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- This week, our In Focus section reviews the Centers for Medicare & Medicaid Services (CMS) reports on Medicaid expansion enrollment and spending, published on a quarterly basis. CMS issues two reports on a quarterly basis, the first of which provides Read MoreRoundup:
Florida Finalizes MCO Rates with Average 7.7 Percent Increase
Florida Marketplace Rates Set to Increase 9.5 Percent in 2016
Florida Governor Requests to Audit 98 Additional Hospitals
North Carolina House, Senate to Pursue Hybrid Medicaid Model
Texas HHSC to Hold Off on Therapy Cuts to Medicaid
Federal Appeals Court Reinstates Minimum Wage Protection and Overtime for Home Care Workers
- This week, our In Focus section reviews the Washington State Health Care Authority’s (HCA’s) request for proposal (RFP) for Apple Health – Fully Integrated Managed Care in the Southwest Washington (SWWA) regional service area, comprised of Clark and Skamania counties. Read MoreRoundup:
Iowa Medicaid Managed Care Awards Announced
Michigan Discloses Medicaid Managed Care Bidders, Regions
Ohio Medicaid Spending $2 Billion Below Estimates
Audit Finds Most Health Co-ops Losing Money
- This week, our In Focus section reviews key takeaways from the Centers for Medicare & Medicaid Services (CMS) report published recently on Medicaid long term supports and services (LTSS) expenditures in fiscal year 2013. The report, Medicaid Expenditures for Long-Term Read MoreRoundup:
Number of Uninsured Drops by 15.8 Million Since 2013
Alabama legislature debates Medicaid cuts
Arkansas ending In Home Services Program
Florida Healthy Kids (FHK) Dental Benefits Rebid Planned
Cook County (IL) to Re-bid Managed Medicaid Contract
Iowa Seeks Expansion Waiver for Traditional Medicaid
UCare Loses Minnesota managed care contract
North Carolina Legislatures Spars over Medicaid reform
North Carolina Medicaid Director Wos Resigns
Washington Releases Apple Health RFP for SW Region
- This week, our In Focus section reviews the completed memorandum of understanding (MOU) between Rhode Island and the Centers for Medicare & Medicaid Services (CMS) for the state’s capitated dual eligible financial alignment demonstration, known as the Integrated Care Initiative Read MoreRoundup:
Florida Governor Examines Medicaid Managed Care Hospital Contracts
Iowa DHS Posts Medicaid Redesign Waiver Documents for Public Comment
CMS Approves Behavioral Health Transition to Managed Care in New York
Pennsylvania Hospitals Resist Proposed Tax Increase
States Look to 1332 Waivers to Modify Healthcare Law
States Asked to Scale Back Rate Increases Requested by Marketplace Insurers for 2016
GAO Report Finds Medicaid Expansion States Better Able to Treat Mental Illness and Addiction
- This week, our In Focus section reviews recent Medicaid enrollment trends in capitated risk-based managed care in 23 states. Many state Medicaid agencies elect to post to their websites monthly enrollment figures by health plan for their Medicaid managed Read MoreRoundup:
- This week, our In Focus section reviews Montana’s proposed Medicaid expansion waiver and third-party administrator request for proposals (RFP). In late April, 2015, Montana Governor Steve Bullock signed into law Senate Bill 405, establishing the Montana Health and Economic Livelihood Read MoreRoundup:
Alaska Governor to Announce Plans for Medicaid Expansion
Arkansas to Increase Resources for Eligibility Checks
California Delays Orange County Duals Demo Passive Enrollment
Florida Issues RFI for Health Information Exchange Vendor
Louisiana Releases RFI for Specialized Behavioral Health Services
Uninsured Rate Drops to 11.4 Percent
Cost of Covering People Newly Eligible for Medicaid Significantly Higher Than Expected
- 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 benefits (duals) in nine states. California, Illinois, Massachusetts, Michigan, New York, Read MoreRoundup:
California Issues New Policy Guidelines On Treating Hep C
Kentucky Awards Five Medicaid Managed Care Contracts
Montana Medicaid Expansion Waiver Released
New York Releases Behavioral Health RFQ
Pennsylvania AG Sues Operator of 14 Nursing Homes
CMS to Ease Physician Transition to ICD-10 Codes
- This week, our In Focus section reviews the request for information (RFI) issued by the Oklahoma Health Care Authority (OHCA), soliciting input on a care coordination model, or combination of models, to serve the SoonerCare (Medicaid) aged, blind, and disabled Read MoreRoundup:
California Budget Funds Services for Immigrant Children
California Specialty Mental Health Waiver Approved
Florida Budget Funds HCBS Waiver Slots, Rate Increases
New Jersey Approves Three out of Six Medicaid ACO Applicants
New York FIDA, HARP, DSRIP, MLTC Updates
Following Supreme Court Decision, Pennsylvania Withdraws Plan to Create Exchange
CMS Publishes Reinsurance Payment Report
States Consider Regional Networks or Switch to Federal Marketplace After Supreme Court Ruling
- This week, our In Focus section comes from HMA Senior Consultant Matt McGeorge, of our IT Advisory Services (ITAS) team. HMA’s ITAS team is continuously tracking and assessing the impact of developments in the health care information technology industry that Read MoreIn Focus:Roundup:
Florida and CMS Reach Tentative Deal on LIP Funding
North Carolina House Passes Medicaid Managed Care Bill
CMS Releases Medicaid Managed-Care Rate Guidelines
Affordable Care Act Drives Sharpest Decline in Uninsured Ever Recorded
- This week, our In Focus section reviews Virginia’s proposed plans for implementing statewide Medicaid managed long-term supports and services (MLTSS) and statewide managed care for dual eligible individuals. Virginia is the third state we have reviewed in as many weeks Read MoreRoundup:
Florida MCOs Struggle to Meet Solvency Requirements
Fallon Health Plan to Exit Massachusetts Duals Demo
California to Fund Immigrant Health Program
Nevada to Allow ABD, LTSS Managed Care Transition
New Jersey Medicaid Agency cancels plans for a Behavioral Health ASO RFP
New York Waiver Population Carve-Ins Delayed
Arkansas, Delaware, Pennsylvania State Exchanges Approved
