HMA Weekly Roundup

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  • This week, our In Focus section examines differences in Medicare Advantage (MA) churn rates among select provider-sponsored plans (PSPs) and nonPSPs. Enrollee churn rates, or rates at which enrollees switch plans, may be an indicator of enrollee satisfaction. In the Read More

    Indiana Medicaid NEMT Company Faces Criticism

    Iowa Medicaid Director to Focus on Social Determinants

    Kentucky to Rebid Medicaid Managed Care Contracts Again

    Mississippi Is Likely to Extend Centene Medicaid Contract

    Medicaid Expansion News: Mississippi, Missouri, National

    New Jersey Budget Proposal Includes Wage Increases for Critical Care Workers

    GAO Names Melanie Bella Chair of MACPAC

  • This week, our In Focus section reviews publicly available data on enrollment in capitated financial and administrative alignment demonstrations (“Duals Demonstrations”) for individuals dually eligible for Medicare and Medicaid (dual eligibles) in nine states: California, Illinois, Massachusetts, Michigan, New York, Read More

    Georgia Wins Approval to Extend Medicaid Postpartum Coverage to Six Months

    Iowa Governor Appoints Matney as Medicaid Director

    Medicaid Expansion News: Missouri, Texas

    Nevada Medicaid Home Care Bill Addresses Quality, Working Conditions

    Ohio Health Plans Protest Medicaid Managed Care Awards

    Molina to Acquire Cigna’s Texas Medicaid, MMP Contracts

    CMS to Ease Medicare Price Transparency Requirements for Hospitals, Raise Payment Rates Under Proposed Rule

  • This week, our In Focus reviews the fiscal year (FY) 2022 skilled nursing facility (SNF) proposed payment rule, released by the Centers for Medicare & Medicaid Services (CMS) on April 8, 2021. If the proposals contained in the rule are Read More

    Arkansas House Approves Medicaid Budget

    Florida Senate Budget Bill Rolls Back Medicaid Cuts

    Georgia Releases NEMT RFP

    Missouri Accepts Resignations of Two Top Health Officials

    Missouri House Passes Budget Without Medicaid Expansion

    Oklahoma House Moves to Halt Medicaid MCO Transition

    Texas Medicaid Waiver Extension Is Rescinded

    CMMI Director Discusses Alternate Payment Models

    CMS Issues Guidance on Pricing Transparency Rule

  • This week, our In Focus section reviews federal enacted and proposed investments in home and community-based services (HCBS). HCBS are critically important for millions of Americans with disabilities and older adults, assisting them to remain in their homes and participate Read More

    Medicaid Expansion News: Arkansas, Mississippi, Montana

    Arkansas PASSE Program Is Eyed By CareSource

    Medicaid Postpartum Coverage: Florida, Illinois

    North Carolina Falls Short in Medicaid Oversight Audit

    Ohio Awards Medicaid Managed Care Contracts

    Oklahoma House Committee Advances Bill Challenging State’s Planned Medicaid Managed Care Transition

    South Carolina Nominates Robert Kerr as Medicaid Director

    Biden Is Expected to Sign Bill Extending Moratorium on Medicare Provider Cuts

    CMMI Names New Model Winners

  • The COVID-19 pandemic highlighted nursing home safety and infection control as critical public health issues. A new report authored by HMA colleagues found compelling evidence that single rooms in nursing homes have numerous benefits for both public health and residents’ Read More

    Leavitt Partners Becomes Part of HMA

    Arkansas Names Elizabeth Pitman Medicaid Director

    Medicaid Expansion News: Indiana, North Carolina, Georgia, Missouri, Wyoming

    Iowa Senate Approves Medicaid Primary Care Capitation Pilot

    Michigan Medicaid Work Requirements Waiver Is Rescinded

    Missouri Taps Kirk Mathews as Interim Medicaid Director

    New York to Delay Medicaid Pharmacy Carve-Out Until 2023

    Ohio Awards OhioRISE Managed Behavioral Plan Contract

    South Carolina Awards Medicaid RAC Contract to HMS

  • This week, our In Focus section highlights changes that may affect the Centers for Medicare & Medicaid Services (CMS) Medicare Advantage Star Rating program and how these changes impact future summary Part C & D Star Rating scores. As the Read More

    Arkansas Medicaid Work Incentive Bill Heads to Governor

    California Panel Advances Inmate Medicaid Eligibility Bill

    Florida Medicaid Plan Simply Healthcare Purchases Medicaid Business of Miami Children’s Health Plan

    Florida House Budget Plan Includes Nursing Home Pay Cut

    Expansion News: Georgia, Missouri, Wyoming

    Illinois Looks to Cover CHIP Under Medicaid Expansion

    Iowa Seeks Waiver on Medicaid Dental Benefits for Children

    Mississippi Fails to Extend Medicaid Postpartum Coverage

    Rhode Island State-Run Hospital to Restart Billing Medicaid

  • This week, our In Focus section reviews the Nevada Medicaid and Child Health Insurance Program (CHIP) managed care request for proposals (RFP) released by the Nevada Department of Health and Human Services, Division of Health Care Financing and Policy (DHCFP) Read More

    Medicaid Expansion News: Alabama, Florida, South Dakota, Tennessee, Wyoming

    Arkansas House Panel Clears Medicaid Work Incentive Bill

    Florida Lawmaker Introduces Legislation to Extend Medicaid Postpartum Coverage to Full Year

    Hawaii Awards Medicaid Managed Care Contracts

    Michigan Medicaid Expansion Impacts Dental Health

    Mississippi Medicaid Plan, Others Face Investigation Over Pharmacy Benefits

    Ohio Medicaid Plan to Invest $18 Million to Foster Telehealth

    Utah Names Emma Chacon Interim State Medicaid Director

    Pierce County, WA, Council to Vote on Medicaid Overhaul

    Medicaid HCBS Would Be Mandatory Under Proposed Bill

  • This week, our In Focus section shares key takeaways from the Kaiser Family Foundation (KFF) and Health Management Associates (HMA) mini-survey of Medicaid directors in all 50 states and the District of Columbia titled, Medicaid Spending and Enrollment Trends Amid Read More

    Medicaid Expansion News: Alabama, Wisconsin

    Hawaii Tentatively Delays Medicaid Managed Care Awards

    Nevada Releases Medicaid Managed Care RFP

    Oklahoma Medicaid To Cover Opioid Use Disorder Treatments

    Tennessee to Release Medicaid Managed Care RFP in 2Q21

    Texas Can Remove Planned Parenthood from Medicaid

    Washington Governor Proposes Medicaid Rate Increase for Family Planning Services

    Medicaid HBCS Providers Could Get $11 Billion in Enhanced FMAP Funds, Kaiser Projects

    Medicaid Enrollment, Spending Projections

  • This week, our In Focus section summarizes the revised California Advancing and Innovating Medi-Cal (CalAIM) proposal, released on February 17, 2021. Medi-Cal, the state’s Medicaid program, covers over 13 million individuals, with over 11 million in managed care. CalAIM seeks Read More

    Arkansas Senate Passes Medicaid Work Incentive Bill

    Medicaid Expansion News: Georgia, Kansas, Louisiana, Missouri, Wyoming

    Idaho Committee Approves 20 Percent Increase in Fiscal 2022 Medicaid Budget

    Nevada Medicaid Plans Begin Implementing 6 Percent Provider Rate Reduction, State Says

    ACA Exchange News: New York, South Carolina, National

    MedPAC Is Expected to Call For Simplified Medicare Alternative Payment Models

  • This week, our In Focus comes from an HMA cross-cutting subject matter team, who have updated a core set of federal policy slides that analyzes recent federal policy actions following the Presidential and Congressional elections. It includes an analysis of Read More

    Arkansas Lawmakers Introduce Medicaid Work Incentive Bill

    Hawaii Releases RFP for Medicaid Dental TPA

    Louisiana Governor Proposes Budget Without Medicaid Cuts

    Missouri Medicaid Director to Take Leave of Absence

    New Jersey Medicaid Bill To Cover Undocumented Immigrants

    New York Delays Medicaid Pharmacy Benefit Carve-Out

    Rhode Island Releases Medicaid Managed Care RFI

    Texas Projects Medicaid Caseloads to Fall 8 Percent

    Vermont Has RFI For SUD Treatment, Recovery Coordination

    House Lawmakers Reintroduce Telehealth Bill

    Medicaid Plans Look to Address Risk Corridor Exposure

    CMS Delays Medicare Geographic Direct Contracting Model