HMA Weekly Roundup

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  • 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 More
    Roundup:

    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 More
    Roundup:

    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 More
    Roundup:

    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 More
    Roundup:

    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 More
    Roundup:

    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 More
    Roundup:

    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 More
    Roundup:

    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 More
    Roundup:

    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 More
    Roundup:

    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

  • This week, our In Focus section reviews two active Medicaid managed care procurements – in the District of Columbia and Massachusetts – and a Medicaid managed care request for information issued by Texas. On December 22, 2016, the District of Read More
    Roundup:

    Florida Awards All Payer Claims Database Contract

    Texas Releases IDD Managed Care Pilot RFP

    Indiana Posts 1115 Waiver Renewal Request for Public Comment

    New Mexico Medicaid Behavioral Health Rate Cuts Cancelled

    New York Governor Vetoes Enhanced Medicaid Funding for Safety Net Hospitals

    West Virginia DHHS Secretary to Step Down

    HHS Awards CCBHC Grants to 8 States