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How will CMS’s proposed rule shift standards for Medicaid enrollee access to services?

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This week’s In Focus is the second in a two-part look at the Centers for Medicare & Medicaid Services’ (CMS’s) recently proposed changes to the Medicaid program. Last week we covered CMS’s proposed changes to the federal Medicaid managed care regulations (CMS-2439-P). This week we review the Medicaid Access to Care proposed rule (CMS-2442-P). As we discussed last week, the managed care and … Read More

Medicaid managed care enrollment update – Q4 2022

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This week, our In Focus section reviews recent Medicaid enrollment trends in capitated, risk-based managed care in 32 states.[1] Many state Medicaid agencies post monthly enrollment figures by health plan for their Medicaid managed care population to their websites. This data allows for the timeliest analysis of enrollment trends across states and managed care organizations. All 32 states … Read More

Medicaid Managed Care Enrollment Update – Q2 2021

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This week, our In Focus section reviews recent Medicaid enrollment trends in capitated, risk-based managed care in 33 states.[1] Many state Medicaid agencies post monthly enrollment figures by health plan for their Medicaid managed care population to their websites. This data allows for the timeliest analysis of enrollment trends across states and managed care organizations. … Read More

May 25, 2022

In Focus: Behavioral Health Crises Drive Bipartisan Action in Congress Kansas to Delay Reprocurement of Medicaid Contracts After Legislature Overrides Veto North Carolina Senate Republicans to Propose Medicaid Expansion Oklahoma Legislature Approves Move to Medicaid Managed Care Rhode Island Governor Proposes MMIS Modernization Project in Fiscal 2023 Budget Virginia Director of the Department of Medical Assistance Services Steps Down Washington Appoints Charissa Fotinos as Medicaid DirectorWest Virginia Lawmakers Evaluate DHHR Ahead of Possible ReorganizationU.S. Senators Introduce Bipartisan Legislation to Integrate Care for Dual Eligibles Enhanced Healthcare Partners Invests in Howard J. Chudler & Associates

Medicaid Managed Care Enrollment Update – Q4 2020

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This week, our In Focus section reviews recent Medicaid enrollment trends in capitated, risk-based managed care in 33 states.[1] Many state Medicaid agencies post monthly enrollment figures by health plan for their Medicaid managed care population to their websites. This data allows for the timeliest analysis of enrollment trends across states and managed care organizations. … Read More

Virginia JLARC Issues Report on Medicaid Spending Management

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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

HMA Conference to Feature Insights from 40+ Speakers, Including Health Plan CEOs, State Medicaid Directors, Providers

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Pre-Conference Workshop: September 8, 2019 Conference: September 9-10, 2019 Location: Chicago Marriott Downtown Magnificent Mile Health Management Associates is proud to announce its fourth annual conference on trends in publicly sponsored health care: The Next Wave of Medicaid Growth and Opportunity: How Payers, Providers, and States Are Positioning Themselves for Success. The HMA conference has … Read More

Medicaid Managed Care Enrollment Update – Q3 2017

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This week, our In Focus section reviews recent Medicaid enrollment trends in capitated, risk-based managed care in 27 states.[1] Many state Medicaid agencies elect to post monthly enrollment figures by health plan for their Medicaid managed care population to their websites. This data allows for the timeliest analysis of enrollment trends across states and managed … Read More