HMA Weekly Roundup

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  • 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 More

    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 More

    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 More

    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 More

    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 More

    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 More

    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 More

    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 More

    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

  • 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

    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

    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