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Lee Fleisher of CMS to keynote HMA national quality conference

Join us on Monday, March 6, 2023, at the Fairmont Chicago, Millennium Park, for “Healthcare Quality Conference: A Deep Dive on What’s Next for Providers, Payers, and Policymakers,” where Lee Fleisher, MD, chief medical officer and director of CMS’ Center for Clinical Standards and Quality, will deliver the keynote titled A Vision for Healthcare Quality: … Read More

HMA Experts Examine Medicare-Medicaid Integration

In 2019, 7.7 million people in the United States were eligible to receive access to full benefits under Medicare and individual state Medicaid programs. This group of people is known as the Full Benefit Dual Eligible (FBDE) population. While FBDE enrollment in integrated programs nearly quadrupled over the past five years, the number of people … Read More

Majority Of Full Benefit Dual Eligibiles Are Not Enrolled In Integrated Program

This week, our In Focus section reviews an issue brief written by HMA consultants examining Medicare-Medicaid integration. In 2019, 7.7 million people in the United States were eligible to receive access to full benefits under Medicare and individual state Medicaid programs. This group of people is known as the Full Benefit Dual Eligible (FBDE) population. While … Read More

Medicaid Managed Care Spending in 2016

This week, Andrew Fairgrieve and Greg Nersessian reviewed Medicaid spending data collected in the annual CMS-64 Medicaid expenditure report. In federal fiscal year (FFY) 2016, Medicaid expenditures across all 50 states and 6 territories exceeded $548 billion, with nearly half of all spending now flowing through Medicaid managed care programs.

HMA Summary of Medicare Fee-For-Service (FFS) Proposed Rules

This week, our In Focus section reviews two Medicare fee-for-service (FFS) proposed rules recently issued by the Centers for Medicare & Medicaid Services (CMS). On August 3, 2020, CMS released a proposed rule that includes updates to services furnished under the Medicare Physician Fee Schedule (PFS). On August 4, CMS released the Hospital Outpatient Prospective … Read More

May 1, 2019

California Dual Eligibles Program Is Extended Through 2022
Florida Legislature Approves Bill to Import Prescription Drugs from Canada
Missouri Medicaid Enrollment Falls by 70,000 in 2018 Partly from Renewal Processing Errors
Nebraska Senate Advances Bill To Delay Transition of Long-Term Care, HCBS Beneficiaries to Managed Care
Texas House Committee Passes Bill Requiring Independent Review of Medicaid Managed Care Denials
Washington Legislature Passes Public Option Exchange Plan