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- This week, our In Focus section shares HMA’s takeaways from the Centers for Medicare & Medicaid Services (CMS) white paper on the CMS Innovation Center Strategy Refresh: Driving Health System Transformation – A Strategy for the CMS Innovation Center’s Second Read MoreRoundup:
Arkansas Governor Expects Approval of Expansion Waiver
alifornia Medicare Plan Faces Whistleblower Lawsuits
District of Columbia to Increase Procurement Oversight
Maryland Announces Medicaid Rate Increases for HCBS
Minnesota Names Medicaid Managed Care Award Winners
New Hampshire Releases MMIS RFI
Ohio Official Says PBMs are Improperly Collecting Clawbacks
Oregon Publishes Concept Papers for 1115 Waiver Renewal
Jefferson Health Buys Stake in Health Partners Plans
Wisconsin Transitions Medicaid NEMT Business to Veyo
Democrats Agree to Let Medicare Negotiate Some Drug Prices
Centene Sells Majority Stake in U.S. Medical Management
Centene to Put PBM Business Out to Bid
- This week, our In Focus highlights a recent issue brief, Center for Medicare and Medicaid Innovation: Recommendations for Future Direction, which revisits questions raised in a previous HMA report and offers potential answers to guide progress and changes for demonstrations Read MoreIn Focus:Roundup:
Arizona Medicaid Plans Bid to Integrate Individuals With SMI
Florida May Realign Medicaid Districts in Next Procurement
Illinois Official Urges Action on Nursing Home Payments
Iowa Releases Medicaid NEMT RFP
Massachusetts, Plans Sign One Care Dual Demo Contracts
Montana Seeks Waiver to Address Substance Abuse
Ohio Medicaid Managed Care Trial Continues
Oregon to Release Medicaid Waiver Renewal Draft
CMS Aims to Move Medicaid Members to Accountable Care
BrightSpring Health Services Files for IPO
Commonwealth Care Signals National Expansion
- This week, our In Focus provides an analysis of 2022 Medicare Advantage (MA) Star Ratings, including a look at how regulatory changes during the COVID-19 pandemic resulted in a record number of Medicare plans receiving historically high scores. HMA Read MoreRoundup:
California Moves Medi-Cal RFP Release Date to February 2022
Delaware Releases RFP Seeking HCBS Providers
District of Columbia Releases Health Home Care Services RFQ
Long-term Care News: Illinois, Minnesota, Pennsylvania
AmeriHealth Caritas Launches NC Exchange Plans
Ohio Trial Over Medicaid Managed Contract Awards Begins
Oregon CCOs to Receive a 4.2 Percent PMPM Rate Increase
Tennessee Delays Medicaid Managed Care Contract Awards
Virginia to Release Draft Contract for Planned Medicaid Managed Care Program Consolidation
Washington Eyes Use of Medicaid Funds for Medical Respite
MACPAC Reports 8 Percent Medicaid, CHIP Churn Rate in 2018
Best Buy to Acquire Remote Monitoring Technology Company
Molina Healthcare Acquires LTC Business of AgeWell
- This week, our In Focus highlights the issue brief, Strategic Approaches to Utilization of American Rescue Plan Act Funds to Support Older Adults, written by HMA Principal Madeleine Shea, PhD and Senior Consultant Aaron Tripp, MSW and distributed by Milbank. Read MoreIn Focus:Roundup:
Iowa Medicaid Managed Care Contract Is Eyed by CareSource
Medicaid Expansion News: Missouri, Nebraska, South Dakota
New York Seeks Applicants for Transformation Grants
North Carolina Strengthens Regulation of PBMs
Ohio to Increase Medicaid Provider Rates for HCBS
Oklahoma Isn’t Reducing HCBS Wait List Enough, Report Says
Oregon Eyes Giving CCOs More Flexibility to Cover SDOH
Texas Releases STAR Health Foster Care RFP
Wisconsin Chooses Veyo for Medicaid NEMT Services
CMMI Eyes More Mandatory Payment Models
Medicare Advantage Premiums to Decline 10 Percent in 2022
Sun Life Financial to Acquire DentaQuest
- This week, our In Focus reviews recent Medicaid enrollment trends in capitated, risk-based managed care in 33 states. Many state Medicaid agencies post monthly enrollment figures by health plan for their Medicaid managed care population to their websites. This Read MoreRoundup:
California Governor May Veto PACE Telehealth Bill
Colorado Begins Scaling Back Medicaid NEMT Contract
Florida Officials Expect ‘Imminent’ Federal Approval of HCBS Spending Plan
Minnesota to Waive Premiums for Certain Expansion Members
New Jersey Hospital System to Exit Medicaid Plan Network
New York Appoints Mary Bassett Commissioner of Health
Vermont Hospital to Be Sole Parent of OneCare Vermont
Most Medicaid Members Face Inadequate Housing, Study Says
AmeriHealth Caritas Forms Subsidiary to Address Social Determinants of Health
Wayspring Receives Investment to Expand Substance Use Disorder Treatment Model
- Aimed at shifting and improving the delivery of addiction treatment within county jails, Health Management Associates (HMA) will partner with the Washington/Baltimore High Intensity Drug Trafficking Area (W/B HIDTA) and Fairfax County Sheriff’s Office to deliver a novel Project ECHO Read MoreRoundup:
Connecticut to Combine Medicaid, Housing Services
Florida Approves Exchange Premiums Hike of 6.6 Percent
Michigan to Continue Expanded Medicaid Program in Flint
Mississippi Economist Says Uncompensated Care Savings Would Cover State Cost of Medicaid Expansion
Oklahoma Fails to Win HCBS Residency Requirement Approval
Oregon to Seek Federal Funding for Health Equity
Puerto Rico Secures $2.9 Billion in Federal Medicaid Funding
CMS to Include Dual-Eligible Plan Features in Medicare Plans
Exchange Plan Enrollment Hits All Time High at 12.2 Million
Molina to Bid on 40 Percent of Medicaid Procurements
Intermountain Healthcare, SCL Health to Merge
- This week, our In Focus reviews the the New Jersey Department of Human Services (DHS), Division of Medical Assistance and Health Services (DMAHS) draft proposal for the renewal of its 1115 Comprehensive Demonstration Waiver, released on September 10, 2021. The Read MoreRoundup:
Colorado to Address Maternal Health Disparities
District of Columbia Delays MedStar Contract Extension
Georgia to Begin Bidding Process for Medicaid Plans in 2022
Louisiana Appoints Medicaid Executive Director
Michigan to Hold Hearings on Carving Behavioral Health Into Medicaid Managed Care
New Hampshire Renews MMIS Contract with Conduent
Ohio Medicaid Plan Faces 600 Layoffs Without State Contract
Tennessee Sees Opposition to Block Grant Waiver
Democrats Detail Plan to Close Medicaid Coverage Gap
HHAeXchange Secures Investment from Hg
Health Plans to Expand Exchange Offerings in 2022
- This week, our In Focus reviews the Texas Health and Human Services Commission (HHSC) draft request for proposals (RFP) for Texas STAR Health, the state’s Medicaid managed care program for foster care kids. The state is also seeking public input Read MoreRoundup:
California Launches Enhanced Care Management Program
California Awards EVV Contract to Sandata
District of Columbia Extends MedStar Medicaid Contract; To Release Medicaid Managed Care RFP in November
Idaho Awards Correctional Health Contract to Centurion
Maine Medicaid To Raise Residential SUD Treatment Rates
Ohio ACO to Serve 100,000 CareSource Medicaid Members
Vermont All-Payer System Achieves Medicare Savings
CMS Gives 13 States $452 Million for Reinsurance Programs
LHC Group to Acquire Brookdale Health Agencies
Highmark Health Acquires Remaining Stake in Gateway
- This week, our In Focus section reviews key takeaways from the report, Medicaid Non-Emergency Transportation Benefit: Stakeholder Perspectives on Trends and Innovations, prepared by Health Management Associates (HMA) for the Medicaid and CHIP Payment and Access Commission (MACPAC). The report Read MoreIn Focus:Roundup:
MedStar Health May Drop CareFirst, AmeriHealth Caritas Medicaid Plans from Network
Illinois Medicaid to Expand Maternal, Child Health
Missouri Medicaid Expansion Applications Hit Snag
Missouri Medicaid Director Slated to Return in September
New York Seeks Medicaid Waiver to Improve Health Disparities
Texas Medicaid Waiver Extension Is Upheld by Federal Judge
Wisconsin Releases Draft RFP for Medicaid Managed LTC
GuideWell to Acquire Triple-S Management
Independent Living Systems Completes Stock Buyback
Cityblock to Serve BCBS-NC Medicaid, Medicare Members
- This week, our In Focus section reviews the Arizona Health Care Cost Containment System (AHCCCS) Competitive Contract Expansion (CCE) request for proposals (RFP), released on August 4, 2021. The procurement will expand the current AHCCCS Complete Care (ACC) Medicaid contracts Read MoreRoundup:
Colorado to Continue Exchange Reinsurance Program
Illinois Enacts Medicaid Behavioral Network Adequacy Law
Kansas to Investigate Pharmacy Benefit Managers
Massachusetts to Submit MassHealth 1115 Waiver Extension
Missouri Looks to Release Medicaid Managed Care RFP in Fall
New York Auditors Question $1.5 Billion in Medicaid Payments
North Carolina Clears Mecklenburg County to Switch Managed Care Plans for Behavioral, IDD Beneficiaries
Ohio Awards Medicaid Managed Care Contract to Centene
Medicare Plan Is Subject to Overpayment Rule, Court Says
