Need to round out your collection of Weekly Roundups?
Access pdfs of this weekly newsletter’s archived issues.
- 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 MoreRoundup:
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 MoreRoundup:
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 MoreRoundup:
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Texas Medicaid Waiver Extension Is Rescinded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 MoreIn Focus:Roundup:
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 MoreRoundup:
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 MoreRoundup:
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 MoreRoundup:
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 MoreIn Focus:Roundup:
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 MoreRoundup:
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 MoreRoundup:
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
