Weekly Roundup

April 29, 2015

In Focus:

HMA’s Accountable Care Institute Looks at Value-Based Reimbursement for Providers

Roundup:

Florida Governor Intends to Call Special Session on Budget
CMS to Florida: LIP Not Dependent on Expansion
Maximus Recommended for Indiana Enrollment Broker Contract
Pennsylvania Plans MCO RFA Release for Late Summer
Minnesota House Proposes to End MinnesotaCare
FTC Weighs In on New York DSRIP
New York Duals Demonstration Off to Slow Start

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April 22, 2015

In Focus:

Medicaid Managed Care Enrollment Update – Q1 2015

Roundup:

CMS Considers Medicaid Expansion Decision in Evaluating the Renewal of Uncompensated Care Pools
Florida Governor to Sue White House Over LIP Funding
Florida Medicaid MCOs and PSNs Report Losses
Xerox’s New York MMIS System Contract Approved
New York to Pursue Basic Health Program
Expansion States Enroll Newly Eligible Inmates in Medicaid
Proposed Rule to Provide States Additional Time to Seek Medicaid Eligibility System Funds

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April 15, 2015

In Focus:

Kentucky Issues Medicaid Managed Care RFP

Roundup:

CMS, Florida Officials Spar Over LIP, Medicaid Expansion
Montana Legislature Backs Medicaid Expansion
Nebraska Legislature Rejects Medicaid Expansion
New York Behavioral Health Carve-In Delayed Again
New Jersey MAAC Meeting Highlights Key Program Updates
North Carolina Claims Payment System Receives Preliminary Certification
Texas Medical Board Votes to Restrict Telemedicine
CMS Announces Navigator Grant Opportunity
New Medicaid Enrollees Significantly Increased Prescription Drug Use in 2014

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April 8, 2015

In Focus:

New Hampshire RFA Solicits Additional MCO(s)

Roundup:

Alaska Legislature Considers Medicaid Expansion
Florida LIP Negotiations Stalled, But CMS Pledges to Continue
Feds Propose Rule to Protect Medicaid/CHIP Members under Mental health Parity Law
Missouri Senate Budget Would Expand Medicaid Managed Care

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April 1, 2015

In Focus:

Massachusetts Duals Demonstration Update

Roundup:

California Submits Section 1115 Waiver Application to CMS
Georgia FY 2016 Budget Update
SCOTUS Rules Providers Cannot Sue State To Raise Medicaid Reimbursement Rates
Illinois FY 2015 Budget Fix Passes Senate, Signed by Governor
Medicaid Expansion Bill Wins Approval in Montana Senate
Tennessee Medicaid Expansion Bill Fails in Senate
New York Behavioral Health Managed Care Transition to Begin July 1, 2015
OMB Reviewing Medicaid Managed Care Rule

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March 25, 2015

In Focus:

Florida Low-Income Pool (LIP) Update

Roundup:

Illinois House Passes 2.25 Percent Provider Cut in Budget Fix
Medicaid Expansion Lowers Hospital Uninsured Costs by $7.4B
Florida Proposes 1115 Waiver Amendment
Blue Shield of California Tax-Exempt Status Revoked
New York DSRIP Implementation Plan Deadline Extended
Baylor Scott & White and Tenet to Partner on Five North Texas Hospitals
Florida Senate Committee Approval of Medicaid Expansion Proposal sets up Senate Floor Vote
Tennessee Governor’s Medicaid Expansion Proposal Recommended by Senate Committee

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March 18, 2015

In Focus:

Texas Health Plans Cite Savings, Quality Improvements under Managed Care

Roundup:

16.4 Million Insured Since ACA Implementation
California Medicaid Draft Waiver Renewal Proposal Released
Alaska Governor Proposes New Medicaid Expansion Bill
HIP 2.0 Medicaid Expansion Increases Number of Providers
Details Emerge Related to Value Based Medicaid Payments in New York
Ohio Governor Proposes Premiums for Medicaid Recipients

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March 11, 2015

In Focus:

Reviewing ICRC Findings, Guidance to States on D-SNP Contracting Options

Roundup:

Florida Senate Approves Medicaid Expansion Bill
New Hampshire Medicaid Expansion Waiver Approved by Feds
Texas Launches Duals Demonstration, Begins STAR+PLUS Nursing Home Carve-In
Federal Judge Outlines California Prison Health Care Transition Out of Receivership
Pennsylvania DHS Outlines Details of Medicaid Expansion Transition Timing
Nationwide Exchange Enrollment Nears 11.7 Million

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March 4, 2015

In Focus:

Responding to King v. Burwell: What Policy Levers can States “Pull” to Maintain Coverage if the Supreme Court Sides with King?

Roundup:

Missouri Announces MCO RFP Awards
Georgia Announces Wiant as New Chief of Medicaid
New York, Massachusetts Health Plans Report Losses
Massachusetts Governor Seeks Budget Savings From MassHealth
Telemedicine Advances in Minnesota, Mississippi and Missouri
New York Delays Implementation of Duals Demonstration
Pennsylvania Pivots to Traditional Medicaid Expansion

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February 25, 2015

In Focus:

Update on Duals Demonstration Enrollment

Roundup:

State budget discussions heat up in Connecticut, Illinois, Massachusetts
Utah Senate Approves Medicaid Expansion Plan
New York State of Health Enrollment exceeds 2.1 million
Medicaid Expansion in North Carolina Hinges on Subsidy Court Ruling
Medicaid and CHIP Enrollment Up 19 Percent Since Expansion
MACPAC to Hold Public Meeting February 26-27

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