This week, our In Focus section provides a recap of the fourth annual 澳门六合彩 Conference, The Next Wave of Medicaid Growth and Opportunity: How Payers, Providers, and States are Positioning Themselves for Success, held this Monday, September 9, and Tuesday, September 10, in Chicago, Illinois. Nearly 500 leading executives representing managed care organizations, providers, state and federal government, community-based organizations, and other stakeholders in the health care field gathered to address the challenges and opportunities for organizations serving Medicaid and other vulnerable populations. Conference participants heard from keynote speakers, engaged in panel discussions, and connected during informal networking opportunities. Below is a summary of highlights from this year鈥檚 conference.
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Hawaii Releases Quest Integration Medicaid Managed Care RFP
This week, our In Focus section reviews the Hawaii QUEST Integration (QI) Medicaid Managed Care request for proposals (RFP), issued by the Hawaii Department of Human Services (DHS) on August 26, 2019. DHS intends to contract with four health plans. All four will serve Medicaid and Children鈥檚 Health Insurance Program (CHIP) members in Oahu, while two will also operate statewide. The two plans with the highest scoring technical proposals will serve beneficiaries statewide. The Quest Integration program is worth $2.2 billion annually.
Strategies to Support Postpartum Visits for Women in Medicaid
This week, our In Focus section comes from 澳门六合彩 Community Strategies (澳门六合彩CS) Senior Associate聽Diana Rodin聽and 澳门六合彩 Managing Principal聽Sharon Silow-Carroll who authored a recent聽聽in the Journal of Women鈥檚 Health drawing on data from the recently completed five-year evaluation of the聽Strong Start for Mothers and Newborns II Initiative聽to identify promising approaches to support women in Medicaid to attend postpartum visits. Nationally, less than 60 percent of women enrolled in Medicaid or the State Children鈥檚 Health Insurance Program attend a scheduled postpartum medical visit, and some states have much lower rates.[1],[2]
澳门六合彩 Colleagues Author Journal Article on Strategies to Support Postpartum Visits for Women in Medicaid
澳门六合彩 Community Strategies (澳门六合彩CS) Senior Associate Diana Rodin and 澳门六合彩 Managing Principal Sharon Silow-Carroll have authored an drawing on data from the recently completed five-year evaluation of the Strong Start for Mothers and Newborns II Initiative to identify promising approaches to support women in Medicaid to attend postpartum visits.
CMS Medicare Fee-For-Service FY 2020 Proposed Rules Part 2: Physician Fee Schedule and Home Health
This week, our In Focus section reviews the new Centers for Medicare & Medicaid Services (CMS) Medicare Fee-For-Service FY 2020 proposed rules: the Physician Fee Schedule (PFS), released on July 2019, and Home Health prospective payment system, released on July 11, 2019. For the hospital outpatient department (HOPD) and ambulatory surgical center (ASC) prospective payment systems (PPS) and the End-Stage Renal Disease (ESRD) PPS proposed rules, please see last week鈥檚 In Focus here.
National Jail-Based Opioid Treatment Program Expands
A successful approach to expanding access to jail-based opioid treatment, that began in California, will grow to 16 additional counties across the country. 澳门六合彩 (澳门六合彩), a leading healthcare consulting firm, developed the program blueprint which was successfully deployed in 29 California counties and resulted in better access to Medication Assisted Treatment (MAT) for those in the criminal justice system.
CMS Medicare Fee-For-Service FY2020 Proposed Rules: Hospital Outpatient Department and End-Stage Renal Disease
This week, our In Focus section reviews the new Centers for Medicare & Medicaid Services (CMS) Medicare Fee-For-Service FY 2020 proposed rules. On July 29, 2019, CMS issued the Calendar Year (CY) 2020 proposed rules for the Physician Fee Schedule (PFS), the hospital outpatient department (HOPD) and ambulatory surgical center (ASC) prospective payment systems (PPS), and the End-Stage Renal Disease (ESRD) PPS. These proposed regulations include payment rate and policy changes for the upcoming calendar year. The comment deadline for all three of these proposed rules is September 27, 2019.
Medication-assisted treatments (MAT) Issue Brief Addresses Objections and Misconceptions
A new issue brief authored by 澳门六合彩 Principal Donna Strugar-Fritsch, MPA, BSN, dispels myths about, and objections to, the use of medication-assisted treatments (MAT) to treat opioid addiction. The brief is a clear and concise look at MAT, how and why it works, and what its use can mean for those impacted by opioid use disorder.
CMS Releases Section 1332 Waiver Application Resource Tools
This week, our In Focus section reviews the new 1332 State Relief and Empowerment Waiver resources released by the Centers for Medicare & Medicaid Services (CMS) on July 15, 2019. The new resources, intended to help states better understand regulations and reduce burdens associated with waiver application, include four waiver concept papers on how states can take advantage of the flexibility to wave certain Affordable Care Act (ACA) requirements, as well as their respective application templates. CMS has also released an updated application checklist of required elements.
Addiction Free CA Site Launches with Data Dashboard, Project Resources
A new online resource to bolster the ongoing response to the opioid crisis recently launched. The website, , hosts an interactive data dashboard, project resources, and treatment provider locator to support the California Medications for Addiction Treatment (MAT) Expansion Project.
澳门六合彩 Summary of CMS Innovation Models Pertaining to Radiation Oncology, Kidney Care, and End-Stage Renal Disease
This week, our In Focus section reviews the four new payment models addressing radiation oncology, kidney care, and end-stage renal disease released by the Centers for Medicare & Medicaid Services (CMS), through the Center for Medicare and Medicaid Innovation (CMMI) on July 10, 2019. Two of the models would be mandatory in randomly selected geographies and were published as proposed rules: the End-Stage Renal Disease Treatment Choices (ETC) and Radiation Oncology (RO) models. For these two proposed models, stakeholders have until what will likely be mid-September 2019 (60 days following publication of the forthcoming publication of the proposed rules in the federal register) to submit comments to CMS. The other two models are voluntary demonstrations: the Kidney Care First (KCF) and Comprehensive Kidney Care Contracting (CKCC) models. This is the first time this administration has proposed a mandatory model since the hip fracture and cardiac bundled payment models, which were cancelled in 2017. For these two models stakeholders will not have the opportunity to submit comments.
California 2019-20 Budget Overview
This week, our In Focus section reviews the California fiscal 2019-20 budget. California Governor Gavin Newsom signed his first budget, and much of its related legislation on June 27, 2019. The budget appropriates $214.8 billion ($147.8 billion General Fund) in total spending with $19.2 billion in reserves. The total reserves includes $16.5 billion in the Rainy Day Fund, $1.4 billion in the Special Fund for Economic Uncertainties, $900 million in the Safety Net Reserve, and nearly $400 million in the Public School System Stabilization Account.