HMA Weekly Roundup

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  • This week, our In Focus section reviews the Iowa High Quality Healthcare Initiative Request for Proposals (RFP), which seeks to award two to four statewide Medicaid managed care contracts to begin serving nearly all of Iowa’s 570, 000 Medicaid beneficiaries Read More
    Roundup:

    Alaska Governor Walker Proposes Medicaid Expansion

    Florida Legislature Near Compromise on Telemedicine Bill

    Illinois Governor’s Budget Proposes $1.5 Billion in Medicaid Savings

    New York Nursing Home Benefit Carve-in Underway

    Ohio Governor’s Budget Proposes Medicaid Premiums for Certain Adults

    Virginia MMIS RFI Released

    Marketplace Enrollment Hits 11.4 Million in 2015

    U.S. State Tax Revenues See Growth in Third Quarter

  • This week, our In Focus section reviews the Request for Proposals (RFP) for care management organizations (CMOs) to serve the Georgia Families and Georgia Families 360° populations under the Georgia Medicaid program. The Georgia Department of Community Health (DCH) intends Read More
    Roundup:

    Arkansas Medicaid Expansion Reauthorized by Legislature

    Florida Low Income Pool Renewal Denied by CMS; However, Negotiations Continue

    Washington Confirms Cancellation of Capitated Duals Demo

    Nebraska Appoints Calder Lynch as Medicaid Director

    Ohio Reports on Duals Demonstration Implementation

    Pennsylvania Governor Moves to Withdraw Healthy PA Waiver, Implement Traditional Medicaid Expansion

    Connecticut Hospitals Propose Phasing Out of Hospital Tax

    Michigan Governor Issues Executive Order to Consolidate Health Agencies

    L.A. Care (CA) Names New CEO

  • This week, our In Focus section reviews updated end-of-November 2014 reports issued by the Department of Health and Human Services (HHS) on Medicaid expansion enrollment from “Medicaid & CHIP: November 2014 Monthly Applications, Eligibility Determinations, and Enrollment Report.” CMS has Read More
    Roundup:

    Tennessee Medicaid Expansion Proposal Voted Down

    Michigan Duals Demonstration Begins Enrollment

    Partners HealthCare (MA) Denied Deal to Acquire Hospitals

    New York Nursing Home Benefit Transitions to Managed Care

    Ohio Governor Releases Executive Budget

    Texas Selects Viekira Pak for PDL

    Mississippi Issues CHIP Managed Care Rebid

  • This week, our In Focus section reviews Oregon’s Medicaid managed care environment which has been administered by risk-based provider networks, known as Coordinated Care Organizations (CCOs) since 2012. As of December 15, 2014, more than 907, 000 Medicaid beneficiaries were Read More
    Roundup:

    Indiana Receives CMS Approval for Medicaid Expansion Waiver

    Jennifer Kent Appointed Director of California DHCS

    Florida, Maryland, New York Governors release 2015-2016 Budget Proposals

    CoOportunity (Iowa) Seeks Liquidation

    Daniel Tsai Appointed Director of MassHealth

    Massachusetts AG Healey Opposes Partners HealthCare Deal

    Oregon Reports Medicaid Enrollment Backlog of 43,000

    CBO Report Estimates ACA will Cost 7 Percent Less than Projected

  • This week, HMA Principal Carl Mercurio highlights a new business line for Health Management Associates, HMA Information Services. (HMAIS), an online resource for Medicaid data. For more information on HMAIS, or to subscribe, contact Carl at: cmercurio@healthmanagement.com (212) 575-5929 Read More
    Roundup:

    CMS Administrator Tavenner to Resign

    Georgia Managed Care RFP Delayed Until February 2015

    Illinois Governor Taps Former Aetna Executive to Lead HFS

    Iowa Governor Announces Intentions to Privatize Medicaid

    Michigan Governor Highlights Budget Shortfall, Proposes Combining Health Agencies

    Montana Governor Introduces Medicaid Expansion Bill

    New York DSRIP Applications Posted

    Texas Health and Human Services Under Investigation

    Wyoming Legislature to Begin Medicaid Expansion Hearings

    Senate Finance Chair Seeks Repeal of Health Insurer Fee

    Supreme Court Considers Whether Providers Can Sue States Over Medicaid Pay Rates

    Overtime and Minimum Wage Regulations Overturned for Home Health Care Workers

  • This week, our In Focus section reviews recent Medicaid enrollment trends in capitated risk-based managed care in 21 states. Many state Medicaid agencies elect to post monthly enrollment figures by health plan to their websites for their Medicaid managed Read More
    Roundup:

    Illinois managed care enrollment tops 1.4 million

    New York duals demonstration launched January 1

    Tennessee Gov. calls special session on Medicaid expansion

    Massachusetts Health Connector Director to resign

    Kentucky Medicaid Commissioner to step down

    New Jersey legislation introduced to provide network oversight of Medicaid, commercial health plans

  • This week our In Focus section highlights key issues that are likely to dominate the Medicaid and health policy landscape in 2015 in states in which HMA has offices. The HMA team identified issues and milestones that will feature prominently Read More
    Roundup:

    Head of CMCS to Step Down

    Director of Medicare-Medicaid Coordination to Leave CMS in January

    CMS Approves Arkansas, Iowa Medicaid Waiver Amendments

    Medicaid Expansion Proposals Considered in Montana, North Carolina, Utah, Wyoming

    Alabama Approves Formation of Six Medicaid RCOs

    Arizona Awards Behavioral Health Contracts

    CoOportunity Health Taken Over By Iowa State Regulators

  • This week our In Focus section reviews Tennessee Governor alternative Medicaid expansion proposal. The proposal includes the option for premium assistance for individuals to purchase coverage through their employer, but also creates an alternative option through the existing TennCare Medicaid Read More
    Roundup:

    Georgia Updates RFP Timeline, Names Qualified Contractors

    Alabama, Virginia Governors Support Medicaid Expansion

    Michigan Medicaid Expansion Beats Enrollment Projections

    Arizona Behavioral Health Authority RFP Bidders Named

    Massachusetts Medicaid MCOs Report Financial Losses

  • This week our In Focus section reviews Medicaid expansion proposals released last week in Florida and Utah. The two Republican-led states have largely opposed Medicaid expansion up until now. Read More
    Roundup:

    Minnesota Appoints Zimmerman as New Medicaid Director

    Roberts Nominated for Rhode Island EOHHS Secretary

    Tennessee Governor Close to Deciding on Medicaid Expansion

    New Mexico Attorney General Sues Nursing Home Provider

    Oregon to Adapt Kentucky Medicaid Enrollment System

    MACPAC Holds Next Public Meeting on December 11-12

  • This week our In Focus section reviews Wyoming’s Medicaid expansion proposal that provide a more traditional Medicaid expansion than states like Arkansas and Iowa. Read More
    Roundup:

    Hammer Named Colorado Medicaid Director

    Georgia Medicaid Director Dubberly to Step Down

    Anthem, Centene, MDWise Awarded Indiana ABD Contracts

    Michigan Dual Eligible Demonstration Delayed

    Aetna Joins New Jersey Medicaid Managed Care Program

    Oklahoma, Wyoming Release Care Management RFI/RFP

    Centurion Selected to Provide Correctional Healthcare in Vermont