This week, our In Focus section reviews the District of Columbia (DC) Medicaid managed care request for proposals (RFP), released on November 19, 2021, by the District of Columbia Department of Health Care Finance. The procurement will cover DC Healthy Families Program (DCHFP), including adults with special health care needs; District of Columbia Healthcare Alliance Program (Alliance); and Immigrant Children’s Program (ICP). DC expects to award contracts to up to three managed care organizations (MCOs), covering physical, behavioral health, and pharmacy services. Contract approval is expected by June 2022 and implementation in October 2022.
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Missouri Releases Medicaid Managed Care RFP
This week our In Focus reviews the Missouri MO HealthNet (MHD) Medicaid Managed Care Program request for proposals (RFP), released on November 19, 2021, by the Department of Social Services (DSS). The MHD managed care program serves about 850,000 Medicaid and Children’s Health Insurance Program (CHIP) members including the state’s newly implemented Medicaid expansion population, across all regions of Missouri. Missouri’s General Plan managed care program covers TANF, CHIP, expansion and similar eligibility groups but does not include individuals with disabilities or those over age 65. The RFP also contains a separate section for a single, statewide Specialty Plan for foster children and children receiving adoption subsidy assistance. Managed care organizations must bid on and win a General Plan contract in order to be eligible for the Specialty Plan contract.
Rhode Island releases Medicaid managed care RFQ
This week our In Focus reviews the Rhode Island Medicaid managed care request for qualifications (RFQ), released on November 12, 2021, by the Executive Office of Health and Human Services (EOHHS). Contracts are worth approximately $1.4 billion annually and cover over 300,000 individuals.
Former South Dakota Medicaid director joins Leavitt Partners, an HMA company
Bill Snyder, former South Dakota Medicaid director, has joined Leavitt Partners, an HMA Company as a principal with the firm. He is the third former Medicaid Director to join the Health Management Associates (HMA) family of companies this year.
Minnesota releases RFPs for Senior Health Options and Special Needs Basic Care
This week our In Focus reviews Minnesota Department of Human Services (DHS) requests for proposals (RFPs) for two of the state’s Medicaid managed care programs: Minnesota Senior Health Options/Minnesota Senior Care Plus and Special Needs BasicCare/Integrated Special Needs BasicCare. Both RFPs, released on October 25, 2021, cover health care services in all 87 Minnesota counties.
Former DoD Health Official Joins HMA
Former Assistant Secretary of Defense for Health Affairs Tom McCaffery has joined the Health Management Associates (HMA) team of expert healthcare consultants. McCaffery joins the national healthcare consulting firm as a principal in its Washington, D.C. office after serving as the senior civilian leader in the Department of Defense (DoD) Military Health System (MHS).
Key takeaways from CMS Innovation Center strategy refresh
This week, our In Focus section shares HMA’s takeaways from the Centers for Medicare & Medicaid Services (CMS) white paper on the CMS Innovation Center Strategy Refresh: Driving Health System Transformation – A Strategy for the CMS Innovation Center’s Second Decade.
Webinar Replay: Veteran Medicaid Directors Discuss the Future of State Medicaid Programs
This webinar was held on November 8, 2021
Veteran Medicaid directors from Florida, South Dakota, and Idaho will provide a frank assessment of the many challenges, opportunities, and competing priorities facing state Medicaid leaders. Beth Kidder (Florida), Bill Snyder (South Dakota), and Matt Wimmer (Idaho) recently joined HMA after heading up state Medicaid programs during one of the most turbulent public health crises in a generation. The panel will be moderated by HMA Chief Operating Officer Chuck Milligan.
During this webinar, they shared their thoughts on how Medicaid directors will likely approach such pressing issues as successfully emerging from the public health emergency, assessing opportunities afforded by President Biden’s Build Back Better plan, and addressing looming challenges involving labor shortages, an impeding fiscal cliff, the future of pandemic-related regulatory flexibilities, and the growing role of home and community-based services (HCBS). Finally, they shared recommendations on how organizations can best maximize their effectiveness when meeting with state Medicaid directors by better understanding their world and what they need from various healthcare constituents like you.
Learning Objectives
- Understand the major trends and competing priorities facing state Medicaid leadership against a rapidly shifting local, state, and federal landscape.
- Find out what the “new normal” will look like for state Medicaid programs as they emerge from the public health emergency and wrestle with changes in enrollment, eligibility requirements, fiscal constraints, and the future of regulatory flexibilities installed during the pandemic.
- Learn how federal legislation and various state initiatives are driving dramatic changes in Medicaid, including expanded funding for HCBS, the success of telehealth services, expanded access to post-partum care, and the likely impact of the Build Back Better plan.
- Find out how to overcome growing workforce shortages and other challenges that are impacting the ability of Medicaid beneficiaries to access care, including emerging HCBS offerings.
- Learn how to maximize your effectiveness when meeting with state Medicaid representatives and how to uncover effective ways to partner with and support state Medicaid initiatives.
HMA Speakers
- Beth Kidder, Managing Principal, Tallahassee, FL
- Chuck Milligan, Chief Operating Officer (Moderator), Denver, CO
- Bill Snyder, Principal, Leavitt Partners, an HMA Company, Rapid City, SD
- Matt Wimmer, Principal, Denver, CO
Highlights from 21st annual Kaiser/HMA 50-state Medicaid director survey
This week, our In Focus section reviews highlights and shares key takeaways from the 21st annual Medicaid Budget Survey conducted by The Kaiser Family Foundation (KFF) and Health Management Associates (HMA). Survey results were released on October 27, 2021, in two new reports: States Respond to COVID-19 Challenges but Also Take Advantage of New Opportunities to Address Long-Standing Issues: Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2021 and 2022 and Medicaid Enrollment & Spending Growth: FY 2021 & 2022. The report was prepared by Kathleen Gifford, Aimee Lashbrook, and Sarah Barth from HMA; Mike Nardone; and by Elizabeth Hinton, Madeline Guth, Lina Stolyar, and Robin Rudowitz from the Kaiser Family Foundation. The survey was conducted in collaboration with the National Association of Medicaid Directors (NAMD).
New issue brief recommends strategic shifts for CMMI’s future: insights on Medicare innovation, balancing goals, and enhancing model success
This week, our In Focus highlights a recent issue brief, Center for Medicare and Medicaid Innovation: Recommendations for Future Direction, revisits questions raised in a previous HMA report and offers potential answers to guide progress and changes for demonstrations within the Centers for Medicare & Medicaid Services’ (CMS) Center for Medicare and Medicaid Innovation (CMMI) or the Innovation Center.
2022 Star Ratings, An Historical Year
This week, our In Focus provides an analysis of 2022 Medicare Advantage (MA) Star Ratings, including a look at how regulatory changes during the COVID-19 pandemic resulted in a record number of Medicare plans receiving historically high scores. HMA Managing Director Anthony Davis and Principal Sarah Owens rely on data from the Centers for Medicare & Medicaid Services (CMS) to take a deep dive into ratings for nearly 500 Medicare plans serving 26.8 million members.
Health Management Associates Acquires Wakely Consulting Group
Today, Jay Rosen, founder, president, and co-chairman of Health Management Associates (HMA), announced the firm’s acquisition of Wakely Consulting Group (Wakely).