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- This week, our In Focus section reviews recent Medicaid enrollment trends in capitated, risk-based managed care in 24 states. Many state Medicaid agencies elect to post monthly enrollment figures by health plan for their Medicaid managed care population to Read MoreRoundup:
Nevada Medicaid MCO Awards Announced
Colorado ACC Phase II Draft RFP Released for Public Comment
Alabama Medicaid Commissioner Urges Lawmakers to Continue RCO Transition
CMS Approves MassHealth Waiver to Implement ACO Models
California Voters Extend Medi-Cal Hospital Fee Program, Defeat Drug Pricing Measure
Colorado Universal Health Care Ballot Measure Defeated
Berry Named Georgia DCH Commissioner
- This week, our In Focus section reviews the request for proposals (RFP) issued by the Arizona Health Care Cost Containment System (AHCCCS) on November 1, 2016, to reprocure Medicaid managed care contracts for the Arizona Long Term Care System (ALTCS) Read MoreRoundup:
Colorado Accountable Care Collaborative Reports Savings
Iowa to Increase Medicaid MCO Payments by $33 Million
Michigan Governor Vetoes Health Insurance Claims Tax Repeal, Replacement
Pennsylvania Provides Updates on Pending Managed Care Awards
Vermont All-Payer ACO Model to Launch in 2017
- This week, our In Focus section is the second in an ongoing series of HMA telehealth features. HMA principal Lori Raney, MD, provides an overview of telepsychiatry, a type of telemedicine where general psychiatric services are provided via videoconferencing, and Read MoreRoundup:
Arkansas Considers Provider-Led Managed Care Model
Indiana Issues Medicaid NEMT RFP
CMS Extends Kentucky’s 1115 Waiver Comment Period
CMS Approves Washington’s 1115 Waiver Renewal
MACPAC Announces October Public Meeting Agenda
- This week, our In Focus section reviews highlights and shares key takeaways from the 16th annual Medicaid Budget Survey conducted by the Kaiser Commission on Medicaid and the Uninsured (KCMU). Survey results were released on October 13, 2016, in three Read MoreRoundup:
Florida AHCA Seeks to Extend Managed Care 1115 Waiver
Missouri Statewide Medicaid MCO Awards Announced
Tennessee Issues Inmate Health Services RFP
Virginia Medicaid Expansion Push Continues Amid Budget Shortfall
- This week, our In Focus section reviews the agreement-in-principle between the State of Washington Health Care Authority (HCA) and the Centers for Medicare & Medicaid Services (CMS) on a new section 1115 demonstration waiver, which will further the state’s Healthier Read MoreRoundup:
Kidder Named Florida Medicaid Director
Georgia, Kansas Lawmakers Consider Medicaid Expansion
Oregon Announces CCO Rate Increase for 2017
Judge Rules against Wisconsin in Nursing Payments Case
JAMA Report Finds Medicaid Expansion Boosts Hospital Financial Performance
- This week, our In Focus section reviews the draft waiver agreement between the Centers for Medicare & Medicaid Services (CMS) and the Governor of Vermont, the Green Mountain Care Board (GMCB), and the Vermont Agency of Human Services (AHS) to Read MoreRoundup:
Arizona 1115 Waiver Approved For Some, Not All, Changes
Florida Releases All Payer Claims Database ITN
Maryland Co-Op Seeks For-Profit Status to Prevent Closure
New York Releases Medicaid Managed Care Quality Incentive Report
Six MCOs Protest Pennsylvania MLTSS Contract Awards
CMS Issues Rule Barring Arbitration Clauses in Nursing Home Contracts
Clarifications on Virginia, Wisconsin MLTSS RFP Updates
- This week, our In Focus section reviews the request for proposals (RFP) issued by Wisconsin’s Department of Health Services (DHS) for the Family Care and Family Care Partnership programs. Family Care and Family Care Partnership provide Medicaid managed long term Read MoreRoundup:
Virginia Announces Preliminary MLTSS Contract Awards
Texas to Proceed with Medicaid Cuts to Children’s Therapy Services
NCQA Releases 2016 Health Insurance Plan Ratings
New York Medicaid Spending Per Person Declines
- This week, our In Focus section comes to us from HMA principals Greg Vachon, MD, MPH, and Jean Glossa MD, MBA, who provide an overview of econsultations. Greg and Jean define econsults and provide an overview of the spectrum of Read MoreRoundup:
Pennsylvania Community HealthChoices Bidders File Protest
West Virginia Medicaid MCO Contract Awards Announced
Wisconsin MLTC RFP Released
Alabama Delays RCO Implementation
Florida AHCA Secretary to Retire
- This week, our In Focus section provides an update on HMA’s inaugural conference on The Future of Publicly Sponsored Healthcare: Building Integrated Delivery Systems for Vulnerable Populations, October 10-12, 2016, at The Palmer House in Chicago. More than 200 Read MoreRoundup:
Arkansas Issues Draft RFP for Managed Dental Services
Missouri Medicaid to Support Telehealth Services in Schools
New Jersey Regulators Take Over Health Republic CO-OP
New York Issues Emergency Regulation on Risk Adjustment
Ohio Medicaid Expansion Waiver Application Denied
Oklahoma Announces 3-Year Phase-in of SoonerHealth+
Oklahoma Health Care Authority Names Paternik-Ikard CEO
U.S. Uninsured Rate Falls to 9.1 Percent
HMA News: HMA Telehealth Advisory Practice Group Supports Clients in Considering Telemedicine Solutions
HMA News: “What Matters Most: Essential Attributes of a High-Quality System of Care for Adults with Complex Care Needs”
- This week, our In Focus section reviews the independent evaluation of Texas’ Uncompensated Care Pool submitted to the Centers for Medicare and Medicaid Services (CMS) by the Texas Health and Human Services Commission (HHSC). The evaluation, which was required Read MoreRoundup:
Colorado Expands Coverage of Hepatitis C Treatment
Florida Approves 19 Percent Exchange Plan Rate Increase
Nebraska Releases Dental Health Plan RFP
Texas Fears Budget Cuts as Medicaid Costs Rise
DC to Release Managed Care RFP in October