HMA Weekly Roundup

Need to round out your collection of Weekly Roundups?

Access pdfs of this weekly newsletter’s archived issues.

 

  • 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

  • This week, our In Focus provides a brief review of State- and Medicaid-related updates from for-profit and publicly traded health care companies’ third quarter earnings reports and conference calls. Read More
    Roundup:

    Alameda Dropped from California Duals Demonstration

    California Awards Prison Health Contract to Health Net

    Illinois Suspends Auto-Assignment for Harmony, Family Health Network

    Illinois Medicaid Director Announces Departure

    UnitedHealth Withdraws from Michigan Duals Demo

    Montana Governor Unveils New Medicaid Expansion Proposal

    Hospital Consolidation Continues in New York

    New York Duals Demonstration Contracts Announced

    September CMS Report Counts 68 Million Enrolled in Medicaid

    HRSA Withdraws 340B Drug Program Regulations

    Louisiana to Carve-in Behavioral Health Benefits

    Insurance Exchanges Launched on November 15

  • This week, our In Focus section comes to us from HMA Boston’s Rob Buchanan. Rob provides background and overview on the recently approved 1115 Waiver in Massachusetts. Read More
    Roundup:

    California Releases GMC RFA for Comment

    Delaware Releases Program Integrity RFP

    Georgia Releases Care Management Organization RFQC

    Steward Health Care System to Close Quincy Medical Center

    New Mexico Human Services Secretary Squire to Step Down

    Post-Election Medicaid Expansion Updates in Arkansas, Ohio, Pennsylvania, Tennessee

    Oregon Releases Care Coordination RFP

    Haley Selects Soura as South Carolina Medicaid Director

    Supreme Court to Hear Challenge to ACA Insurance Subsidies

    HealthCare.gov Opens for Window Shopping Ahead of Open Enrollment