Need to round out your collection of Weekly Roundups?
Access pdfs of this weekly newsletter’s archived issues.
- This week, our In Focus section reviews key findings and recommendations from a report released this month by Health Management Associates (HMA), with funding from the Robert Wood Johnson Foundation (RWJF). The report, “Making Affordable Care Act Coverage a Reality: Read MoreRoundup:
California Survey Reveals Potential Duals Demo Opt-Out Reasons
Florida Issues ITN for Florida Healthy Kids Dental Services
New Jersey Reports on MLTSS Transition Progress
Pennsylvania Issues Medical Transport RFI, MRT RFP
- This week, our In Focus section reviews highlights and shares key takeaways from the new Kaiser Commission on Medicaid and the Uninsured (KCMU) report, Medicaid Reforms to Expand Coverage, Control Costs and Improve Care: Results from a 50-State Medicaid Budget Read MoreRoundup:
Nebraska Releases Medicaid MCO RFP
Louisiana Gubernatorial Candidates Willing To Expand Medicaid
Protests Submitted Over Michigan Medicaid Contract Awards
Ohio Releases Revised HCBS Transition Plan for Public Comment
Pennsylvania Issues Procurement for Enrollment Assistance Broker
- 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:
Michigan Medicaid Managed Care Results Announced
Arkansas Consultant’s Report Offers Medicaid Expansion Alternatives
Kentucky Health Cooperative Ending Business Dec. 31
Health Alliance to Withdraw from Illinois Duals Demo
Utah Medicaid Expansion Bill Fails House, Senate
Washington Releases RFP for Behavioral Health-Administrative Services Organization
- This week, our In Focus section reviews the request for proposals (RFP) released this week by the Indiana Family and Social Services Administration (FSSA) to rebid the Hoosier Healthwise and Healthy Indiana Plan (HIP) Medicaid managed care programs. Combined, the Read MoreRoundup:
Florida Granted Fourth Temporary Extension for LIP Program
Kansas Delays Medicaid Waiver Integration
New Jersey Evaluator Releases MLTSS Implementation Report
New York Dual Demonstration Enrollment Dips
Utah Lawmakers Consider Medicaid Expansion Proposal
- This week, our In Focus section comes to us from HMA Managing Principal Donna Strugar-Fritsch and Research Assistant Melissa Sanchez. Donna and Melissa provide a review of the proposed guidance issued by the Health Resources and Services Administration (HRSA) on Read MoreRoundup:
Nebraska, South Dakota Considering Medicaid Expansions
UtahAccess+ Medicaid Expansion Plan Unveiled
Massachusetts Duals Demo to Receive Additional Funding
New York Develops MLTC White Paper
New York Health Cooperative Shutting Down
Univera Community Health (NY) acquired by the Monroe Plan
Rhode Island Medicaid Director Gifford Stepping Down
Healthcare Industry Braces for Expansion of Codes on Oct. 1
- This week, our In Focus section reviews updates from Pennsylvania and Virginia on their plans for implementing managed long-term services and supports (MLTSS) programs. Pennsylvania released an extensive MLTSS concept paper last week, providing updates on covered populations, expectations of Read MoreRoundup:
Blue Cross Blue Shield of Montana Poised to Win Medicaid Expansion Contract
Rate Adjustments Approved for Massachusetts One Care Demonstration
New Hampshire Cancels Medicaid MCO RFP
North Carolina to Privatize $15 Billion Medicaid Program
Texas Releases RFP for Medicaid Management Information System Takeover
- This week, our In Focus section reviews the Pennsylvania Department of Human Services (DHS) request for proposals (RFP) to rebid the HealthChoices Physical Health Medicaid managed care program statewide. The HealthChoices program currently serves just over 1.9 million members across Read MoreRoundup:
Iowa Medicaid Managed Care Contract Awards Protested
Three MCOs to Withdraw from New York FIDA Program in 2016
Pennsylvania Releases MLTSS Plan Concept Paper
MACPAC Public Meeting to be Held September 17
- This week, our In Focus section comes to us from HMA managing principal Sharon Silow-Carroll, senior consultant Diana Rodin, and consultant Annie Melia, of HMA’s New York office. With support from the Robert Wood Johnson Foundation (RWJF), HMA recently conducted Read MoreRoundup:
Georgia Families, Georgia Families 360° Awards Announced
Judge Rules Alaska Medicaid Expansion Can Begin
Judge Rules Arizona Medicaid Expansion is Constitutional
CGI Awarded Connect for Health Colorado Contract
Iowa DHS Rejects Medicaid MCO Award Protests
Louisiana Co-op Enters Rehabilitation
- 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
