HMA Weekly Roundup

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  • This week, our In Focus section follows last week’s Centers for Medicare & Medicaid Services (CMS) report on initial findings across the Medicare-Medicaid Financial Alignment Initiatives with a look at the initial findings on the Washington managed fee-for-service (MFFS) demonstration. Read More
    Roundup:

    Baton Rouge Area Foundation and HMA Unveil Mental Health Strategy

    OMB Receives CMS Final Rule to Overhaul Managed Medicaid

    CMS Approves Iowa Managed Care Waiver

    Meridian Picks Up Illinois ACE Membership

    Medicaid Expansion Updates in Arkansas, Georgia, Maine, Utah, Virginia, Wyoming

    New York Issues PACE RFI

    Texas HHSC Continues with Agency Transformation

  • This week, our In Focus section comes to us from HMA Atlanta’s Danielle Pavliv, who reviews a report published on January 21, 2016, by the Centers for Medicare & Medicaid Services (CMS) entitled “Report on Early Implementation of Demonstrations under Read More
    Roundup:

    Florida Healthy Kids dental contract awards

    Budget proposals released in Illinois, Michigan, Pennsylvania, New Jersey

    Judge rules against WellCare in Iowa protest

    New York FIDA rate increase approved by CMS

    Utah considers four Medicaid expansion proposals

  • This week, our In Focus section reviews the request for proposals (RFP) issued by Minnesota’s Department of Human Services for the Special Needs BasicCare (SNBC) Program, which provides voluntary managed care services to Medicaid adults with disabilities. This procurement covers Read More
    Roundup:

    Alabama Receives CMS Approval For RCO Delivery Model

    California Legislature Introduces Health Plan Tax Bill

    Florida Considers Dental Carve-out

    Nebraska Medicaid Managed Care RFP Contract Awards

    Oregon Places Moda Health Plan Under Supervision

    Gillespie Named Director of Arkansas DHS

    Miller Named Kentucky Medicaid Commissioner

    Meyer Named New Hampshire HHS Commissioner

  • This week, our In Focus section reviews the request for quotes (RFQ) issued by West Virginia’s Department of Health and Human Resources, Bureau for Medical Services, for the “Mountain Health Trust” Medicaid managed care program. For the first time, West Read More
    Roundup:

    Alaska Considers Case Management Proposal

    Florida Budget Proposals Contemplate Additional HCBS Waiver Slots

    Indiana Hospitals See Drop in Uncompensated Care

    Massachusetts Governor Proposes 5 Percent Increase in Medicaid Spending

    Oklahoma Delays Medicaid ABD Managed Care RFP

  • This week, our In Focus section reviews the Covered Outpatient Drugs final rule published by the Centers for Medicare & Medicaid Services (CMS) on January 21, 2016, addressing Medicaid drug reimbursement and changes to the Medicaid Drug Rebate Program. The Read More
    Roundup:

    Medicaid Expansion Updates in Georgia, Kansas, Louisiana, New Hampshire, Tennessee, Utah, and Wyoming

    Iowa On Track for March 1 Managed Care Transition

    New York HARP Enrollment Update

    Pennsylvania MLTSS RFP Scheduled for February Release

    CBO Lowers Exchange Enrollment Projections

    HHS Report Finds Most Medicaid Children Not Receiving All Required Dental Care

    CMS To Help Co-ops Find Investors

  • This week, our In Focus section reviews recent Medicaid enrollment trends in capitated risk-based managed care in 24 states. Many state Medicaid agencies elect to post to their websites monthly enrollment figures by health plan for their Medicaid managed Read More
    Roundup:

    Nebraska considers Medicaid expansion

    Georgia requests extension of Medicaid MCO contracts

    New York Governor's budget calls for minimum MLR, drug price caps

    New Jersey MLTSS update

    White House proposes extension of 3-year federal subsidy for new expansion states

  • This week our In Focus section highlights key issues that are likely to dominate the Medicaid and health policy landscape in 2016 in states in which HMA has offices. The HMA team identified issues and milestones that will feature prominently Read More
    Roundup:

    Louisiana Governor Expands Medicaid

    Missouri Formalizes Plans for Statewide Managed Care

    North Carolina on Track for Managed Care in 2018/19

    Virginia Governor Renews Push for Medicaid Expansion

    Idaho Governor Proposes Covering 78,000 in “Coverage Gap”

    Kentucky Governor Moves to End State Exchange

    Medicaid Directors, Providers Respond to CMS Access Rule

  • This week, our In Focus section reviews Medicaid spending data collected in the annual CMS-64 report. Specifically, we provide some analysis around the sharp acceleration in Medicaid managed care spending in federal fiscal year (FFY) 2015. This increase reflects the Read More
    Roundup:

    Alabama Considers Coverage Expansion

    Arkansas Rejects Medicaid Managed Care

    CMS Approves California’s $6 Billion Waiver

    Idaho Medicaid Provider Cuts Delayed

    CMS Delays Iowa Managed Care Program Implementation

    Kentucky to Develop Medicaid Expansion Waiver

    Nebraska Announces Medicaid MCO RFP Bidders

    Pennsylvania Stopgap Budget Releases Back Payments

  • This week, our In Focus section reviews Virginia’s Section 1115 demonstration waiver, which is currently posted for stakeholder review and a public comment period. The 1115 waiver seeks approval from the Centers for Medicare & Medicaid Services (CMS) to implement Read More
    Roundup:

    New York Announces FIDA Reforms

    Michigan Legislature to Vote on Health Insurer Tax

    Florida Posts MLTC Waiver Amendment for Public Comment

    Oklahoma Medicaid Approves 3 Percent Rate Reduction

    Oregon Appoints Coyner as New Medicaid Director

    Utah Medicaid Director to Step Down

    North Carolina Health Systems to Form Managed Care Entity

    Federal Budget Deal Suspends Health Insurer Fee for 2017

  • This week, our In Focus section reviews the annual Medicaid health plan ratings released in September by the National Committee for Quality Assurance (NCQA). NCQA has previously provided annual rankings and quality scores of private commercial health plans serving employers Read More
    Roundup:

    EmblemHealth Leaving New York’s MLTC Market

    Update on Coordinated Care Organizations in Oregon

    California AG Approves Daughters of Charity Deal

    FTC Rejects Hershey-Pinnacle Merger in Pennsylvania

    South Dakota Governor Proposes Medicaid Expansion

    Non-profit Hospital Financials Improved following ACA