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- This week, our In Focus summarizes the findings of an HMA Information Services (HMAIS) analysis of Medicaid managed care rates in 2018 versus 2017. The analysis represents HMAIS’ first attempt at what will be an annual tracking of Medicaid managed Read MoreRoundup:
Alaska Governor Proposes 33 Percent Medicaid Funding Cut
Georgia Senate Approves Partial Medicaid Expansion
Louisiana Releases Medicaid Managed Care RFP
Minnesota Releases Medicaid Managed Care RFPs
New Jersey Releases Medicaid MCO Contract Updates
Texas Lawmakers to Introduce Medicaid Overhaul Legislation
Medicaid Spending Growth to Accelerate, CMS Projects
- This week, our In Focus reviews the Massachusetts One Care Dual Demonstration 2.0 request for responses (RFR), released by the Massachusetts Executive Office of Health and Human Services (EOHHS). One Care will cover Medicare and Medicaid dual eligible adults with Read MoreRoundup:
Medicaid Expansion News: AK, GA, ID, NE, OK
Iowa Senate Democrats Propose Moving Managed LTC Members Back to Fee-for-Service
New Hampshire Announces Medicaid Managed Care Awards
North Carolina Releases Scoring of Medicaid Plan Bids
Oregon Receives 11 Updates to Letters of Intent for CCO 2.0
Wisconsin Releases Family Care Partnership RFP for Selected Service Areas
- This week we are providing a brief recap of our January 8th webinar Evolving Integrated Managed Care Models for Medicare-Medicaid Dual Eligible Beneficiaries: Key Considerations for Health Plans presented by Principals Sarah Barth, JD and Ellen Breslin, MPP. Read MoreRoundup:
Arkansas Provider-Led Entities Move Forward After PASSE Readiness Review
Medicaid Expansion Updates: FL, GA, LA, NC, UT
Missouri Medicaid Overhaul Could Save $1 Billion Annually, Report Says
New York Releases RFAs to Address Opioid Crisis
North Carolina Faces Appeal from My Health Over Medicaid Managed Care Contract Awards
Pennsylvania To Expand LIFE Program In Multiple Counties
- On January 30, 2019, the Centers for Medicare & Medicaid Services (CMS) issued Part II of the Advance Notice of Methodological Changes for Calendar Year (CY) 2020 for Medicare Advantage (MA) Capitation Rates, Part C and Part D Payment Policies Read MoreRoundup:
Florida Governor Maintains ‘Status Quo’ on Medicaid Budget
Kentucky Delays Start Date for Medicaid Work Requirements
Maine Governor Orders Audit of State Medicaid Program
North Carolina Announces Medicaid Managed Care Awards
Ohio Medicaid to Rebid Managed Care Contracts
Oregon Health Authority Receives 24 Letters of Intent for CCO 2.0 Contracts
HHS Proposes Overhaul of PBM Drug Rebate Rules
- This week, our In Focus reviews the Oregon Health Plan’s Coordinated Care Organizations (CCO) 2.0 request for applications (RFA), released by the Oregon Health Authority (OHA) on January 25, 2019. Under CCO 2.0, the CCOs will provide full-risk coordinated care Read MoreRoundup:
Arizona Behavioral Health Providers Are Owed Millions in Unpaid Medicaid Claims
Arkansas, Maine Appoint Medicaid Directors
Florida Judge Rejects State Medicaid Contract in Southwest Region; AHCA Appeals
Kentucky Medicaid Plan Passport Health Could Face Bankruptcy Given Rate Cuts, CEO Says
New Jersey Governor Outlines Initiatives to Combat Opioid Epidemic
Health Share of Oregon to Seek New Medicaid CCO 2.0 Contract
Medicaid Expansion Developments In Kansas, Montana, Utah, West Virginia, Wyoming
- This week, our In Focus section reviews Arkansas’ Provider-led Arkansas Shared Savings Entity (PASSE) model, scheduled to transition to full risk capitation in March 2019. The PASSE program provides care coordination to improve the health of Medicaid members with behavioral Read MoreRoundup:
Arizona Wins Approval for Medicaid Work Requirements
Georgia Considers Medicaid Waiver to Expand Coverage
Kansas Governor to Submit Medicaid Expansion Plan to Legislature This Month
Kentucky Medicaid Plan Passport Health May Exit Market
Maine Governor Reverses Medicaid Work Requirements
North Carolina Audit Finds Medicaid LME/MCO Capitation Rates Were Actuarially Sound
West Virginia Lawmakers Seek Transition to Managed Health Care for Foster Kids
- This week, our In Focus section reviews recent Medicaid enrollment trends in capitated, risk-based managed care in 29 states. Many state Medicaid agencies post monthly enrollment figures by health plan for their Medicaid managed care population to their websites. This Read MoreRoundup:
Alabama Releases Coordinated Health Network RFP
Arkansas Says 3 Provider-Led Entities Will Move to Full Risk in Next Phase of PASSE Program
Colorado, New York, Ohio Release Budget Proposals
Kentucky Medicaid Beneficiaries Again File Lawsuit to Block Work Requirements, Premiums
Louisiana Releases RFP for Subscription-Based Hepatitis C Drug Purchasing Agreement
Michigan Names Gordon to Lead State Health Department
Wisconsin Governor to Push for Medicaid Expansion Despite Legislative Opposition
Trump Administration Is Reportedly Preparing Medicaid Block Grant Guidelines
- This week, our In Focus section reviews a report recently submitted to the Minnesota Legislature, Accounting for Social Risk Factors in Minnesota Health Care Program Payments. The report delivers Minnesota Department of Human Services (DHS) recommendations to reduce health disparities Read MoreRoundup:
AZ, FL, NM Name Medicaid Directors
California Governor Orders Transition of Medicaid Pharmacy Benefit from Managed Care to FFS
Florida Rejects Rebid of Medicaid Managed Care Contract Award for HIV/AIDS
Virginia Medicaid Director Calls for Overhaul of Forecasting, Rate-Setting Processes
CMS Names Chris Traylor Acting Director of Center for Medicaid and CHIP Services
- This week, our In Focus section is led by Matt Powers, a Principal in our Chicago office, who worked with HMA colleagues to summarize the factors that non-expansion states weigh when considering whether or not to expand Medicaid under the Read MoreRoundup:
Arkansas Drops Another 4,655 Medicaid Beneficiaries for Failing to Meet Work Requirements
New York DOH Announces Funding for Community-Based Organizations
Indiana Releases PBM Administrative Services RFP
Molina Healthcare to Cut Ties with Golden Shore Medical Group Clinics
Ohio Medicaid Director Barbara Sears To Step Down
Oregon Names Lori Coyner Medicaid Director
Federal Judge Rules ACA Is Unconstitutional
December MACPAC Meeting Focuses on State Innovations in Drug Pricing, Network Adequacy, DSH Funding
- This week, our In Focus section reviews updated information issued by the Department of Health & Human Services (HHS) Centers for Medicare & Medicaid Services (CMS) on Medicaid expansion enrollment from the “September 2018 Medicaid and CHIP Application, Eligibility Determination, Read MoreRoundup:
Maine Judge Sets February 1 Deadline for Medicaid Expansion Enrollment
Mississippi Awards CHIP Contracts to Molina, UnitedHealth
New York to Sunset Duals Demo (FIDA)
Oklahoma Seeks Federal Approval for Medicaid Work Requirements
U.S. Health Spending Growth Slowed to 3.9 Percent in 2017, CMS Says
