Old Weekly Roundup

August 17, 2022

In Focus:

Biden Approves Major Health Care Proposals but the Work Is Just Beginning for CMS and Stakeholders

Roundup:

Arizona Works on New Health Plan Contracts for ALTCS-EPD Program
Delaware Judge Denies Motion to Quash Audit of Medicaid Program
District of Columbia Accepts Bids from 2 Medicaid Managed Care Plans
Florida Medicaid Plan Capitated Rates to Fall, Driven by Lower Utilization
Illinois Announces PACE Program Awardees
Massachusetts Seeks Input on Improving Medicaid MCO/ACO Risk Adjustment Model
Minnesota Releases RFP for School-Linked SUD Services for Students
Missouri Medicaid Software Vendor Wins $23 Million in Lawsuit Against State
Nebraska Delays Medicaid Managed Care Awards to August 31
North Carolina Legislators Fail to Reach an Agreement on Medicaid Expansion
CMS Proposes Rule to Expand Medically Necessary Dental Services Covered by Medicare
Medicare Rates Expected to Rise 2.5 Percent for Inpatient Psychiatric Facilities in Fiscal 2023
Humana to Acquire Wisconsin-based MCO Inclusa
LHC Group Agrees to Acquire Three Rivers Home Health

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August 10, 2022

In Focus:

HMA Identifies Key Trends for Emerging Medicaid Section 1115 Demonstration Proposals

Roundup:

California Delays Medi-Cal Managed Care Program Awards
Connecticut HUSKY Health to Cover Additional Maternity Benefits in 2023
Florida Medicaid Managed Care RFI Responses Stress Social Determinants, Providers, HCBS
Georgia Proposal to Bypass Healthcare.gov Is Again Rejected by CMS
Idaho Releases Quality Improvement Organization RFP
Mississippi Awards MississippiCAN, CHIP Medicaid Managed Care Contracts to 3 Health Plans
Missouri Commits to Trimming Medicaid Applications Backlog Under Federal Plan
Ohio Pharmacists Express Concern Over Single PBM Program
West Virginia Medicaid Must Cover Gender-Affirming Care, Federal Judge Rules
U.S. Senate Passes Legislation Allowing Medicare to Negotiate Drug Prices, Extending Enhanced Exchange Subsidies
CVS Is Reportedly Interested in Acquiring Signify Health
UnitedHealth/Optum Acquires CareMount Medical

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August 3, 2022

In Focus:

CMS Requests Input on Improving Medicare Advantage: Stakeholders Have a Brief Window to Offer Ideas to Inform Agency’s Initial Proposals

Roundup:

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July 27, 2022

In Focus:

Medicare Hospital Outpatient Rule Proposes Details for New Rural Emergency Hospitals, Creates New Questions for Other Payment Policies

Roundup:

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June 29, 2022

In Focus:

Early Bird Registration Discount Expires July 11 for HMA Conference on The Future of Publicly Sponsored Healthcare, October 10-11 in Chicago

Roundup:

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June 15, 2022

In Focus:

CMS Breathes New Life into Medicaid HCBS Investment Opportunities

Roundup:

Delaware Delays Medicaid Managed Care Contract Awards to July
Florida Names Bidders In Modular MMIS Procurement
Louisiana Names Additional Medicaid Managed Care Contract Winner
Maryland Releases Draft Medicaid 1115 Waiver Amendment to Cover Ambulance, Dental 
North Carolina Senate Committee Considers Carve-Out of Foster Care from Managed Care
North Carolina Senate Passes Medicaid Expansion Bill
Texas Health Plan Did Not Meet Fraud, Abuse Detection Requirements, State Report Says
West Virginia Submits SUD Continuum of Care 1115 Waiver Renewal for Federal Approval
MACPAC Recommends New System for Monitoring Medicaid Access
AMA Looks to Block Expansion of Non-Physician Scope of Practice
Medicaid Managed Care Enrollment Approaches 68 Million in 2020, CMS Reports
Sverica Capital Management Invests in SG Homecare

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