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- 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 MoreRoundup:
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 MoreRoundup:
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 MoreRoundup:
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 MoreRoundup:
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 MoreRoundup:
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 MoreRoundup:
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 MoreRoundup:
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 MoreRoundup:
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 MoreRoundup:
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
- 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
