In Focus: CMS Proposes Major Changes to Medicare Advantage and Part D for 2026California Establishes 15 Percent Primary Care Spending Target by 2034Florida Medicaid Managed Care Contracts Worth $143 Billion Over Six YearsGeorgia Awards Medicaid Managed Care Contracts to Four PlansMaryland Submits Section 1115 Demonstration Amendment for Housing Support ServicesMichigan Re-Awards Same Plans for MI Coordinated Health HIDE SNPWashington Releases TPA for Medicaid Reentry Services RFPWakely Releases Analysis of Potential Election Impacts on the Individual MarketCMS Revises Centene, UnitedHealth Medicare Advantage Star RatingsUnitedHealthcare CEO Brian Thompson Fatally Shot Ahead of Investor MeetingMore News Here
In Focus: CMS Stays the Course with Proposed Payment Updates for Medicare Advantage and Part D Services in 2026Iowa to Seek Medicaid Work Requirements DemonstrationMaryland Receives Approval for Section 1115 Demonstration Reentry Services AmendmentMichigan Issues Competitive Grant Funding Opportunity for Statewide Crisis Intervention ServicesNew York Governor to Prioritize Mental Health, Prescription Drug CostsUtah Receives Federal Approval for Section 1115 Medicaid Demonstration Amendment for HRSN, Expanded DentalCMS Issues CY 2026 Marketplace Benefit, Payment Parameters Final RuleCMS Awards Planning Grants to Address Care Continuity for Justice-involved IndividualsUnited, Amedisys Request Judge Throw Out Antitrust Lawsuit, End Divestment Deal with VitalCaring GroupMore News Here
In Focus: Medicaid Managed Care Profitability: Navigating Margin Pressures and Regulatory Shifts in 2024HMA Conference: Strategies and Reforms Shaping Medicare’s FutureFormer Senior FDA Leader Julie Tierney Joins Leavitt PartnersArizona Joins Multi-State ArrayRx Consortium to Lower Prescription Drug CostsColorado HCPF Director Pledges to Mitigate Medicaid Cuts, Limit Coverage Loss Under H.R.1Indiana Projects Medicaid Cost Surge, Adopts Cost-Saving ActionsMinnesota Releases Medicaid Provisions, Impacts from H.R. 1North Carolina Stopgap Budget Leaves Medicaid $319M Short, Cuts Loom Oregon Delays Medicaid Reentry Program Due to H.R.1MACPAC Releases Issue Brief on Medicaid FinancingTen Million Could Lose Coverage Under H.R.1 by 2034, CBO Forecasts
In Focus: New Insights on Medicaid Spending: HMA Analysis of Disaggregated Medicaid Managed Care SpendingIn Focus: Navigating CMS’s 2025 Marketplace Rule: What It Means for ACA Marketplaces, Insurers, and Consumers California Requests Supplemental $2.8 Billion for Medi-Cal Amid Budget ShortfallIndiana House Committee Advances Medicaid Work Requirement Bill Without HIP Enrollment CapKentucky Legislature Passes Medicaid Work Requirements BillOregon Legislature Passes Medicaid MCO, Hospital Tax Extension BillMedicare Advantage 2025 Costs to Exceed Fee-for-Service by $84 Billion, MedPAC FindsHCSC Completes $3.3 Billion Acquisition of Cigna’s Medicare Advantage BusinessMore News Here
In Focus: A Closer Look at Gubernatorial Healthcare Priorities: 2025 State of the State Address OverviewAmanda Maynord Becomes CEO of Lovell CommunicationsFlorida Receives Federal Approval for MMA Section 1115 Demonstration Behavioral Health, Housing Pilot AmendmentMinnesota Submits New Section 1115 Demonstration Request to Provide Reentry ServicesRhode Island Cancels New $15.5 Billion Medicaid Contract AwardsWisconsin Releases Medicaid Managed LTC RFP for GSR 2, 7Senate Finance Committee Approves Robert F. Kennedy Jr. to Lead HHSMolina Acquires ConnectiCareMore News Here
In Focus: Rhode Island Releases Medicaid Managed Care Program RFPElizabeth Mitchell to Keynote HMA’s Spring Workshop on Value-based Care March 5-6 in ChicagoAlabama Releases Medicaid Enterprise System Provider Management Services RFPArizona Receives 3 Protests Against Medicaid ALTCS AwardsCalifornia Medi-Cal MCO Tax Receives Federal ApprovalFlorida Announces List of Bidders for Statewide Medicaid Prepaid Dental Program ITNIllinois to Release Medicaid Managed Care RFP in Spring 2024Iowa Lawmaker Files Bill to Extend Postpartum Medicaid Coverage to 12 MonthsKansas Announces List of Bidders for Medicaid Managed Care RFPMissouri Lawmakers to Consider Medicaid Provider Tax RenewalNebraska Lawmakers File Bill to Increase Medicaid Hospital Payment RatesNew York Receives Federal Approval for Medicaid Section 1115 Waiver Amendment to Support Health Equity, Health-related Social NeedsOregon Medicaid CCOs to Invest $25 Million to Support Youth Behavioral Health ProjectsWashington Behavioral Health-related Outcomes Remain Similar Between Integrated, Carve-out Models, Study FindsWest Virginia Medicaid Beneficiaries Face Barriers to Dental Care Access, Stakeholder Analysis FindsCMS Releases ARPA State Spending Plan SummariesHealth Insurance Marketplace Enrollment Exceeds 20 Million for 2024CVS Invests in WellBe Senior MedicalElevance Sues CMS Over Medicare Advantage Star Ratings SystemCMS to Terminate Medicare Advantage Plans in Arizona, North Carolina
In Focus: 50-State Medicaid Budget Survey Examines FY 2025 Policy Landscape California Voters Approve Ballot Measure to Redirect MCO Tax Revenue to Medicaid ProgramFlorida Names Brian Meyer Medicaid DirectorMinnesota to Release RFP for Prepaid Medical Assistance Program/MinnesotaCare in 2026, Special Needs BasicCare Program in 2027New York Submits 1115 MRT Demonstration Amendment for MBI-WPD, CPT ProgramOhio Releases Next Generation MyCare Program AwardsOklahoma to Submit Medicaid SPA for Community Health ServicesSouth Dakota Voters Approve Medicaid Expansion Work Requirements ConsiderationTexas to Delay Medicaid STAR, CHIP Contracts Until Summer 2025CMS Issues 2025 Outpatient Hospital Final RuleCMS Finalizes CY2025 Medicare Physician Fee Schedule, Home Health and ESRD Payment UpdatesWakely Releases Analysis of Acuity Changes During Medicaid UnwindingElevance Sues CMS Over 2025 Medicare Advantage Star RatingsPharmaceutical Companies Seek to Reopen Lawsuits Over Medicare Drug Price Negotiation ProgramMore News Here
In Focus: Cut to the Point: A Summary of 2024 Star Rating Cut Point ChangesArizona to Release Medicaid PBM RFP ‘in the Coming Weeks’Medicaid Eligibility Redeterminations News: Arizona, Florida, Georgia, Mississippi, North Carolina, Texas, WyomingFlorida Launches Dental Provider Incentive Program Minnesota Eliminates Parental Fees for Medicaid Coverage of Children With Disabilities Nevada Governor Proposes Exchange Reinsurance in ‘Revision’ to Public Option LawNew York Medicaid Spending Exceed Expectations, Report FindsNorth Carolina Receives Final Federal Approval for Medicaid ExpansionOregon Announces 3.4 Percent Increase in 2024 Capitation Rates for Medicaid Coordinated Care OrganizationsOregon Releases RFP to Expand PACE ServicesLong-term Services, Supports Spending Falls as Percentage of Total Medicaid Expenditures, CMS ReportsState Medicaid Programs Disenroll 8.8 Million Beneficiaries During First 6 Months of Redeterminations, KFF FindsAlignment Health, Walgreens to Jointly Market Medicare Advantage Plans in 2024
In Focus: New Hampshire Releases Medicaid Managed Care RFPRedeterminations News: Arizona, Arkansas, Idaho, West VirginiaCalifornia Medicaid Director Jacey Cooper Is Leaving to Join CMSDistrict of Columbia Receives Approval for Community-Based Mobile Crisis Services SPAFlorida Renews Medicaid Utilization Management Contract with Acentra HealthHawaii Receives $4 Million Project LAUNCH Federal Grant to Improve Children’s Behavioral Health Michigan Expects Medicaid Community Health Worker Benefit to Impact 50,000 Residents If Approved BCBS-NC Names Angela Boykin CEO of Medicaid Plan Oregon to Seek Federal Approval for Basic Health Plan Pennsylvania to Review Rates for Providers Serving Individuals with Intellectual Disabilities, Autism CMS to Lower Cost of 34 Prescription Drugs Beginning October 1 Walmart May Buy Majority Stake in ChenMed
