HMA Weekly Roundup

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  • This week, our In Focus section reviews the bipartisan health deal reached by Senators Patty Murray (D-WA) and Lamar Alexander (R-TN), both members of the Senate’s Health, Education, Labor, & Pensions (HELP) Committee. Bipartisan talks around a bill to stabilize Read More
    Roundup:

    Massachusetts Medicaid MCO Awards Announced

    KanCare Waiver Granted One-Year Extension

    Florida Releases Statewide Prepaid Dental ITN

    Pennsylvania Announces Approved 2018 Exchange Rates

    CMS to Permit Exchange Rate Changes After Deadline

  • This week, our In Focus section reviews recent Medicaid enrollment trends in capitated, risk-based managed care in 27 states. Many state Medicaid agencies elect to post monthly enrollment figures by health plan for their Medicaid managed care population to Read More
    Roundup:

    Drug Pricing Measures Become Law in California

    Florida Hospitals Face $1 Billion in Medicaid Cuts Under Proposed Budget

    New Jersey Governor Signs Medicaid Reimbursement Bill for Personal Care Services

    Oklahoma to Reduce Medicaid Provider Rates

    Pennsylvania Court Denies United MLTSS Award Protest

    MedPAC Calls for Repeal and Replace of Merit-Based Incentive Payment System (MIPS)

  • This week, our In Focus section highlights an article, Digitally Driven Integrated Primary Care and Behavioral Health: How Technology Can Expand Access to Effective Treatment, published in the Current Psychiatry Report, co-authored by HMA Principals Lori Raney, MD, and Read More
    Roundup:

    Delaware Medicaid Managed Care Awards Announced

    Hawaii Submits 1115 Medicaid Waiver for Housing Services

    Massachusetts Waiver Proposes Moving Adults Off Medicaid, Limited Access to LTSS, Drugs

    Medicaid Expansion Saves Montana $30 Million

    North Shore LIJ to End MLTC Plan Operations

    Oklahoma Withdraws 1332 Innovation Waiver for Reinsurance Program

    Texas IDD Managed Care Pilot Canceled

    House, Senate Committees Move to Advance CHIP Bill

  • This week, our In Focus section reviews the Medicaid managed care procurement landscape for 2017, including those requests for proposals (RFPs) and other procurement vehicles that were awarded, are currently out to bid, or are expected to be released before Read More
    Roundup:

    LA County Health Director Katz Joins NYC Health + Hospitals

    Florida Governor Proposes Funding to Combat Opioid Abuse

    Illinois' CountyCare to Acquire Medicaid Members from FHN

    Illinois Awards NextLevel Medicaid MCO Contract for Cook Co.

    Ohio Medicaid Proposes Hospital Reimbursement Cuts

    Graham-Cassidy ACA Repeal-Replace Bill Pulled

    Trump Admin to Shut Down Healthcare.gov on Sundays

  • This week, our In Focus section reviews the bill put forward last week by Senators Lindsey Graham (R-SC) and Bill Cassidy (R-LA) to repeal and replace the Affordable Care Act (ACA). General consensus, the HMA Roundup included, viewed ACA repeal-and-replace Read More
    Roundup:

    D.C. Wins Ruling in Suit Filed by Nursing Home Residents Over HCBS

    Iowa Considering Managed Care Exemption for Individuals with Serious Disabilities

    New Jersey Governor Allocates $200M for SUD Initiatives

    New York Blames Correctional Health Company for Death of Three Inmates

    Pennsylvania Delays More Than $1B in Medicaid Payments

    Texas Draft STAR+PLUS RFP Released

    Graham-Cassidy Bill Gains Momentum, Vote Set for Next Week

  • This week, our In Focus section provides a recap of the second annual HMA Conference, The Future of Medicaid is Here: Implications for Payers, Providers, and States, held this Monday, September 11, and Tuesday, September 12, in Chicago, Illinois. More Read More
    Roundup:

    MassHealth Submits 1115 Waiver Renewal to CMS

    Montana Legislative Committee Blocks Medicaid Cut

    New Jersey Requests Applications to Expand PACE

    New York May Have Made $1.4B in Improper MLTC Payments

    Ohio Releases Medicaid Managed Care Report Card

    Pennsylvania Provides Update on MCO Award Challenge

    Senate HELP Committee Holds Hearings on Health Reform

    Senate Finance Agrees on Five-Year CHIP Reauthorization

    MACPAC Set to Meet Thursday-Friday, September 14-15

  • This week, our In Focus section reviews the request for proposals (RFP) released by the New Mexico Human Services Department (HSD) to reprocure contracts for the state’s Medicaid managed care program in its second phase, Centennial Care 2.0. Centennial Care Read More
    Roundup:

    Oregon Medicaid Audit Finds 55,000 Individuals Ineligible

    New York Drug Spending Exceeds Cap, Triggering Supplemental Rebate Provisions

    New Jersey Appropriates Funding Towards End-Of-Life Initiatives

    Governors Offer Bipartisan Blue Print to Stabilize Exchange

    Funding for ACA Exchange Enrollment Outreach Significantly Decreased

  • This week, our In Focus section reviews a report published by HMA on August 23, 2017, “Impacts of Imposing the ACA’s Health Insurance Tax on Medicaid Plans.” The report, authored by HMA Senior Fellow Jack Meyer, PhD, and Senior Consultant Read More
    Roundup:

    Alabama MLTSS RFP Delayed

    Georgia DCH Names Fulenwider Medicaid Director

    MassHealth Selects ACOs, Community Partners

    CareConnect Leaves New York Marketplace

    Texas Medicaid Proposes 10 Percent Provider Rate Cut

  • 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 “May 2017 Medicaid and CHIP Application, Eligibility Determination, Read More
    Roundup:

    Illinois General Assembly Passes Bill that Could Require Managed Care Rebid

    New York Announces 2018 Exchange Rates

    Ohio Medicaid MLTSS Plans on Hold

    Pennsylvania Governor Appoints Miller as Acting DHS Secretary

    HHS Delays Planned Changes to 340B Program

    Senate HELP Committee to Hear from Governors, Insurance Commissioners After Labor Day

  • This week, our In Focus section is taking a brief summer vacation. Below, we provide our regular HMA Roundups, Industry News, RFP and Duals Calendars, and HMA News sections. We also want to take a moment to remind our readers Read More
    Roundup:

    Illinois Announces Medicaid Managed Care Awards

    Georgia Medicaid Director, Deputy Director Step Down

    Montana to End Medicaid Expansion TPA Contract

    Nebraska Releases Final Medicaid LTSS Redesign Plans

    CBO Releases Score of Exchange CSR Impact