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- This week, our In Focus section reviews the key findings of the Kaiser Commission on Medicaid and the Uninsured (KCMU) report, A Profile of Medicaid Managed Care Programs in 2010: Findings from a 50-State Survey, released Tuesday, September 13, 2011. Read MoreRoundup:
California MMIS Transition to ACS Underway
Georgia Tax Revenues Improve
New Jersey Waiver Application Includes Plan to Integrate Payment for Dual Eligibles
New Medicaid Director Assumes Office in Pennsylvania
- This week, our In Focus section reviews the planned expansion of Pennsylvania’s HealthChoices program, a capitated managed care program for Medicaid enrollees. The Pennsylvania Department of Public Welfare outlined plans for a statewide expansion of the HealthChoices program in an Read MoreRoundup:
CMS DELAYS MICHIGAN DUAL ELIGIBLE TRANSITION PLAN, TEXAS HHSC ANNOUNCES CHANGES TO STAR CONTRACT AWARDS IN TRAVIS COUNTY; ILLINOIS GOVERNOR THREATENS CUTS TO INSTITUTIONAL FACILITIES
- This week, our In Focus section reviews a letter published by the Republican Governors Public Policy Committee on Tuesday, August 30. The letter outlines more than 30 policy proposals generally intended to grant states greater flexibility in managing their Medicaid Read MoreRoundup:
Illinois Exchange Development Moving Forward
Dual Eligibles in Michigan to be Notified of Health Plan Options
- This week, our In Focus section reviews a report released last month by the U.S. Govern-ment Accountability Office (GAO) on the performance of private investment (PI) nursing homes compared with other for-profit nursing homes and non-profit nursing homes. Given Medicare Read MoreRoundup:
Minimum MLR Back on the Table in Florida
Initial Schedule for Georgia Managed Care RFP Introduced
Michigan Provider Claims Tax Passes House, Awaits Governor’s Signature
- This week, our In Focus section reviews the Hawaii RFP to rebid the QUEST Medicaid managed care program. The QUEST program provides Medicaid services to Temporary Assistance for Needy Families (TANF) and Children’s Health Insurance Program (CHIP) lives under a Read MoreIn Focus:Roundup:
HHS Awards $185M in Exchange Grants to States, Proposes Rules on Medicaid and Exchange Eligibility
Three Illinois Hospitals Lose Property Tax Exemptions, More Determinations Coming
California Legislature Resumes Session
Florida in Discussion with Plans on Draft Rates
Georgia Committee Votes to Move Forward on Exchange
- With last week’s earlier than anticipated announcement of the Texas Medicaid managed care contract awards, results for the large RFP opportunities we have been discussing all year are now completed. As we discuss in more detail below, we estimate that Read MoreRoundup:
FLORIDA HOSPITAL RATE NEGOTIATIONS CONTINUE; WE EXPECT GEORGIA TO OFFSET DUPLICATE MEMBER RECOUPMENT; ILLINOIS REVEALS PLANS FOR HOSPITAL PAYMENT CYCLE DELAY
- This week, our In Focus section reviews the Medicaid managed care contract awards for Louisiana’s Coordinated Care Network (CCN) RFP that were announced on Monday, July 25, 2011. Centene, AmeriHealth and Amerigroup were awarded contracts, with Centene the highest scoring Read MoreRoundup:
Illinois Outlines Coordinated Care Plan
Florida Hospital Rate Review Process Continues
- In last week’s Roundup, we highlighted guidance articulated in a letter from CMS to the states on July 8 related to the enrollment of dual eligibles in care delivery models that integrate both the federal and state financing for all Read MoreIn Focus:Roundup:
Florida Posts Preliminary Hospital Rates
Georgia Selects Medicaid Design Consultant
Texas Governor Signs Medicaid Reform Bill
Exchange Planning in Indiana
- This week, our In Focus section reviews three announcements made last Friday, July 8, by the Centers for Medicare and Medicaid Services (CMS) Medicare-Medicaid Coordination Office. The most prominent announcement was that of a demonstration program to test two new Read MoreIn Focus:Roundup:
Federal Exchange Rules Released
California Basic Health Plan Bill Still Alive, on hold until August
Florida Reviewing Public Hospital Funding
ABD Rollout Continues in Illinois
Indiana Gets Set to Rebid PBM Contract
- This week, our In Focus section reviews recent Medicaid MCO enrollment trends in eighteen states and for ten companies. Many state Medicaid agencies elect to post to their website monthly enrollment figures by health plan for their Medicaid managed care Read MoreIn Focus:Roundup:
OHIO BUDGET INCLUDES 6% CUT TO NURSING HOMES; CALIFORNIA BUDGET ELIMINATES ADULT DAY HEALTH SERVICES; ILLINOIS GOVERNOR ADDS TO HOSPITAL CUTS; FEDERAL HEALTH INSURANCE EXCHANGE REGULATIONS LIKELY DELAYED UNTIL NEXT WEEK
