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- This week, our In Focus reviews a case study called, “Spotlight on Health Center Payment Reform: Washington State’s FQHC Alternative Payment Methodology, ” authored and prepared for the National Association of Community Health Centers by Health Management Associates’ Principal Art Read MoreRoundup:
Texas Reissues STAR+PLUS RFP
Kentucky Restores Dental, Vision Benefits to Medicaid Beneficiaries
South Dakota Releases RFP for Medicaid, CHIP Eligibility System
California Health Exchange Rates to Rise 8.7 Percent
CMS to Resume Exchange Plan Risk-Adjustment Payments
- This week, our In Focus section reviews recent Medicaid enrollment trends in capitated, risk-based managed care in 28 states.1 Many state Medicaid agencies post monthly enrollment figures by health plan for their Medicaid managed care population to their websites. This Read MoreRoundup:
Arkansas Work Requirement Takes Effect; 7,000 Beneficiaries Fall Short
Massachusetts to Release One Care RFP in August
Ohio to Request 3-Year Extension of Dual Demonstration
Kansas, Rhode Island to Lift Limits on Hepatitis C Treatment
Oklahoma Medicaid Wins Approval for Value-Based Drug Program
New Mexico Judge Grants UnitedHealth Stay in Contract Award Dispute
New York Launches Care Management Program for People with Developmental Disabilities
- This week, our In Focus reviews the Mississippi Children’s Health Insurance Program (CHIP) request for qualifications (RFQ) issued by the state’s Division of Medicaid on June 8, 2018. The Mississippi CHIP program provides statewide health coverage in all 82 counties Read MoreRoundup:
Alabama Awards Integrated Care Network Contract
Arizona Releases Integrated Health Care Choice Plans RFP
Florida Awards Medicaid Prepaid Dental Program Contracts
Kansas Medicaid Managed Care Awards Face Protest
Kentucky Medicaid Work Requirement Struck Down By Judge
Maine House Sustains Medicaid Expansion Funding Veto
Nebraska Medicaid Ballot Initiative Meets Threshold
Puerto Rico Awards Medicaid Managed Care Contracts
Texas Cancels STAR+PLUS RFP
- This week, our In Focus comes from Senior Consultant Rachel Patterson, who provides an overview of Chapter 3 of the Medicaid and CHIP Payment and Access Commission (MACPAC) June 2018 Report to Congress on Medicaid and CHIP, which examines the Read MoreRoundup:
Florida to Award Children’s Medical Services Contract to WellCare
Florida Decision to Award Molina Contract in Region 8 to Be Challenged By Best Care Assurance
Kansas Awards Medicaid Managed Care Contracts
Michigan Governor Signs Medicaid Work Requirements Bill
New Jersey Releases January 2019 Amendments to Medicaid MCO Contract
CMS to Increase Oversight of Medicaid Managed Care Plans, States
- 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 MoreRoundup:
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 MoreRoundup:
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 MoreRoundup:
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 MoreRoundup:
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 MoreRoundup:
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 MoreRoundup:
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
