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- This week, our In Focus section reviews two proposed statewide Medicaid managed long-term services and supports (MLTSS) program designs. Alabama is currently accepting public comments on a plan to implement provider-driven Integrated Care Networks (ICNs) to provide MLTSS statewide to Read MoreRoundup:
Florida LIP Funding Restoration Approved by CMS
Indiana’s HIP 2.0 Gaining Attention as Medicaid Expansion Model
Kansas Legislature May Revisit Medicaid Expansion
Wisconsin Seeks Approval for Medicaid Drug Screening, Work Requirements
- This week, our In Focus section highlights the executive summary and key findings of a report from SVC, Inc. (SVC), “Indiana Smoking Attributable Medicaid Expenditures Final Report, ” published in March 2017. The report estimates Medicaid expenditures attributable to individuals Read MoreIn Focus:Roundup:
Alabama Publishes MLTSS Concept Paper
Illinois to Shift 26,000 MCO Members to Fee-For-Service
Massachusetts Seeks Waiver Flexibility in Letter to CMS
North Carolina House Introduces Medicaid Expansion Bill
Ohio Releases Timeline for Medicaid MLTSS Procurement
Oklahoma Considers Provider Rate Cuts
Pennsylvania Releases Independent Enrollment Broker RFP
States Seek Waiver Funds for SUD Treatment Facilities
- This week, our In Focus section comes to us from HMA’s Donna Strugar-Fritsch, Anne Winter, and Julia Elitzer, and addresses recent regulatory changes in the federal 340B drug discount program. Section 340B of the Public Health Service Act authorized the Read MoreRoundup:
Alabama Delays RCO Implementation
Alaska, Minnesota consider Exchange Market Reinsurance Programs
Arkansas Renews Medicaid Expansion
Medicaid Funding Cuts in Colorado, Texas Budget Proposals
Indiana Releases NEMT RFP
Wellmark to Exit Iowa Individual Insurance Market in 2018
Kansas Governor Vetoes Medicaid Expansion, Override Fails
New York Expands FIDA Demonstration
South Carolina Medicaid Director Soura Resigns
Society of Actuaries Releases Report on Medicaid MCO Profit Margins
- This week, our In Focus section comes to us from HMA Principal Juan Montanez, of our Washington, D.C. office. Juan provides an update on the fiscal crisis in Puerto Rico, the relationship between the fiscal crisis and Puerto Rico’s Government Read MoreIn Focus:Roundup:
Iowa to Address Medicaid MCO Losses Through Risk Corridors
Illinois State Supreme Court Upholds Property Tax Exemption for Not-for-Profit Hospitals
Kansas Legislature Passes Medicaid Expansion Bill, Awaits Governor
New Jersey Budget Proposes Increase in DDD Funding
Pennsylvania OMAP Updates HealthChoices Implementation Timeline
Wisconsin DHS Reissues Family Care, Partnership RFPs
AHCA Bill Pulled Before Scheduled Vote
- This week, our In Focus section reviews updated reports issued by the Department of Health & Human Services (HHS) Centers for Medicare & Medicaid Services (CMS) on Medicaid expansion enrollment from the “December 2016 Medicaid and CHIP Application, Eligibility Determination, Read MoreRoundup:
Florida Waiver Proposal Seeks Medicaid Flexibility
Illinois Medicaid MCO RFP Update
Indiana University Health Sells Three Hospitals
New York Executive Budget Supports Minimum Wage Increase, Extends Global Cap
Texas Opens Investigation into Medicaid Transportation Privatization
Moody’s: AHCA Would Increase Medicaid Costs for States
- This week, our In Focus section reviews the Medicaid long-term services and supports (LTSS) redesign draft paper published on March 7, 2017, by the Nebraska Department of Health and Human Services (DHHS). The paper is the follow-up to a January Read MoreRoundup:
Rural Georgia Hospitals Continue to Struggle Financially
North Carolina Senate Proposes Medicaid Prepaid Dental Plans
UPMC and PinnacleHealth Agree to Affiliate
Tigue Named Rhode Island Medicaid Director
Wisconsin DHS Cancels Family Care/Partnership RFP
U.S. Senate Confirms Verma as CMS Administrator
CBO Estimates AHCA Would Increase Uninsured by 24 Million
AHCA Would Strain Hospital Finances, per Moody’s and S&P
CMS Medicaid Innovation Accelerator Program National Webinar scheduled for March 27
- This week, our In Focus section comes to us from HMA Principal Karen Brodsky and Research Assistant Anh Pham, both of our New York City office. Anh and Karen provide a review of the “Medicaid 2.0 Blueprint for the Future” Read MoreRoundup:
AHCCCS Announces ALTCS Contract Awards
Arkansas Gov. Seeks Medicaid Expansion Work Requirements, Eligibility Limits
UnitedHealth Completes Acquisition of Rocky Mountain Health Plans
Advocate, NorthShore Abandon Plans to Merge
MassHealth Selects Optum as TPA for LTSS Programs
Oregon Study Highlights Upsides, Limitations of Medicaid Expansion
House Republicans Release ACA Replacement Plan, To Cap Federal Medicaid Funding
Republican Governors Criticize House ACA Bill, Continue Drafting Alternative Proposal
Brian Neale Nominated as Director of the Center for Medicaid and CHIP Services
- This week, our In Focus section reviews the request for proposals (RFP) issued on February 27, 2017, by the Illinois Department of Healthcare and Family Services (HFS) to rebid the majority of the state’s existing Medicaid managed care program contracts, Read MoreRoundup:
Centene Ends Partnership with Alabama RCO
Kansas House Advances Bill to Expand Medicaid
New Jersey DOH Posts DSRIP Update
New York Duals Demo Extended, Expanded
Vermont All-Payer ACO Model to Begin with Medicaid Pilot
Wisconsin Releases Family Care, Family Care Partnership RFP
- This week, our In Focus section reviews the Washington Health Care Authority’s (HCA’s) request for proposals (RFP) for the North Central Regional Service Area (RSA) transition to Fully Integrated Managed Care (FIMC) under the Apple Health Medicaid program. Under the Read MoreRoundup:
MDwise to Withdraw from Indiana’s Hoosier Care Connect
Texas CHIP Rural and Hidalgo Service Areas RFP Released
Florida AHCA Posts Statewide Medicaid Managed Care LOI Responses
Colorado Medicaid to Receive Mid-year Budget Increase
Medicaid Expansion to Appear on Ballot in Maine
Minnesota Audit Finds State Lacks Adequate HCBS Oversight
House Leadership Outlines Elements of ACA Repeal and Replace
Medicaid Innovation Accelerator Program National Webinar scheduled for February 27
- This week, our In Focus section reviews publicly available data on enrollment in capitated financial and administrative alignment demonstrations (“Duals Demonstrations”) for beneficiaries dually eligible for Medicare and Medicaid (duals) in 10 states: California, Illinois, Massachusetts, Michigan, New York, Ohio, Read MoreRoundup:
Georgia Extends Hospital Assessment Program
Connecticut Governor Proposes Medicaid Cuts
New York Exceeds Global Cap Citing Drug, LTSS Spending
Moda Health Prevails in Risk Corridor Lawsuit
Magellan Awarded South Carolina Pharmacy Contract
Vermont Contracts with OneCare for One-year ACO Pilot
HHS Proposes Rule Changes Aimed at Stabilizing Exchange Markets
U.S. Senate Confirms Tom Price as HHS Secretary
Uninsured Rate Hits All-time Low of 8.8 Percent in 2016