HMA Weekly Roundup

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  • This week, our In Focus section reviews the background and current status of Florida’s Low-Income Pool (LIP), a more than $2.1 billion funding mechanism to provide additional funding to the state’s hospitals. Federal approval for the LIP program expires on Read More

    Illinois House Passes 2.25 Percent Provider Cut in Budget Fix

    Medicaid Expansion Lowers Hospital Uninsured Costs by $7.4B

    Florida Proposes 1115 Waiver Amendment

    Blue Shield of California Tax-Exempt Status Revoked

    New York DSRIP Implementation Plan Deadline Extended

    New Jersey Medicaid Transportation RFP Release Imminent

    Baylor Scott & White and Tenet to Partner on Five North Texas Hospitals

    Florida Senate Committee Approval of Medicaid Expansion Proposal sets up Senate Floor Vote

    Tennessee Governor’s Medicaid Expansion Proposal Recommended by Senate Committee

  • This week, our In Focus section reviews two reports made available by the Texas Association of Health Plans (TAHP) that found improvements to access and quality of care as well as cost savings under the state’s Medicaid managed care programs. Read More

    16.4 Million Insured Since ACA Implementation

    California Medicaid Draft Waiver Renewal Proposal Released

    Alaska Governor Proposes New Medicaid Expansion Bill

    HIP 2.0 Medicaid Expansion Increases Number of Providers

    Details Emerge Related to Value Based Medicaid Payments in New York

    Ohio Governor Proposes Premiums for Medicaid Recipients

  • This week, our In Focus section reviews the recent technical assistance tool from the Integrated Care Resource Center (ICRC), detailing findings and guidance to states on dual eligible special needs plans (D-SNP) contracting options and strategies. The document, titled “State Read More

    Florida Senate Approves Medicaid Expansion Bill

    New Hampshire Medicaid Expansion Waiver Approved by Feds

    Texas Launches Duals Demonstration, Begins STAR+PLUS Nursing Home Carve-In

    Federal Judge Outlines California Prison Health Care Transition Out of Receivership

    Pennsylvania DHS Outlines Details of Medicaid Expansion Transition Timing

    Nationwide Exchange Enrollment Nears 11.7 Million

  • This week, our In Focus section reviews approaches states could consider in the event the Supreme Court eliminates federal marketplace subsidies for certain states. It was prepared by Claudine Swartz and Angelique Hrycko of Day Health Strategies (DHS) and Tom Read More

    Missouri Announces MCO RFP Awards

    Georgia Announces Wiant as New Chief of Medicaid

    New York, Massachusetts Health Plans Report Losses

    Massachusetts Governor Seeks Budget Savings From MassHealth

    Telemedicine Advances in Minnesota, Mississippi and Missouri

    New York Delays Implementation of Duals Demonstration

    Pennsylvania Pivots to Traditional Medicaid Expansion

  • This week, our In Focus section reviews publicly available data on enrollment in financial and administrative alignment demonstrations for dually eligible beneficiaries (duals) in seven states currently serving duals in a capitated financial alignment model. These seven states – California, Read More

    State budget discussions heat up in Connecticut, Illinois, Massachusetts

    Utah Senate Approves Medicaid Expansion Plan

    New York State of Health Enrollment exceeds 2.1 million

    Medicaid Expansion in North Carolina Hinges on Subsidy Court Ruling

    Medicaid and CHIP Enrollment Up 19 Percent Since Expansion

    MACPAC to Hold Public Meeting February 26-27

  • This week, our In Focus section reviews the Iowa High Quality Healthcare Initiative Request for Proposals (RFP), which seeks to award two to four statewide Medicaid managed care contracts to begin serving nearly all of Iowa’s 570, 000 Medicaid beneficiaries Read More

    Alaska Governor Walker Proposes Medicaid Expansion

    Florida Legislature Near Compromise on Telemedicine Bill

    Illinois Governor’s Budget Proposes $1.5 Billion in Medicaid Savings

    New York Nursing Home Benefit Carve-in Underway

    Ohio Governor’s Budget Proposes Medicaid Premiums for Certain Adults

    Virginia MMIS RFI Released

    Marketplace Enrollment Hits 11.4 Million in 2015

    U.S. State Tax Revenues See Growth in Third Quarter

  • This week, our In Focus section reviews the Request for Proposals (RFP) for care management organizations (CMOs) to serve the Georgia Families and Georgia Families 360° populations under the Georgia Medicaid program. The Georgia Department of Community Health (DCH) intends Read More

    Arkansas Medicaid Expansion Reauthorized by Legislature

    Florida Low Income Pool Renewal Denied by CMS; However, Negotiations Continue

    Washington Confirms Cancellation of Capitated Duals Demo

    Nebraska Appoints Calder Lynch as Medicaid Director

    Ohio Reports on Duals Demonstration Implementation

    Pennsylvania Governor Moves to Withdraw Healthy PA Waiver, Implement Traditional Medicaid Expansion

    Connecticut Hospitals Propose Phasing Out of Hospital Tax

    Michigan Governor Issues Executive Order to Consolidate Health Agencies

    L.A. Care (CA) Names New CEO

  • This week, our In Focus section reviews updated end-of-November 2014 reports issued by the Department of Health and Human Services (HHS) on Medicaid expansion enrollment from “Medicaid & CHIP: November 2014 Monthly Applications, Eligibility Determinations, and Enrollment Report.” CMS has Read More

    Tennessee Medicaid Expansion Proposal Voted Down

    Michigan Duals Demonstration Begins Enrollment

    Partners HealthCare (MA) Denied Deal to Acquire Hospitals

    New York Nursing Home Benefit Transitions to Managed Care

    Ohio Governor Releases Executive Budget

    Texas Selects Viekira Pak for PDL

    Mississippi Issues CHIP Managed Care Rebid

  • This week, our In Focus section reviews Oregon’s Medicaid managed care environment which has been administered by risk-based provider networks, known as Coordinated Care Organizations (CCOs) since 2012. As of December 15, 2014, more than 907, 000 Medicaid beneficiaries were Read More

    Indiana Receives CMS Approval for Medicaid Expansion Waiver

    Jennifer Kent Appointed Director of California DHCS

    Florida, Maryland, New York Governors release 2015-2016 Budget Proposals

    CoOportunity (Iowa) Seeks Liquidation

    Daniel Tsai Appointed Director of MassHealth

    Massachusetts AG Healey Opposes Partners HealthCare Deal

    Oregon Reports Medicaid Enrollment Backlog of 43,000

    CBO Report Estimates ACA will Cost 7 Percent Less than Projected

  • This week, HMA Principal Carl Mercurio highlights a new business line for Health Management Associates, HMA Information Services. (HMAIS), an online resource for Medicaid data. For more information on HMAIS, or to subscribe, contact Carl at: [email protected] (212) 575-5929 Read More

    CMS Administrator Tavenner to Resign

    Georgia Managed Care RFP Delayed Until February 2015

    Illinois Governor Taps Former Aetna Executive to Lead HFS

    Iowa Governor Announces Intentions to Privatize Medicaid

    Michigan Governor Highlights Budget Shortfall, Proposes Combining Health Agencies

    Montana Governor Introduces Medicaid Expansion Bill

    New York DSRIP Applications Posted

    Texas Health and Human Services Under Investigation

    Wyoming Legislature to Begin Medicaid Expansion Hearings

    Senate Finance Chair Seeks Repeal of Health Insurer Fee

    Supreme Court Considers Whether Providers Can Sue States Over Medicaid Pay Rates

    Overtime and Minimum Wage Regulations Overturned for Home Health Care Workers