Arizona Releases Competitive Contract Expansion (CCE) RFP

September 6, 2024August 19, 2021 by Kristin Allen

This week, our In Focus section reviews the Arizona Health Care Cost Containment System (AHCCCS) Competitive Contract Expansion (CCE) request for proposals (RFP), released on August 4, 2021. The procurement will expand the current AHCCCS Complete Care (ACC) Medicaid contracts to include responsibilities as an ACC Contractor (health plan) with a Regional Behavioral Health Agreement … Read More

Tara Kelly

Tara Kelly is an experienced project manager and public health researcher with experience working in the areas of behavioral health, substance use disorders, clinical trials, COVID-19 outcomes research, and humanitarian health. Prior to joining HMA, Tara worked as a senior project and portfolio manager with the University of Massachusetts Chan Medical School’s Commonwealth Medicine Project … Read More

Highlights from HMA survey on state approaches to managing the Medicaid pharmacy benefit

September 12, 2024September 12, 2024 by Jackie Debusschere

This week’s In Focus covers key takeaways and insights from a recently released HMA report, State Approaches to Managing the Medicaid Pharmacy Benefit: Insights from a National Survey for State Fiscal Years 2023 and 2024. The report, released in August 2024 with support from Arnold Ventures, includes survey responses from 47 states (including DC) for … Read More

May 1, 2024

In Focus: Medicaid Unwinding Check-in: Data Informed Observations to Guide Future ActionAlabama Legislators Hear from Arkansas, North Carolina Officials on Medicaid ExpansionArkansas Cancels Medicaid Dental Services Procurement; Fails to Reach Agreement with BiddersCalifornia to Adopt Health Care Spending Limit Beginning 2025Colorado Extends Medicaid Eligibility for Beneficiaries Living with DisabilitiesConnecticut House Passes Bill Aimed at Improving Elder Health Care SystemIllinois CBOs to Receive More than $5 Million in Funding for Maternal, Infant HealthcareKansas to Implement Supplemental Waiver to Shorten IDD, Physical Disability Waiver WaitlistsMississippi Medicaid Expansion Bill Heads to House, Senate for VoteOregon Medicaid Program Offers Equipment to Protect Beneficiaries Against Climate ChangeCMS, NCQA Grant Two Week Extension for Insurers to Submit Star Quality DataFTC Finalizes Rule to Prevent Digital Health Apps from Releasing Sensitive Medical DataCVS to Acquire Medicare Advantage Broker Hella HealthMore News Here

July 10, 2024

In Focus: CMS Invites States to Apply for Transforming Maternal Health ModelCalifornia SBHIP Participants See Positive OutcomesFlorida Final Actions Against Medicaid Managed Care Plans Total $33.2 Million Kansas Denies Aetna, CareSource Protests Over KanCare AwardsNorth Dakota Awards Medicaid Enterprise Systems Integrator Contract to LeidosOregon Releases State-Based Insurance Marketplace Solution RFPSouth Carolina Governor Vetoes Study Committee to Examine Medicaid ExpansionUtah Submits Section 1115 Medicaid Demonstration Amendment RequestCMS Proposes CY 2025 Medicare Hospital OPPS/ASC Rule Addressing Health Disparities, Maternal HealthCMS Launches Making Care Primary Model Across Eight StatesCMS Launches Medicare Dementia Care ModelU.S. Paid $50 Billion for Medicare Advantage UpcodingFTC to Sue PBMs after Report Finds Affiliate Pharmacies Received 200 Times More for Common Cancer DrugsMore News Here

Jay Reiser

Jay Reiser is a healthcare executive with extensive experience driving growth and operational excellence across Medicare, Medicaid, and ACA programs. Known for delivering innovative, data-driven solutions, he specializes in product development and value-based care strategies that enhance outcomes and reduce costs. Prior to joining HMA, Jay held executive management roles at Centene, where he spearheaded … Read More

HMA helps expand and support FQHCs across the country

FQHCs partner with HMA for expert guidance in strategic planning, board development, finance and operations, clinical improvement, understanding federal and state policy, advancing health equity, grant writing, community health needs assessment, expanding practice scopes, and executive coaching. HMA’s consultants bring extensive real-world and leadership experience and expertise working with FQHCs prior to joining HMA, offering … Read More

Paul Fleissner

Working to integrate services across systems and communities, Paul Fleissner is a seasoned executive who has developed programs and policies aimed at creating pathways out of poverty for families, building healthier communities, addressing behavioral health needs, and serving vulnerable populations. Before joining HMA, he served as behavioral health director with the Minnesota Department of Human … Read More

Charles Robbins

Charles Robbins has been transforming communities for the past three decades. His extensive community-based organization career spans healthcare, child welfare, housing and homelessness, mental health, suicide prevention, harm reduction, and substance use disorder, with a forte in advocacy, strategic planning, organizational development, leadership development, and capacity building. At HMA, Charles facilitated strategic planning processes for … Read More

Virginia JLARC Issues Report on Medicaid Spending Management

May 17, 2022December 15, 2016 by Health Management Associates

This week, our In Focus section comes to us from HMA Principal Barbara Markham Smith, JD, of our Washington, DC office. On December 12, 2016, Virginia’s Joint Legislative Audit and Review Commission (JLARC), the audit arm of the General Assembly, issued findings from its two-year review of the Department of Medical Assistance Service’s (DMAS’s) management … Read More

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