HMA Weekly Roundup

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  • With last week’s earlier than anticipated announcement of the Texas Medicaid managed care contract awards, results for the large RFP opportunities we have been discussing all year are now completed. As we discuss in more detail below, we estimate that Read More
    Roundup:

    FLORIDA HOSPITAL RATE NEGOTIATIONS CONTINUE; WE EXPECT GEORGIA TO OFFSET DUPLICATE MEMBER RECOUPMENT; ILLINOIS REVEALS PLANS FOR HOSPITAL PAYMENT CYCLE DELAY

  • This week, our In Focus section reviews the Medicaid managed care contract awards for Louisiana’s Coordinated Care Network (CCN) RFP that were announced on Monday, July 25, 2011. Centene, AmeriHealth and Amerigroup were awarded contracts, with Centene the highest scoring Read More
    Roundup:

    Illinois Outlines Coordinated Care Plan

    Florida Hospital Rate Review Process Continues

  • In last week’s Roundup, we highlighted guidance articulated in a letter from CMS to the states on July 8 related to the enrollment of dual eligibles in care delivery models that integrate both the federal and state financing for all Read More
    Roundup:

    Florida Posts Preliminary Hospital Rates

    Georgia Selects Medicaid Design Consultant

    Texas Governor Signs Medicaid Reform Bill

    Exchange Planning in Indiana

  • This week, our In Focus section reviews three announcements made last Friday, July 8, by the Centers for Medicare and Medicaid Services (CMS) Medicare-Medicaid Coordination Office. The most prominent announcement was that of a demonstration program to test two new Read More
    Roundup:

    Federal Exchange Rules Released

    California Basic Health Plan Bill Still Alive, on hold until August

    Florida Reviewing Public Hospital Funding

    ABD Rollout Continues in Illinois

    Indiana Gets Set to Rebid PBM Contract

  • This week, our In Focus section reviews recent Medicaid MCO enrollment trends in eighteen states and for ten companies. Many state Medicaid agencies elect to post to their website monthly enrollment figures by health plan for their Medicaid managed care Read More
    Roundup:

    OHIO BUDGET INCLUDES 6% CUT TO NURSING HOMES; CALIFORNIA BUDGET ELIMINATES ADULT DAY HEALTH SERVICES; ILLINOIS GOVERNOR ADDS TO HOSPITAL CUTS; FEDERAL HEALTH INSURANCE EXCHANGE REGULATIONS LIKELY DELAYED UNTIL NEXT WEEK

  • This week, our In Focus section looks some of the proposed changes to the Medicaid pro-gram being discussed as part of the federal FY2012 budget and debt limit negotiations. Medicaid and Medicare are targets by both Democrats and Republicans as Read More
    Roundup:

    DETAILS ON BUDGET AGREEMENTS IN CALIFORNIA, TEXAS AND OHIO; FEDERAL EXCHANGES REGULATIONS EXPECTED JULY 7

  • Yesterday, Melanie Bella, Director of the Medicare-Medicaid Coordination Office, provided testimony to the U.S. House Committee on Energy and Commerce regarding opportunities to improve care coordination for individuals eligible for both Medicare and Medicaid (“dual eligibles”). As a reminder, in Read More
    Roundup:

    Florida Hospitals Avert Another Rate Cut

    Illinois Seeks Options for its Coordinate Care Plan

    Governor Brown Vetoes California Budget Proposal

  • This week, our In Focus section looks at Program Bill #12, an act to establish the New York Health Benefit Exchange in accordance with the Affordable Care Act (ACA), released by Governor Cuomo’s office on Monday, June 13. The Governor’s Read More
    Roundup:

    Florida Medicaid Managed Care Stakeholder Meetings Begin

    Georgia Officials to Discuss Insurance Exchanges

    State Tax Receipts Improve in Michigan and Georgia

    CMS Reviewing New Jersey Waiver

  • This week, our In Focus section explores legislation in Washington state to apply for a Medicaid block grant waiver from the federal government. The bill (SB 5596), introduced earlier this year, was passed by the state legislature and signed into Read More
    Roundup:

    Washington State Medicaid Block Grant Legislation

    CA Legislature has until June 15 to Pass Budget or Give up Paychecks

    FL Begins Regional Stakeholder Meetings on Managed Care Expansion Friday

    GA Managed Care Design Winner Secret Until Late July

    IL Will Delay Provider Payments to Avoid Rate Cut

    IL Health Information Exchange RFP Likely to Attract Large IT Bidders

  • This week, our In Focus section considers the options available to states in determining the structure of a Health Insurance Exchange. Many state legislatures have introduced or passed legislation to begin the process of establishing an Exchange. Read More
    Roundup:

    CA ABD Roll-Out Begins Today

    Michigan Budget Includes 1.7% HMP Rate Increase

    Michigan Budget Replaces “Use Tax” With 1% Tax on All Paid Health Claims