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- This week, our In Focus section reviews updated information issued by the Department of Health & Human Services (HHS) Centers for Medicare & Medicaid Services (CMS) on Medicaid expansion enrollment from the “March 2020 Medicaid and CHIP Applications, Eligibility Determination, Read MoreRoundup:
Georgia Delays Transition Away from Federal Exchange
Kansas Appoints Sarah Fertig as Medicaid Director
Michigan Plans to Cut Medicaid Rates by 3.3 Percent
Medicaid Expansion News: Missouri, Nebraska, Oklahoma
Nevada Considers Medicaid Reimbursement, Program Cuts
New Jersey Extends Duration of Telehealth Access
North Carolina Governor Signs Medicaid Managed Care Bill
Pennsylvania Announces HealthChoices Awards
Walmart to Sell Medicare Health Insurance in Texas
Number of Uninsured Adults Rises by 5.4 Million, Study Shows
- This week our In Focus section summarizes the United States Government Accountability Office (GAO) Medicaid report, State Views on Program Administration Challenges, released earlier this year. GAO conducted interviews with Medicaid officials from 50 states and the District of Columbia Read MoreRoundup:
Florida Governor Vetoes Disability Provider Rate Increase for Providers Serving Individuals with Disabilities
Illinois Unit of Centene to Acquire NextLevel Members
Kentucky Health Plans Formally Protest Medicaid Awards
New York Medicaid Plan Sells Certain Assets to Molina
North Carolina Medicaid Bill Awaits Governor’s Signature
Oklahoma Voters Approve Medicaid Expansion Measure
Virginia Governor Redirects $30 Million From Medicaid Plans
House Votes to Increase Exchange Subsidies
- This week, our In Focus section examines new guidance issued by the Centers for Medicare & Medicaid Services (CMS) regarding Medicare Advantage (MA) plan network adequacy requirements. On June 17, 2020, CMS released updated Medicare Advantage and 1876 Cost Plan Read MoreRoundup:
California Budget Adopts Cuts to Medicaid Managed Care
Delaware to Tap Magarik to Head Health and Social Services
Kentucky Seeks to Bring Back State-Based Health Exchange
North Carolina House Committee Advances Medicaid Managed Care Bill
North Dakota Seeks Input on Re-Procurement of Medicaid Expansion Managed Care Plan
Oklahoma to Release Medicaid Managed Care RFP This Fall
Texas Names McCreary COO of Health and Human Services
CMS Can Force Hospitals to Reveal Prices Negotiated with Insurers, Federal Judge Rules
- This week, our In Focus section examines the operational impacts of federal Medicare Advantage policy changes in response to the COVID-19 pandemic. On January 31, 2020, the Secretary of Health and Human Services declared a public health emergency. This was Read MoreRoundup:
California Names Lightbourne Health Care Services Director
Kansas Names Christiane Swartz Interim Medicaid Director
Missouri Chamber of Commerce Supports Medicaid Expansion
North Carolina Senate Committee Clears Bill Delaying Transition to Medicaid Managed Care Until July 2021
West Virginia Awards Medicaid Managed Care Contracts
Medicare Would Permanently Cover Telemedicine at FQHCs, Rural Clinics Under House Bill
MedPAC Calls for Accelerated Transition to Medicare Value-based Payments
- This week, our In Focus section discusses an issue brief prepared by Health Management Associates (HMA), Optimizing Capacity for Prescribing Buprenorphine in Jails and Prisons, authored by HMA Principals Shannon Robinson, MD and Donna Strugar-Fritsch, BSN, MPA, CCHP. Read MoreRoundup:
California Provides Updated Timeline for Medicaid Managed Care Procurement RFP
District of Columbia Medicaid May Integrate Behavioral
Florida Medicaid to Update Inpatient Payment Methodology
Illinois Medicaid Plan NextLevel Health to Close Down
Illinois Health System to Accept Molina Medicaid Members
Kentucky Plan to Protest Medicaid Managed Care Awards
Missouri Medicaid Expansion Ballot Measure Can Proceed
New Jersey Falls Short in Medicaid LTSS Payment Audit
New York Primary Care Practices Are Hard Hit By COVID-19
CMS to Use ‘Glide Path’ to Phase Out Medicaid 1135 Waivers
CMS Releases Medicaid, CHIP Plan MLR Guidance
- This week, our In Focus section provides a model framework examining an option for care for individuals with behavioral health needs who often find themselves involved with law enforcement or in hospital emergency rooms during times of crisis. The framework Read MoreRoundup:
California DHCS Director Bradley Gilbert Resigns
California Governor Proposes Fiscal 2021 Medicaid Cuts
Florida AHCA Secretary Mayhew Eyes Medicaid Changes
Hawaii to Rescind Medicaid Managed Care Contracts Scheduled to Take Effect in July
Illinois to Extend Medicaid to Undocumented Seniors
Kentucky Awards Medicaid Managed Care Contracts
Louisiana to Form Joint Medicaid Oversight Committee
New Jersey Proposes Revisions to Telehealth Requirements
New York Governor Holds Back On Budget Cuts
Puerto Rico Medicaid Plan Is For Sale, Molina Says
- Pre-Conference Workshop: October 25 Conference: October 26-27 Location: Fairmont Chicago, Millennium Park Dear Friends, The fifth annual HMA conference on trends in publicly sponsored health care is schedule for October 25-27 at the Fairmont Chicago, Millennium Park. It was well Read MoreRoundup:
Illinois Lawmakers Pass Hospital Bill Without Funds to Support Merger of Troubled Safety-Net Hospitals
Indiana Awards Medicaid Managed Care ABD Contracts
Medicaid Expansion News: Kansas, Missouri, Oklahoma
Kentucky Medicaid Managed Care Awards Expected In May
CMS Releases Final Rule on Medicare Advantage Use of Telehealth, Coverage of ESRD Patients
- This week, our In Focus section reviews recent announcements and actions by Congress and the Centers for Medicare & Medicaid Services (CMS) that have significant financial and operational implications for the hospital industry. This brief begins with the most recent Read MoreRoundup:
State Budget News: California, Michigan
Hawaii Medicaid Enrollment Hits 348,000 as Applications Spike
Kansas Medicaid Director Adam Proffitt Resigns
Nebraska Is on Track to Implement Medicaid Expansion
Oklahoma Senate Confirms Kevin Corbett to Head OHCA
1199SEIU, Home Care Providers Call On Congress for Support
CMS Gives States Medicaid Managed Care Rate Flexibility
States Expect Medicaid Spending Growth to Accelerate
Medicaid Plan Profit Margin Dips to 0.1% In 2019
- This week, our In Focus section reviews Medicaid spending data collected in the annual CMS-64 Medicaid expenditure report. After submitting a Freedom of Information Act request to the Centers for Medicare & Medicaid Services (CMS), we have received a draft Read MoreRoundup:
California Faces $54 Billion Budget Deficit
Colorado Eyes 25 Percent Cut to IDD Services
Florida Projects $1 Billion in Additional State Medicaid Costs
Illinois SEIU, Nursing Homes Continue to Negotiate
New Mexico Medicaid Serves 40 Percent of State Population
New York Requests Emergency Medicaid Waiver Extension
Ohio to Cut Rates to Medicaid Managed Care Plans
Pennsylvania Projects Financial Hit to CHIP
Texas Awards STAR Kids Medicaid Contract to Aetna
CMS Issues Final Rule, Backs Off Plan to Alter Auto Re-enrollment Process on Exchanges
- This week, our In Focus section reviews key takeaways from the report, How State Medicaid Programs are Managing Prescription Drug Costs: Results from a State Medicaid Pharmacy Survey for State Fiscal Years 2019 and 2020, prepared by Kaiser Family Foundation Read MoreRoundup:
Colorado Public Option Bill Is Tabled Until 2021
Illinois Hospital Files Federal Lawsuit Claiming Inadequate State Oversight of Medicaid Plans
Maine Experiences Surge in Medicaid Enrollment
Missouri Advocates Gather Enough Signatures to Put Medicaid Expansion on November Ballot
North Carolina Gets COVID-19 Relief Package, But Not Medicaid Expansion
Texas Taps Stephanie Stephens as Medicaid Director
Virginia Order to Make Medicaid Services More Accessible
HHS Signals Approach to Distributing CARES Act Funds to Medicaid Providers
Molina Healthcare to Acquire Magellan Complete Care
