Weekly Roundup

February 4, 2015

In Focus:

Enrollment Update - November 2014 Medicaid and Preliminary 2015 Exchange

Roundup:

Tennessee Medicaid Expansion Proposal Voted Down Michigan Duals Demonstration Begins Enrollment Partners HealthCare (MA) Denied Deal to Acquire Hospitals New York Nursing Home Benefit Transitions to Managed Care Ohio Governor Releases Executive Budget Texas Selects Viekira Pak for PDL Mississippi Issues CHIP Managed Care Rebid

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January 28, 2015

In Focus:

Reviewing Oregon’s Medicaid Managed Care Program

Roundup:

Indiana Receives CMS Approval for Medicaid Expansion Waiver
Jennifer Kent Appointed Director of California DHCS
Florida, Maryland, New York Governors release 2015/2016 Budget Proposals
CoOportunity (Iowa) Seeks Liquidation
Daniel Tsai Appointed Director of MassHealth
Massachusetts AG Healey Opposes Partners HealthCare Deal
Oregon Reports Medicaid Enrollment Backlog of 43,000
CBO Report Estimates ACA will Cost 7 Percent Less than Projected

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January 21, 2015

In Focus:

HMA Announces New Online Medicaid Data Resource

Roundup:

CMS Administrator Tavenner to Resign Georgia Managed Care RFP Delayed Until February 2015 Illinois Governor Taps Former Aetna Executive to Lead HFS Iowa Governor Announces Intentions to Privatize Medicaid Michigan Governor Highlights Budget Shortfall, Proposes Combining Health Agencies Montana Governor Introduces Medicaid Expansion Bill New York DSRIP Applications Posted Texas Health and Human Services Under Investigation Wyoming Legislature to Begin Medicaid Expansion Hearings Senate Finance Chair Seeks Repeal of Health Insurer Fee Supreme Court Considers Whether Providers Can Sue States Over Medicaid Pay Rates Overtime and Minimum Wage Regulations Overturned for Home Health Care Workers

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January 14, 2015

In Focus:

Q4 2014 Medicaid Managed Care Enrollment Update

Roundup:

Illinois managed care enrollment tops 1.4 million New York duals demonstration launched January 1 Tennessee Gov. calls special session on Medicaid expansion Massachusetts Health Connector Director to resign Kentucky Medicaid Commissioner to step down New Jersey legislation introduced to provide network oversight of Medicaid, commercial health plans

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January 7, 2015

In Focus:

Key Medicaid and Legislative Issues to Watch in 2015

Roundup:

Head of CMCS to Step Down Director of Medicare-Medicaid Coordination to Leave CMS in January CMS Approves Arkansas, Iowa Medicaid Waiver Amendments Medicaid Expansion Proposals Considered in Montana, North Carolina, Utah, Wyoming Alabama Approves Formation of Six Medicaid RCOs Arizona Awards Behavioral Health Contracts CoOportunity Health Taken Over By Iowa State Regulators

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December 17, 2014

In Focus:

Tennessee Gov. Unveils Medicaid Expansion Proposal

Roundup:

Georgia Updates RFP Timeline, Names Qualified Contractors Alabama, Virginia Governors Support Medicaid Expansion Michigan Medicaid Expansion Beats Enrollment Projections Arizona Behavioral Health Authority RFP Bidders Named Massachusetts Medicaid MCOs Report Financial Losses

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December 10, 2014

In Focus:

Florida, Utah Medicaid Expansion Proposals Reviewed

Roundup:

Minnesota Appoints Zimmerman as New Medicaid Director Roberts Nominated for Rhode Island EOHHS Secretary Tennessee Governor Close to Deciding on Medicaid Expansion New Mexico Attorney General Sues Nursing Home Provider Oregon to Adapt Kentucky Medicaid Enrollment System MACPAC Holds Next Public Meeting on December 11-12

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December 3, 2014

In Focus:

Wyoming Releases Medicaid Expansion Proposal

Roundup:

Hammer Named Colorado Medicaid Director Georgia Medicaid Director Dubberly to Step Down Anthem, Centene, MDWise Awarded Indiana ABD Contracts Michigan Dual Eligible Demonstration Delayed Aetna Joins New Jersey Medicaid Managed Care Program Oklahoma, Wyoming Release Care Management RFI/RFP Centurion Selected to Provide Correctional Healthcare in Vermont

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November 19, 2014

In Focus:

Third Quarter State and Medicaid Commentary from Publicly Traded Firms

Roundup:

Alameda Dropped from California Duals Demonstration California Awards Prison Health Contract to Health Net Illinois Suspends Auto-Assignment for Harmony, Family Health Network Illinois Medicaid Director Announces Departure UnitedHealth Withdraws from Michigan Duals Demo Montana Governor Unveils New Medicaid Expansion Proposal Hospital Consolidation Continues in New York New York Duals Demonstration Contracts Announced September CMS Report Counts 68 Million Enrolled in Medicaid HRSA Withdraws 340B Drug Program Regulations Louisiana to Carve-in Behavioral Health Benefits Insurance Exchanges Launched on November 15

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November 12, 2014

In Focus:

CMS Approves Massachusetts Medicaid 1115 Waiver

Roundup:

California Releases GMC RFA for Comment Delaware Releases Program Integrity RFP Georgia Releases Care Management Organization RFQC Steward Health Care System to Close Quincy Medical Center New Mexico Human Services Secretary Squier to Step Down Post-Election Medicaid Expansion Updates in Arkansas, Ohio, Pennsylvania, Tennessee Oregon Releases Care Coordination RFP Haley Selects Soura as South Carolina Medicaid Director Supreme Court to Hear Challenge to ACA Insurance Subsidies HealthCare.gov Website Opens for Window Shopping Ahead of Open Enrollment

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