July 31, 2024

In Focus: HMA Celebrates 59th Anniversary of Medicaid and MedicareCalifornia Marketplace Health Insurance Premiums To Increase by 8 Percent in 2025Connecticut Governor Considers Transitioning Medicaid Program to Managed CareFlorida Receives Three Protests Over Medicaid Contract AwardsIllinois to Release Medicaid Managed Care Contract Opportunities in August 2024New Mexico Receives Federal Approval for Section 1115 Turquoise Care Demonstration ExtensionNorth Carolina Receives Federal Approval for Patient Medical Debt InitiativeOklahoma Plan Invests in Community Based Organizations to Improve Healthcare AccessCMS Increases Hospice Provider Medicare Reimbursement by 2.9 Percent in Fiscal 2025Biden Administration Releases Regulatory Agenda for Remainder of PresidencyAscension to Sell 9 Illinois Hospitals to Prime HealthcareCentene CEO of Markets, Medicaid to Leave in December 2024Anthem Names Joy Thomas President of Nevada Medicaid PlanMore News Here

Medicaid Managed Care Procurement Updates in DC, Massachusetts, and Texas

May 17, 2022January 6, 2017 by Health Management Associates

This week we reviewed two active Medicaid managed care procurements – in the District of Columbia and Massachusetts – and a Medicaid managed care request for information issued by Texas. On December 22, 2016, the District of Columbia issued a request for proposals (RFP) to rebid Medicaid managed care organization (MCO) contracts for the DC … Read More

Texas Budget and Health Care Legislation Summary – 2017

May 17, 2022June 8, 2017 by Health Management Associates

This week, our In Focus section comes to us from HMA Principal Dianne Longley, of our Austin, Texas, office. Dianne provides an update on and summary of the Texas Legislature’s adoption of a state fiscal year (SFY) 2018-2019 budget, as well as a review of health care legislation passed by the Legislature this session.

Highlights from HMA Conference on Future of Medicaid

May 17, 2022September 19, 2017 by Health Management Associates

Last week, our In Focus section provided a recap of the second annual HMA Conference, The Future of Medicaid is Here: Implications for Payers, Providers, and States, held Monday, September 11, and Tuesday, September 12, in Chicago, Illinois. More than 300 leading executives from health plans, providers, state and federal government, community-based organizations, and others … Read More

Roles and Responsibilities in a Value Based Payment World

May 17, 2022March 29, 2018 by Kristin Allen

This week, our In Focus section, written by HMA Principal Denise Soffel, reviews New York’s Medicaid Redesign Team Structural Roadmap: Roles and Responsibilities in a Value Based Payment World, released by the state’s Department of Health on March 19, 2018. New York is committed to the transformation of its health care delivery system. Its Delivery … Read More

Medicare COVID regulatory changes v2

Medicare COVID regulatory changes v1

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April 17, 2024

HMA News: Health Management Associates’ CEO Douglas Elwell Retiring; COO Charles (Chuck) Milligan to Lead FirmIn Focus: Medicaid Managed Care Enrollment Update—Q4 2023 In Focus: Policy and Operational Implications of the Change Healthcare Cyberattack Arkansas Awards CSG Government Solution IV&V ContractConnecticut Submits Section 1115 Substance Use Disorder Demonstration AmendmentKansas Delays KanCare, CHIP Medicaid Managed Care RFP AwardsFlorida Announces Awards for Statewide Medicaid Managed Care ProcurementMississippi Study to Test Food is Medicine Pilot ProgramNevada Proposes New Behavioral HCBS Program for ChildrenNew York Governor Announces Fiscal 2025 State Budget Agreement with LegislatureOhio MCOs Fund Community-based Programs Under NextGen ModelCMS Proposes Transforming Episode Accountability Model to Improve Care During Surgery, Recovery for Medicare BeneficiariesMedicare Telehealth Utilization Decreased in 2022; Does Not Limit Access to In-person Care, MedPAC FindsAccenture Federal Services to Acquire CognosanteElevance, Clayton, Dubilier & Rice Invest in Primary Care Access Partnership

March 6, 2024

In Focus: Medicaid Managed Care Spending in 2023Colorado Receives Feedback on Behavioral Health Administrative Service Organizations; RFP Expected Spring 2024Idaho House Committee Advances Bill to Expand Postpartum Medicaid Coverage to 12 MonthsIowa Releases Health Link Medicaid Managed Care RFP to Reprocure One Contract Maryland Faces $236 Million Medicaid Budget ShortfallMinnesota Requests Additional Five-year Extension of Substance Use Disorder Reform DemonstrationMississippi Legislature Passes Bill that Would Grant Early Medicaid Coverage for Pregnant WomenNebraska Waiver Expands HCBS to 850 Children on Developmental Disabilities RegistryNevada Holds Workshop on Medicaid Managed Care ProcurementNew York Receives Federal Approval for Section 1332 State Innovation Waiver to Expand Essential Plan EligibilityOregon CCOs to Offer Grant Funding to Support Community Organizations in HRSN DeliveryPennsylvania Releases Electronic Visit Verification Module RFPTennessee to Release Pharmacy Benefits Administrator RFP in Fourth Quarter of 2024Virginia Announces Awards for Statewide Medicaid Managed Care ProcurementBiden Administration Takes Steps to Prevent Corporate Overcharging of Consumers, Government Programs Federal Regulators Launch Investigation into Private Equity Healthcare DealsUnited Health Group Provides Temporary Funding, Pharmacy System During Cyber AttacksThe Ensign Group Acquires Skilled Nursing Facilities in Colorado, Kansas

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