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- This week, our In Focus section reviews a checklist published on May 11, 2017, by the Centers for Medicare & Medicaid Services (CMS) Center for Consumer Information & Insurance Oversight (CCIIO) providing states with a guide to applying for a Read MoreRoundup:
California Releases Managed Care RFP/RFA Schedule
Colorado Regional Accountable Entity RFP Released
Illinois Publishes Medicaid Managed Care RFP Bidders List
KentuckyOne Health to Sell Louisville Hospitals
McCance-Katz Nominated to Lead SAMHSA
Supreme Court Allows Nursing Home Arbitration Agreements
- This week, our In Focus section comes to us from HMA Senior Consultant Rachel Patterson, MPA, of our Washington, D.C., office. Rachel provides an update on this week’s news that The Centers for Medicare & Medicaid Services (CMS) has extended Read MoreRoundup:
Arkansas Tightens Eligibility for Medicaid Expansion
Florida Budget Includes Hospital Payment Cuts
Last Remaining Insurer May Exit Iowa Exchange
Louisiana to Consider Medicaid Work Requirements
Maryland Exchange Plans Seek 38.5 Percent Premium Hike
AHCA Provision to End New York County Responsibility for Medicaid Funding
New Jersey DHS Outlines Accomplishments, FY 18 Initiatives
House Narrowly Passes AHCA Bill
- This week, our In Focus section comes to us from HMA’s Anissa Lambertino, PhD, of our Chicago office, and Lori Raney, MD, of our Denver office, and Sarah Arvey, PhD, of our Austin office. May is Mental Health Month, and Read MoreRoundup:
Delaware Medicaid Managed Care RFQ Released
Florida Legislature Debates Hospital Cuts
Michigan Behavioral, Physical Health Integration Update
New York Medicaid Transportation Management Contract Awarded
Puerto Rico Medicaid Funding Agreement Reached by Congress
House Republicans Discuss Changes to Stalled ACA Repeal, Replace Bill
Access to Care for Medicaid Members Is Comparable to Private Insurance, Study Says
- This week, our In Focus section reviews recent Medicaid enrollment trends in capitated, risk-based managed care in 25 states. Many state Medicaid agencies elect to post monthly enrollment figures by health plan for their Medicaid managed care population to Read MoreRoundup:
D.C. Issues Medicaid ACO RFI
Florida, Maine, Ohio Consider Medicaid Work Requirements
Ohio House Finance Committee Delays MLTSS Implementation
Rhode Island Announces Medicaid MCO Contract Awards
States Look to Reinsurance Programs to Stabilize Exchanges
- This week, our In Focus section reviews two proposed statewide Medicaid managed long-term services and supports (MLTSS) program designs. Alabama is currently accepting public comments on a plan to implement provider-driven Integrated Care Networks (ICNs) to provide MLTSS statewide to Read MoreRoundup:
Florida LIP Funding Restoration Approved by CMS
Indiana’s HIP 2.0 Gaining Attention as Medicaid Expansion Model
Kansas Legislature May Revisit Medicaid Expansion
Wisconsin Seeks Approval for Medicaid Drug Screening, Work Requirements
- This week, our In Focus section highlights the executive summary and key findings of a report from SVC, Inc. (SVC), “Indiana Smoking Attributable Medicaid Expenditures Final Report, ” published in March 2017. The report estimates Medicaid expenditures attributable to individuals Read MoreIn Focus:Roundup:
Alabama Publishes MLTSS Concept Paper
Illinois to Shift 26,000 MCO Members to Fee-For-Service
Massachusetts Seeks Waiver Flexibility in Letter to CMS
North Carolina House Introduces Medicaid Expansion Bill
Ohio Releases Timeline for Medicaid MLTSS Procurement
Oklahoma Considers Provider Rate Cuts
Pennsylvania Releases Independent Enrollment Broker RFP
States Seek Waiver Funds for SUD Treatment Facilities
- This week, our In Focus section comes to us from HMA’s Donna Strugar-Fritsch, Anne Winter, and Julia Elitzer, and addresses recent regulatory changes in the federal 340B drug discount program. Section 340B of the Public Health Service Act authorized the Read MoreRoundup:
Alabama Delays RCO Implementation
Alaska, Minnesota consider Exchange Market Reinsurance Programs
Arkansas Renews Medicaid Expansion
Medicaid Funding Cuts in Colorado, Texas Budget Proposals
Indiana Releases NEMT RFP
Wellmark to Exit Iowa Individual Insurance Market in 2018
Kansas Governor Vetoes Medicaid Expansion, Override Fails
New York Expands FIDA Demonstration
South Carolina Medicaid Director Soura Resigns
Society of Actuaries Releases Report on Medicaid MCO Profit Margins
- This week, our In Focus section comes to us from HMA Principal Juan Montanez, of our Washington, D.C. office. Juan provides an update on the fiscal crisis in Puerto Rico, the relationship between the fiscal crisis and Puerto Rico’s Government Read MoreIn Focus:Roundup:
Iowa to Address Medicaid MCO Losses Through Risk Corridors
Illinois State Supreme Court Upholds Property Tax Exemption for Not-for-Profit Hospitals
Kansas Legislature Passes Medicaid Expansion Bill, Awaits Governor
New Jersey Budget Proposes Increase in DDD Funding
Pennsylvania OMAP Updates HealthChoices Implementation Timeline
Wisconsin DHS Reissues Family Care, Partnership RFPs
AHCA Bill Pulled Before Scheduled Vote
- This week, our In Focus section reviews updated reports issued by the Department of Health & Human Services (HHS) Centers for Medicare & Medicaid Services (CMS) on Medicaid expansion enrollment from the “December 2016 Medicaid and CHIP Application, Eligibility Determination, Read MoreRoundup:
Florida Waiver Proposal Seeks Medicaid Flexibility
Illinois Medicaid MCO RFP Update
Indiana University Health Sells Three Hospitals
New York Executive Budget Supports Minimum Wage Increase, Extends Global Cap
Texas Opens Investigation into Medicaid Transportation Privatization
Moody’s: AHCA Would Increase Medicaid Costs for States
- 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
