas Dental Managed Care Contract Awards Announced
Florida Announces Reprocurement Process for Statewide Medicaid Managed Care
Minnesota Legislature Passes Bill Opening Medicaid, Individual Markets to For-Profit HMOs
Missouri Governor Proposes Medicaid Provider Cuts
Utah to Move Ahead on Limited Medicaid Expansion
Study Estimates Medicaid Block Grants Could Save Federal Government $150 Billion Over Five Years
Trump Administration Submits Rule to OMB to Stabilize Exchanges
- This week, our In Focus section comes to us from HMA Principal Sarah Jagger, of our Indianapolis, Indiana office. Sarah provides an overview of the Healthy Indiana Plan (HIP) and the proposed changes under the HIP 2.0 waiver renewal request, Read MoreRoundup:
Alabama Medicaid Seeks Additional Funding for RCO Roll-out
Florida Governor Proposes Hospital Payment Cuts
New Jersey Provides Update on MLTSS Spending
New York DOH Provides DSRIP Program Update
Ohio Governor’s Proposed Budget Expands MLTSS
Pennsylvania Gov. Proposes Consolidation of Health Agencies
CMS Offers to Extend Dual Demos in Massachusetts, Minnesota, Washington
- This week, our In Focus section reviews Medicaid spending data collected in the annual CMS-64 Medicaid expenditure report. In federal fiscal year (FFY) 2016, Medicaid expenditures across all 50 states and 6 territories exceeded $548 billion, with nearly half of Read MoreRoundup:
Arizona Releases AHCCCS MCO RFI
Medi-Cal Accounting Error Drives Budget Deficit Projection
KanCare Waiver Extension Denied by CMS
Maryland Begins Enrolling Former Inmates in Medicaid
New Jersey Auditor Report Raises Medicaid Network Adequacy Concerns
New York Gov. Proposes Extension of Global Spending Cap
Rhode Island Budget Proposal Freezes Rates for Hospitals, Nursing Homes, Cuts MCO Administrative Rates
Wisconsin DHS Announces Awards for Family Care MLTSS
- This week, our In Focus section comes to us from HMA Principal Cathy Kaufmann, of our Portland, Oregon office. Cathy provides an overview of Oregon’s Medicaid waiver program, under which the state implemented integrated managed care entities and committed to Read MoreRoundup:
California Governor’s 2017-18 Budget Highlights
Senior to be Named Secretary of Florida AHCA
Massachusetts Governor Proposes Employer Assessment to Offset MassHealth Costs
Mississippi to Rebid Medicaid MCO Contracts Early this Year
Ohio Medicaid Oversight Committee Reports $1.6B in Savings
Pennsylvania to Test New Payment Model for Rural Hospitals
Pennsylvania to Close Two State Facilities
Block Grant Proposals Discussed in Tennessee, Missouri
CMS Finalizes Rule Blocking Pass-Through Payments to Safety Net Providers
CBO Report Says ACA Repeal Could Double Premiums, Leave 32 Million Uninsured by 2026
- This week, our In Focus section comes to us from HMA Principals Meggan Schilkie, Joshua Rubin, and Heidi Arthur in our New York City office and the HMA national behavioral health team. On December 21, 2016, the U.S. Department of Read MoreRoundup:
Pennsylvania Announces Preliminary HealthChoices Awards
Washington 1115 Waiver Approved by CMS
California Governor Proposes Ending CCI Demonstration
Alabama Requests CMS Approval for RCO Rollout Delay
Florida AHCA Submits 1115 Waiver Extension Request
North Carolina Medicaid Expansion Proposal May Receive Expedited CMS Review
Texas Announces New Schedule for Future MCO Procurements, Releases Draft for CHIP Rural Service Areas Procurement
West Virginia Appoints New DHHR Head
