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- This week, our In Focus section reviews recent Medicaid enrollment trends in capitated risk-based managed care in 21 states. Many state Medicaid agencies elect to post monthly enrollment figures by health plan to their websites for their Medicaid managed Read MoreRoundup:
Illinois managed care enrollment tops 1.4 million
New York duals demonstration launched January 1
Tennessee Gov. calls special session on Medicaid expansion
Massachusetts Health Connector Director to resign
Kentucky Medicaid Commissioner to step down
New Jersey legislation introduced to provide network oversight of Medicaid, commercial health plans
- This week our In Focus section highlights key issues that are likely to dominate the Medicaid and health policy landscape in 2015 in states in which HMA has offices. The HMA team identified issues and milestones that will feature prominently Read MoreRoundup:
Head of CMCS to Step Down
Director of Medicare-Medicaid Coordination to Leave CMS in January
CMS Approves Arkansas, Iowa Medicaid Waiver Amendments
Medicaid Expansion Proposals Considered in Montana, North Carolina, Utah, Wyoming
Alabama Approves Formation of Six Medicaid RCOs
Arizona Awards Behavioral Health Contracts
CoOportunity Health Taken Over By Iowa State Regulators
- This week our In Focus section reviews Tennessee Governor alternative Medicaid expansion proposal. The proposal includes the option for premium assistance for individuals to purchase coverage through their employer, but also creates an alternative option through the existing TennCare Medicaid Read MoreRoundup:
Georgia Updates RFP Timeline, Names Qualified Contractors
Alabama, Virginia Governors Support Medicaid Expansion
Michigan Medicaid Expansion Beats Enrollment Projections
Arizona Behavioral Health Authority RFP Bidders Named
Massachusetts Medicaid MCOs Report Financial Losses
- This week our In Focus section reviews Medicaid expansion proposals released last week in Florida and Utah. The two Republican-led states have largely opposed Medicaid expansion up until now. Read MoreRoundup:
Minnesota Appoints Zimmerman as New Medicaid Director
Roberts Nominated for Rhode Island EOHHS Secretary
Tennessee Governor Close to Deciding on Medicaid Expansion
New Mexico Attorney General Sues Nursing Home Provider
Oregon to Adapt Kentucky Medicaid Enrollment System
MACPAC Holds Next Public Meeting on December 11-12
- This week our In Focus section reviews Wyoming’s Medicaid expansion proposal that provide a more traditional Medicaid expansion than states like Arkansas and Iowa. Read MoreRoundup:
Hammer Named Colorado Medicaid Director
Georgia Medicaid Director Dubberly to Step Down
Anthem, Centene, MDWise Awarded Indiana ABD Contracts
Michigan Dual Eligible Demonstration Delayed
Aetna Joins New Jersey Medicaid Managed Care Program
Oklahoma, Wyoming Release Care Management RFI/RFP
Centurion Selected to Provide Correctional Healthcare in Vermont
- This week, our In Focus provides a brief review of State- and Medicaid-related updates from for-profit and publicly traded health care companies’ third quarter earnings reports and conference calls. Read MoreRoundup:
Alameda Dropped from California Duals Demonstration
California Awards Prison Health Contract to Health Net
Illinois Suspends Auto-Assignment for Harmony, Family Health Network
Illinois Medicaid Director Announces Departure
UnitedHealth Withdraws from Michigan Duals Demo
Montana Governor Unveils New Medicaid Expansion Proposal
Hospital Consolidation Continues in New York
New York Duals Demonstration Contracts Announced
September CMS Report Counts 68 Million Enrolled in Medicaid
HRSA Withdraws 340B Drug Program Regulations
Louisiana to Carve-in Behavioral Health Benefits
Insurance Exchanges Launched on November 15
- This week, our In Focus section comes to us from HMA Boston’s Rob Buchanan. Rob provides background and overview on the recently approved 1115 Waiver in Massachusetts. Read MoreRoundup:
California Releases GMC RFA for Comment
Delaware Releases Program Integrity RFP
Georgia Releases Care Management Organization RFQC
Steward Health Care System to Close Quincy Medical Center
New Mexico Human Services Secretary Squire to Step Down
Post-Election Medicaid Expansion Updates in Arkansas, Ohio, Pennsylvania, Tennessee
Oregon Releases Care Coordination RFP
Haley Selects Soura as South Carolina Medicaid Director
Supreme Court to Hear Challenge to ACA Insurance Subsidies
HealthCare.gov Opens for Window Shopping Ahead of Open Enrollment
- This week, our In Focus section reviews the request for proposal (RFP) issued by Missouri’s HealthNet Medicaid managed care program to rebid contracts across all three managed care regions. Read MoreRoundup:
Election Results Unlikely to Affect Medicaid Expansion Outlook
CMS Approves Massachusetts Medicaid 1115 Waiver
Colorado ACC Achieves Savings and Improved Outcomes
Kansas Releases MMIS RFP
Michigan Enrollment Update
New Jersey MLTSS Contract Provisions Released
- This week our In Focus section reviews the Department of Health and Human Services (HHS) Office of Inspector General (OIG) report. Read MoreRoundup:
Louisiana DHH Recommends Five Bayou Health Plan Awards
BCBS of Western NY Reverses Decision to Exit Medicaid
States Ask Congress to Intervene on Drug Prices
CMS Provides Extension of Higher Matching Funds
NAMD to Host Fall Conference in Washington, D.C: Nov. 3-5
MACPAC to Hold Meeting in Washington D.C: Oct. 30-31
- This week our In Focus section reviews updated end-of-August 2014 enrollment reports issued by the Department of Health and Human Services (HHS) on Medicaid expansion enrollment. Read MoreRoundup:
Puerto Rico Announces Mi Salud RFP Awards to Five Plans
Delaware Reaches Agreement with United, Negotiations Continue with Highmark on Medicaid Managed Care RFP
Massachusetts Awards MMIS Contract Extension to HP
Colorado Issues RFI on Future of Medicaid Accountable Care Collaborative
California Ballot Initiative Would Allow Insurance Commissioner to Deny Rate Increase Requests
