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  • This week, our In Focus section comes from Ellen Breslin in our Boston office who provides an overview of MassHealth’s Duals Demonstration 2.0 (“Duals Demo 2.0”) proposal to the Centers for Medicare and Medicaid Services (CMS) which is designed to “grow and sustain One Care and Senior Care Options (SCO) while encouraging innovation and care delivery improvement.” MassHealth currently provides coverage to about 310,000 dually-eligible individuals. Combined, MassHealth and Medicare spend more than $9 billion annually with costs nearly evenly split across the two payers.

    Roundup:

    Florida Awards Additional Medicaid Managed Care Contracts Following Protests

    Maine Judge Orders Governor LePage to Submit Medicaid Expansion Plan

    New Jersey Provides Update on Fiscal Intermediary Transition

    New York Director of the Division of Long Term Care Resigns

    New York Attorney General Approves Centene Acquisition of Fidelis Care

    Conservatives Release New Proposal for ACA Repeal, Replace

    SAMHSA to Award $930 Million in State Opioid Treatment Grants

  • This week, our In Focus section highlights HMA Medicaid Market Solutions’ (MMS) efforts to support state flexibility in designing and implementing Section 1115 Demonstration Waivers promoting member engagement and personal responsibility. Over the coming weeks, HMA MMS will present a series of articles providing in-depth analyses of the many facets of these new Medicaid models. This week, we look at Alternative Benefit Plan (ABP) options available to states for the Medicaid expansion population.

    Roundup:

    Florida Announces Additional Medicaid Managed Care Awards

    Arkansas Medicaid Director Resigns

    Maine Appeals Medicaid Expansion Court Order

    Mississippi Releases CHIP Managed Care RFQ

    New Hampshire Awards Centene Correctional Healthcare Contract

    Virginia Governor Signs Budget Expanding Medicaid

    CMS Releases Guidance on Combating Opioid Epidemic

    GAO Urges CMS to Address Risk of Overpayments to Medicaid Managed Care Plans

  • Health Management Associates is proud to announce its third annual conference on trends in publicly sponsored health care: The Rapidly Changing World of Medicaid: Opportunities and Pitfalls for Payers, Providers and States.

    Roundup:

    Judge Orders Maine Governor to Implement Medicaid Expansion

    Arkansas Launches Medicaid Work Requirements

    Florida Announces Additional Awards for Statewide Medicaid Managed Care Procurement

    New Jersey Passes Individual Health Insurance Mandate

    Alaska Announces Coordinate Care Demo Awards

    CMS Releases Medicaid, CHIP Quality Scorecard

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