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January 3, 2024

Discover the Challenges and Opportunities Associated with Implementing Value-Based Care at the HMA Spring 2024 Workshop Alabama Releases Coordinated Health Network RFPArkansas Releases Medicaid Third Party Liability RFPCalifornia Expands Medicaid Coverage to 700,000 Undocumented ImmigrantsCA Medi-Cal Looks to Improve Doula Benefit UtilizationFlorida Legislators Propose Medicaid Buy-in Program for Individuals with DisabilitiesIllinois Approves Applications to Expand Access to Dementia Care Through the Supportive Living ProgramMontana Medicaid Seeks to Provide Housing Support ServicesNebraska Medicaid Proposes Dental Coverage, Reimbursement ChangesMedicaid Redetermination Updates: Oklahoma, Utah Utah CHIP to Cover Non-citizen ChildrenMedicaid, CHIP Enrollment Drops 1.6 Million in September 2023, CMS Reports Cigna to Sell Medicare Advantage Business to Health Care Services CorporationMolina Healthcare Acquires Bright Healthcare’s CA Medicare BusinessThe Ensign Group Acquires Two Skilled Nursing Facilities

CMS Inpatient Hospital Proposed Rule to Repeal Market-based MS-DRG Weight Methodology

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This week, our In Focus section reviews the key provisions of the Centers for Medicare & Medicaid (CMS) Fiscal Year (FY) 2022 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Acute Care Hospital (LTCH) Proposed Rule (CMS-1752-P), which includes Medicare payment updates and policy changes for the upcoming FY, with a comment deadline of … Read More

Medicaid Managed Care Spending in 2018

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This week, our In Focus section reviews Medicaid spending data collected in the annual CMS-64 Medicaid expenditure report. After submitting a Freedom of Information Act request to Centers for Medicare & Medicaid Services (CMS), we have received a draft version of the CMS-64 report that is based on preliminary estimates of Medicaid spending by state … Read More

Medicaid managed care spending tops $420 billion in 2021

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This week, our In Focus section reviews preliminary 2021 Medicaid spending data collected in the annual CMS-64 Medicaid expenditure report. After submitting a Freedom of Information Act request to the Centers for Medicare & Medicaid Services (CMS), HMA received a draft version of the CMS-64 report that is based on preliminary estimates of Medicaid spending … Read More

California first in nation to receive federal approval for justice-involved reentry demonstration initiative

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This week, our In Focus section reviews the California amendment to the Section 1115 Waiver Demonstration titled, “California Advancing and Innovating Medi-Cal (CalAIM),” approved by the Centers for Medicare & Medicaid Services (CMS) on January 26, 2023. The amendment will provide targeted Medi-Cal services to individuals in state prisons, county jails, and youth correctional facilities … Read More

CMS plans to improve incentives for Medicare providers in accountable care arrangements

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This week, our In Focus section is the second in a summer series of analysis and insights from Health Management Associates (HMA) on recent Medicare payment and policy developments. This week we dig deeper into the potential changes to the Medicare Shared Savings Program (MSSP) that were included in the 2024 Medicare Physician Fee Schedule proposed rule released earlier this month. … Read More

CMS finalizes mix of reimbursement reductions and increases in 2024 hospital inpatient final rule

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This week, our In Focus section continues analysis and insights from Health Management Associates (HMA) and its affiliate The Moran Company on recent Medicare payment and policy developments. Today, we review the policy changes that the Centers for Medicare & Medicaid Services (CMS) released August 1, 2023, for the fiscal year (FY) 2024 Medicare Hospital Inpatient Prospective … Read More