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  • 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 among Medicaid and other DHS program participants.

    Roundup:

    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 Affordable Care Act. Including the states where Medicaid expansion ballot initiatives passed, 37 states have chosen Medicaid expansion or are moving toward Medicaid expansion.

    Roundup:

    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, and Enrollment Report,” published on November 30, 2018. Additionally, we review 2018 Exchange enrollment data from the “Health Insurance Marketplaces 2018 Open Enrollment Period: Final State-Level Public Use File,” published by CMS on April 3, 2018. Combined, these reports present a picture of Medicaid and Exchange enrollment in 2018, representing 73 million Medicaid and CHIP enrollees and nearly 12 million Exchange enrollees.

    Roundup:

    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

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