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Quarterly Medicaid Managed Care Enrollment Update – Q1 2017

This week, we reviewed recent Medicaid enrollment trends in capitated, risk-based managed care in 25 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 care organizations. Nearly all 25 states have released monthly Medicaid managed care enrollment data through the first quarter (Q1) of 2017. This report reflects the most recent data posted.

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Alabama, Ohio Provide Details on Medicaid MLTSS Program Designs

This week, we reviewed two proposed statewide Medicaid managed long-term services and supports (MLTSS) program designs. Alabama is currently accepting public comments on a plan to implement provider-driven Integrated Care Networks (ICNs) to provide MLTSS statewide to roughly 25,000 beneficiaries who are residing in nursing facilities or receiving home and community based services (HCBS) through three of the state’s Medicaid HCBS waiver programs. Meanwhile, Ohio Governor John Kasich proposed in his upcoming state budget to implement a statewide MLTSS program for more than 100,000 beneficiaries in the state. We review both states’ plans for MLTSS, including market sizes, implementation timing, and existing Medicaid managed care plans in the states.

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Relationship-Centered Care: Empathy and Healing

This blog post was authored by HMA clinicians
Margaret Kirkegaard, MD, MPH, and Jeffrey Ring, PhD.

Patient: I am anxious about my results, Doctor.

Doctor: Let’s take a look … Yes, you do indeed have cancer. I will refer you to the surgeon for an evaluation as fast as possible. You must have questions.

Patient: (Silent, in shock)

Doctor: OK, well hang out here for a few minutes, and our medical assistant will bring you contact information for the surgeon. We are backed up with patients today, so this may take a short while.

This brief exchange illustrates missed opportunities for healthcare clinicians to provide empathic relationship-centered care.

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Early Bird Registration Now Open for HMA’s 2017 Conference on the Future of Medicaid

Health Management Associates is pleased to announce that Early Bird Registration is now open for our second conference on Trends in Publicly Sponsored Healthcare, September 11-12, at the Renaissance Chicago Downtown Hotel. The theme of this year’s event is The Future of Medicaid is Here: Implications for Payers, Providers and States  

Featured speakers already include some of the nation’s most innovative healthcare leaders.  Visit the conference website to receive the Early Bird rate and stay up to date on the latest conference news: https://2017futureofmedicaid.healthmanagement.com/.

Read MoreEarly Bird Registration Now Open for HMA’s 2017 Conference on the Future of Medicaid