This week, our In Focus reviews the Louisiana Medicaid managed care organizations (MCOs) request for proposals (RFP), released by the Louisiana Department of Health (LDH) on February 25, 2019. Selected MCOs will manage health care services for more than 1.5 million Medicaid enrollees statewide, starting January 2020.
358 Results found.
This week, our In Focus reviews requests for proposals (RFPs) for Minnesota’s Medicaid managed care programs: 1. Families and Children Medical Assistance and MinnesotaCare; 2. Minnesota Senior Care Plus (MSC+)/Minnesota Senior Health Options (MSHO). The two RFPs were released by the Minnesota Department of Human Services on February 25, 2019, with implementation scheduled to begin on January 1, 2020 for all programs.
Medicaid was designed to serve low-income and vulnerable individuals, but it operates differently in the U.S. territories than it does in the states. While the federal share varies based on per capita income for each state, federal funding for Medicaid in the territories is subject to a statutory cap and a fixed federal matching rate. Following recent hurricanes, typhoons and the North Korean missile crisis, which have damaged infrastructure and limited tourism, the fiscal issues for territories have been exacerbated. This is in addition to the larger share of people living in poverty that are in fair or poor health in the territories.
In a recently published issue brief, Kaiser Family Foundation’s Program on Medicaid and the Uninsured Policy Analyst Cornelia Hall and Associate Director Robin Rudowitz, along with HMA Principal Kathy Gifford, surveyed and interviewed territory Medicaid officials to identify the key issues and trends in the programs for the territories.
Key findings include:
- The reliance on Affordable Care Act funds for Medicaid programs, which are set to expire in September.
- Enrollment increases due to recent hurricanes.
- Benefits and delivery systems differ in the territories.
- Provider shortages.
View below for the full issue brief.
This week, our In Focus summarizes the findings of an HMA Information Services (HMAIS) analysis of Medicaid managed care rates in 2018 versus 2017. The analysis represents HMAIS’ first attempt at what will be an annual tracking of Medicaid managed care rate increases, which we will expand upon and refine over time with input from our readers and the Medicaid community. Complete results, including spreadsheets showing underlying analysis, will be made available to HMAIS subscribers. For information on how to subscribe, contact Carl Mercurio.
This week, our In Focus reviews the Massachusetts One Care Dual Demonstration 2.0 request for responses (RFR), released by the Massachusetts Executive Office of Health and Human Services (EOHHS). One Care will cover Medicare and Medicaid dual eligible adults with disabilities ages 21 through 64 and includes medical, behavioral, Long-term Services and Supports (LTSS), community supports, and care management services statewide.
This webinar was held on February 20, 2019.
Who would have guessed that there would be an increase in the number of Medicaid expansion states during the Trump administration? In fact, five states have agreed to expand Medicaid since 2016, bringing to 37 the total number of states expanding under the Affordable Care Act. Several of the remaining holdouts are considering expansion as well. The continued interest has been driven by several factors, and the remaining states are rethinking expansion because the Trump administration has afforded leeway to shape expansion programs through work requirements and other variations and innovations.
During this webinar, HMA experts provided an overview of the Medicaid expansion market and looked at which of the remaining states are most likely to pursue expansion and why. Presenters also addressed some of the important program variations states are most likely to consider when shaping expansion benefits.
- Find out which remaining states are most likely to expand Medicaid and which ones are most likely to hold the line and remain non-expansion.
- Get an overview of Medicaid expansion innovations, including an understanding of how each variation potentially impacts enrollment and costs.
- Understand the economics of expansion, including a look at the budget implications of expanding Medicaid and remaining non-expansion.
- Understand the operational implications and considerations for states and health plans implementing alternative expansion models.
- Learn what the remaining opportunity is for Medicaid managed care plans in states that still haven’t expanded Medicaid.
- Matt Powers, Principal, HMA (Chicago)
- Jason Silva, Senior Consultant (Sacramento)
- Lora Saunders, Senior Consultant (Tallahassee)
Who Should Listen
State Medicaid officials and staff; executives of Medicaid managed care plans; and providers, including clinical and administrative leadership of health systems.
This week we are providing a brief recap of our January 8th webinar Evolving Integrated Managed Care Models for Medicare-Medicaid Dual Eligible Beneficiaries: Key Considerations for Health Plans presented by Principals Sarah Barth, JD and Ellen Breslin, MPP.
HMA New York colleagues Heidi Arthur and Annalisa Baker played a pivotal role in launching a forum for the Brooklyn Perinatal Network on Jan. 11.
The forum, entitled, “A Community Response to Addressing Maternal Morbidity and Mortality,” was a collaboration between a network of community-based organizations (CBOs) making up the Brooklyn Coalition for the Health Equity for Women and Families Coalition Leadership Team.
This week, our In Focus reviews the Oregon Health Plan’s Coordinated Care Organizations (CCO) 2.0 request for applications (RFA), released by the Oregon Health Authority (OHA) on January 25, 2019. Under CCO 2.0, the CCOs will provide full-risk coordinated care for approximately 840,000 Medicaid members.
This week, our In Focus section reviews recent Medicaid enrollment trends in capitated, risk-based managed care in 29 states. 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 29 states highlighted in this review have released monthly Medicaid managed care enrollment data into the fourth quarter (Q4) of 2018. This report reflects the most recent data posted. HMA has made the following observations related to the enrollment data shown on Table 1 (below):