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- This week, our In Focus section reviews a report recently submitted to the Minnesota Legislature, Accounting for Social Risk Factors in Minnesota Health Care Program Payments. The report delivers Minnesota Department of Human Services (DHS) recommendations to reduce health disparities Read MoreRoundup:
AZ, FL, NM Name Medicaid Directors
California Governor Orders Transition of Medicaid Pharmacy Benefit from Managed Care to FFS
Florida Rejects Rebid of Medicaid Managed Care Contract Award for HIV/AIDS
Virginia Medicaid Director Calls for Overhaul of Forecasting, Rate-Setting Processes
CMS Names Chris Traylor Acting Director of Center for Medicaid and CHIP Services
- This week, our In Focus section is led by Matt Powers, a Principal in our Chicago office, who worked with HMA colleagues to summarize the factors that non-expansion states weigh when considering whether or not to expand Medicaid under the Read MoreRoundup:
Arkansas Drops Another 4,655 Medicaid Beneficiaries for Failing to Meet Work Requirements
New York DOH Announces Funding for Community-Based Organizations
Indiana Releases PBM Administrative Services RFP
Molina Healthcare to Cut Ties with Golden Shore Medical Group Clinics
Ohio Medicaid Director Barbara Sears To Step Down
Oregon Names Lori Coyner Medicaid Director
Federal Judge Rules ACA Is Unconstitutional
December MACPAC Meeting Focuses on State Innovations in Drug Pricing, Network Adequacy, DSH Funding
- 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 “September 2018 Medicaid and CHIP Application, Eligibility Determination, Read MoreRoundup:
Maine Judge Sets February 1 Deadline for Medicaid Expansion Enrollment
Mississippi Awards CHIP Contracts to Molina, UnitedHealth
New York to Sunset Duals Demo (FIDA)
Oklahoma Seeks Federal Approval for Medicaid Work Requirements
U.S. Health Spending Growth Slowed to 3.9 Percent in 2017, CMS Says
- This week, our In Focus section comes to us from HMA Senior Consultant ErinMathies (Indianapolis), who reviews the premium assistance programs for the working adult population in Medicaid expansion states. Medicaid programs that pay for premiums in commercial insurance for Read MoreRoundup:
CMS Approves Florida Request to Shorten Retroactive Medicaid Eligibility
Massachusetts Receives CMS Approval for Flexible Services Program
Massachusetts Approves Beth Israel-Lahey Health Merger
New Hampshire Receives Federal Approval of Medicaid Expansion Work Requirements
New York Provides DSRIP Update
TennCare Director Accepts Health Care Post in Nashville
Bipartisan Senate Bill Aims to Lower Drug Pricing
Number of Uninsured Children Increased By 276,000 in 2017
- This week, our In Focus section comes to us from HMA Senior Consultant Ryan Mooney (Austin), who reviewed the proposed rule on Health Reimbursement Arrangements (HRAs). On October 29, 2018, the U.S. Department of the Treasury, the Department of Labor, Read MoreRoundup:
Judge Rejects Florida Medicaid Managed Care Contract Award for HIV/AIDS
Kentucky Work Requirements Waiver Approved by CMS After Further Review
Maine Judge Orders Implementation of Medicaid Expansion; LePage To Appeal
New Mexico Judge Rejects Medicaid Contract Award Challenge By Molina
Arkansas Delays Phase II of Medicaid Managed Care Transition Until March 2019
Florida AHCA Secretary Justin Senior to Step Down
- Among the biggest challenges facing clinicians today is keeping up to date with the latest medical advances, care models, and delivery system redesign efforts. The need for ongoing learning is especially true for safety net providers, where new approaches to Read MoreRoundup:
Florida Closes ITN for Regions 3-7 of SMMC MMA PSN
Maine Governor to Implement Medicaid Expansion Upon Taking Office
Montana Voters Reject Tobacco Tax to Fund Medicaid Expansion
New Jersey Creates Consumer Portal to Facilitate ACA Open Enrollment
CMS Considers Allowing Hospitals to Use Medicaid Funds for Housing
CMS Announces Short-Term IMD Exclusion Waivers for Serious Mental Illness
CMS to Propose Rule Allowing States to Limit NEMT Services
- This week, our In Focus section comes to us from Principal Elaine Peters (HMA– Florida), who reviews the recent re-procurement by the Florida Agency for Health Care Administration (AHCA) of its Statewide Medicaid Managed Care (SMMC) health and dental plans. Read MoreRoundup:
Idaho, Nebraska, Utah Voters Approve Medicaid Expansion Ballot Measures
New York Publishes Inpatient and Nursing Home Medicaid Rate Increase
Texas-Based Scott and White Health Plan to Acquire FirstCare Health Plans
California Faces Investigation Following Report of Inadequate Prison Mental Health Care
Colorado To Tighten Limits on Opioid Prescriptions
Midterm Election Results Are Boost for Medicaid Expansion
- This week, our In Focus section reviews highlights and shares key takeaways from the 18th annual Medicaid Budget Survey conducted by The Kaiser Family Foundation (KFF) and Health Management Associates (HMA). Survey results were released on October 25, 2018, in Read MoreRoundup:
North Carolina Receives CMS Approval for Medicaid Managed Care Transition
Montana Voters Divided on Taxing Tobacco to Fund Medicaid Expansion
Pennsylvania Governor Vetoes Medicaid Work Requirements Bill
Wisconsin Receives Federal Approval for Medicaid Work Requirements
Texas Drug Utilization Review Board Seeks to Expand Medicaid Opioid Treatment
New York Officials Holding Statewide Forums on IDD Transition to Managed Care
President Trump Signs Opioid Legislation
CMS Proposes Payment Changes to Physician-Administrated, Medicare Part B Drugs
- This week, our In Focus section comes to us from Principal Nora Leibowitz, reviewing the Centers for Medicare & Medicaid Services (CMS) guidance on Section 1332 waivers. The State Relief and Empowerment Waivers guidance, published in the Federal Register on Read MoreRoundup:
Minnesota to Release Medicaid Managed Care RFPs in 2019
Missouri Names State House Speaker Todd Richardson Medicaid Director
North Carolina Receives 8 Bids for Medicaid MCO Procurement
Pennsylvania Announces New Program to Support Housing Needs of Individuals with OUD
Texas Releases RFI for Program Improvements to STAR Health
Medicaid Enrollment Drops as Economy Improves, According to Report
- This week, our In Focus section highlights HMA Medicaid Market Solutions’ (MMS) efforts to support state flexibility in designing and implementing Section 1115 Demonstration Waivers promoting member engagement and personal responsibility. Over the coming weeks, HMA MMS will present a Read MoreRoundup:
Former Maine Health Commissioner Appointed Federal Medicaid Director
Arkansas Drops 4,100 More Medicaid Beneficiaries for Failing to Meet Work Requirements
Four Plans to Exit New York Fully Integrated Duals Advantage Program
Texas Reports ‘Significant Progress’ In System Redesign for IDD Population
