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- This week, our In Focus section reviews the request for proposals (RFP) issued by the Virginia Department of Medical Assistance Services (DMAS) for the Medallion 4.0 Medicaid managed care program. Medallion 4.0 will serve roughly 740, 000 children, including those Read MoreRoundup:
Mississippi True, Anthem Protest Medicaid MCO Awards
Nebraska, Montana Propose Medicaid Provider Payment Cuts
New York Demonstrates Progress in Reducing Avoidable Hospital Use
New York Awards Contract to Administer Medicaid Insurance Programs
Medicaid Expansion States See Decline in Unpaid Medical Bills, Higher Financial Satisfaction
- This week, our In Focus section reviews the Invitations to Negotiate (ITNs) issued on July 14, 2017, by the Florida Agency for Health Care Administration (AHCA) to re-procure its managed care vendors. The ITNs will involve separate and simultaneous regional Read MoreRoundup:
Virginia Releases Medallion 4.0 Statewide Medicaid Managed Care RFP
Arkansas Submits Waiver Rolling Back Medicaid Expansion, Adding Work Requirement
Aetna, CCPN Sign Network Agreement in Rural North Carolina
Ohio Developing 1332 Innovation Waiver to Eliminate Individual, Employer Mandates
Texas STAR+PLUS, STAR, CHIP Operational Start Dates Aligned to September 2019
CMS Proposes to Reduce 340B Drug Payments to Hospitals
- This week, our In Focus section reviews recent Medicaid enrollment trends in capitated, risk-based managed care in 27 states. Many state Medicaid agencies elect to post monthly enrollment figures by health plan for their Medicaid managed care population to Read MoreRoundup:
CMS Approves Alaska’s 1332 Waiver for Reinsurance Program
Illinois House Overrides Budget Veto After Two-Year Stalemate
New York Legislative Session Summary
New York Releases Draft Application for Care Coordination Organizations for People with I/DD
Oregon County Sees 17 Percent Drop in Cardiac Arrests After Medicaid Expansion
Pennsylvania DHS Secretary Leaves Wolf Administration for Geisinger Health
Texas HHS Deputy Executive Commissioner to Step Down
Wisconsin Family Care and IRIS Managed Care Contracts for Dane County Awarded
Study: Medicaid Beneficiaries Satisfied with Coverage, Care
- This week, our In Focus section comes to us from HMA Senior Fellow Jack Meyer, PhD, and Senior Consultant Rachel Patterson, both of HMA’s Washington, DC office, with contributions from HMA colleagues Eileen Ellis, Melisa Byrd, Kathleen Nolan, Tim Beger, Read MoreRoundup:
California Single-Payer Bill Dies
Delaware Identifies RFQ Respondents
Florida ITN to be Released July 14, 2017
Massachusetts Co-op Seeks Shift to For-Profit Status
Texas IDD Managed Care Pilot Contract Awards Announced
Senate Delays Health Bill Vote Until After July 4 Recess
CBO Projects 22 Million Would Lose Health Care Coverage under Senate Bill; Federal Deficit Reduced by $321 Billion
- This week, our In Focus section highlights some of the key findings of the Fiscal Survey of the States Spring 2017, released this month by the National Association of State Budget Officers (NASBO). The association conducted surveys of state budget Read MoreRoundup:
MississippiCAN Medicaid MCO Awards Announced
Virginia Medicaid MCO RFP to be Released Early Summer
Florida Governor Signs Nursing Home Reimbursement Bill
MDwise to Exit Indiana Exchange in 2018
Nevada Governor Vetoes Medicaid-for-All Bill
Kansas Governor Signs Bill Reversing Some Rate Reductions
Maryland’s Evergreen Health Approved for Acquisition, For-Profit Conversion
MACPAC Publishes June 2017 Report to Congress
- 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:
Oklahoma Cancels SoonerHealth+ Procurement
Illinois to Delay Medicaid Managed Care Awards
Iowa Proposes Waiver to Stablize Exchange Market
Ohio Senate Proposes Medicaid Cuts To Fill Budget Gap
States Continue to Lag in Shift to HCBS, Report Says
AHCA Could Result in 13 Million More Uninsured, Per Actuary Report
- This week, our In Focus section comes to us from HMA Principal Dianne Longley, of our Austin, Texas, office. Dianne provides an update on and summary of the Texas Legislature’s adoption of a state fiscal year (SFY) 2018-2019 budget, as Read MoreRoundup:
California Senate Approves Bill to Establish Single-Payer Health System
Colorado Governor Signs Medicaid Home Health, Conflict-Free Case Management Bills
Michigan Children’s Medicaid Dental Care RFP Released
Nevada Legislature Passes Bill to Create Medicaid Buy-in Program
New York Governor Promulgates Emergency Regulations to Protect Health Insurance Coverage
Anthem to Exit Ohio Exchange Market Statewide in 2018
West Virginia to Transition Medicaid Pharmacy Benefits Back to Fee-For-Service
- This week, our In Focus section highlights a recent Health Affairs blog post authored by HMA Senior Advisor Vern K. Smith, PhD, titled “Can States Survive The Per Capita Medicaid Caps In The AHCA?” The blog post, originally posted by Read MoreRoundup:
DC Announces Intent to Award Medicaid MCO Contracts
Indiana Adds Work Requirement to HIP 2.0 Waiver Extension Application
BCBS of Kansas City Announces Missouri Exchange Exit
Nebraska Dental Managed Care Contract Awarded to MCNA
New Jersey Bill Would Establish Medicaid Reimbursement Rate for Personal Care Services
New Mexico MCO Procurement Schedule Announced
Ohio AG Files Lawsuits Against Five Drug Companies Over Opioid Epidemic
Texas Legislature Passes Budget, Reducing Medicaid Spending by $1.9 Billion
- This week, our In Focus section previews the agenda for HMA’s second conference in a series on the future of state-sponsored health care, to be held September 11–12, 2017, at the Renaissance Chicago Downtown Hotel in Chicago, Illinois. Waivers, block Read MoreRoundup:
Washington Awards Managed Care Contracts for North Central Region
Indiana Medicaid Director Moser Resigns
Missouri Governor Names Corsi DSS Director
BCBS-NC, Anthem to Jointly Bid For North Carolina Medicaid Managed Care Contract
Pennsylvania Governor to Nominate Insurance Commissioner as Inaugural DHHS Secretary
CBO Publishes Score of House Republican AHCA Bill
President’s Budget Proposal Reduces Medicaid Funding by $610 Billion Over Next Decade
Senators Propose Easing Restrictions on Medicaid Reimbursement for Substance Use Treatment
- 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
