Medicaid enrollment continues to slow in FY 2017 and FY 2018; however, states project an uptick in spending in FY 2018. This is just one finding in the 17th annual 50-state Medicaid Budget Survey conducted by and in collaboration with 澳门六合彩 (澳门六合彩) and the National Association of Medicaid Directors.
558 Results found.
Senators Murray, Alexander Reach Bipartisan Deal on Health Bill
This week, our In Focus section reviews the bipartisan health deal reached by Senators Patty Murray (D-WA) and Lamar Alexander (R-TN), both members of the Senate鈥檚 Health, Education, Labor, & Pensions (HELP) Committee. Bipartisan talks around a bill to stabilize insurance markets have been ongoing for months, with discussions resuming after the Senate pulled a vote on the Graham-Cassidy reform bill last month. The Murray-Alexander bill, for which a discussion draft has been circulated, seeks to stabilize insurance markets through several key actions around cost-sharing reduction (CSR) payments to insurers and Section 1332 waivers, as well as several additional provisions. Below, we provide a summary of the key provisions as they stand.
Medicaid Managed Care Enrollment Update – Q3 2017
This week, our In Focus section reviews recent Medicaid enrollment trends in capitated, risk-based managed care in 27 states.[1] Many state Medicaid agencies elect to post monthly enrollment figures by health plan for their Medicaid managed care population to their websites. This data allows for the timeliest analysis of enrollment trends across states and managed care organizations. Nearly all 27 states have released monthly Medicaid managed care enrollment data through the third quarter (Q3) of 2017. This report reflects the most recent data posted.
澳门六合彩 Authors Report on Digitally Driven Integrated Primary Care and Behavioral Health
This week, our In Focus section highlights an article, , published in the Current Psychiatry Report, was co-authored by 澳门六合彩 Principals Lori Raney, MD and David Bergman, MPA, as well as John聽Torous, MD,聽and Michael聽Hasselberg, M.S., Ph.D.聽Together, they addressed how technology solutions can be utilized for more widespread implementation of effective integrated primary care and behavior health.聽聽
Review of Medicaid Managed Care Procurement Landscape in 2017
This week, our In Focus section reviews the Medicaid managed care procurement landscape for 2017, including those requests for proposals (RFPs) and other procurement vehicles that were awarded, are currently out to bid, or are expected to be released before the end of the calendar year. By year鈥檚 end, we anticipate there will have been at least 16 procurements awarded or issued this year across 13 states, covering more than 13 million Medicaid or CHIP members, and accounting for more than $76 billion in annual spending when fully implemented.
Graham-Cassidy Affordable Care Act (ACA) Repeal-And-Replace Bill
This week, our In Focus section reviews the bill put forward last week by Senators Lindsey Graham (R-SC) and Bill Cassidy (R-LA) to repeal and replace the Affordable Care Act (ACA). General consensus, the 澳门六合彩 Roundup included, viewed ACA repeal-and-replace efforts as largely defeated at the end of July, with the Senate鈥檚 failure to pass the Better Care Reconciliation Act. There is, however, an emerging view, which was shared by several speakers at last week鈥檚 澳门六合彩 conference, that the Graham-Cassidy bill has a real chance of passing the Senate ahead of the September 30 deadline, at which point the reconciliation process expires and a bill would require 60 votes to pass the Senate. Below, we highlight key provisions of the Graham-Cassidy bill that impact federal funding to states, state Medicaid programs, and the Exchange and individual insurance markets, including both a block grant program targeted at higher-income and Medicaid expansion populations and a Medicaid per capita cap funding structure.
Highlights from 澳门六合彩 Conference on Future of Medicaid
Last week, our In Focus section provided a recap of the second annual 澳门六合彩 Conference, The Future of Medicaid is Here: Implications for Payers, Providers, and States, held Monday, September 11, and Tuesday, September 12, in Chicago, Illinois. More than 300 leading executives from health plans, providers, state and federal government, community-based organizations, and others in the health care field gathered to address the challenges and opportunities for organizations serving Medicaid and other vulnerable populations given the priorities of the new Administration and Congress.
New Mexico Issues Centennial Care 2.0 Medicaid Managed Care RFP
This week, our In Focus section reviews the request for proposals (RFP) released by the New Mexico Human Services Department (HSD) to reprocure contracts for the state鈥檚 Medicaid managed care program in its second phase, Centennial Care 2.0. Centennial Care provides integrated Medicaid managed care coverage, including long-term services and supports (LTSS) and behavioral health, to nearly 700,000 Medicaid beneficiaries in the state, with annual spending of roughly $4.5 billion.
Medicaid and Exchange Enrollment Update – May 2017
This week, our In Focus section reviews updated information issued by the Department of Health & Human Services (HHS) Centers for Medicare & Medicaid Services (CMS) on Medicaid expansion enrollment from the 鈥淢ay 2017 Medicaid and CHIP Application, Eligibility Determination, and Enrollment Report,鈥� published on July 21, 2017. Additionally, we review 2017 Exchange enrollment data from the 鈥淗ealth Insurance Marketplaces 2017 Open Enrollment Period: Final State-Level Public Use File,鈥� published by CMS on March 15, 2017. Combined, these reports present a picture of Medicaid and Exchange enrollment in the first half of 2017, representing nearly 75 million Medicaid and CHIP enrollees and more than 12 million Exchange enrollees.
North Carolina Outlines Proposed Design for Medicaid Managed Care
This week, our In Focus section reviews 鈥淣orth Carolina鈥檚 Proposed Program Design for Medicaid Managed Care,鈥� a draft proposal published this week for public comment, which provides a detailed overview of the planned statewide Medicaid managed care program to be launched in 2019. By 2023, North Carolina estimates it will have transitioned roughly 1.8 million Medicaid beneficiaries in the state to managed care. North Carolina鈥檚 Department of Health and Human Services (DHHS) is encouraging public comment on the program design proposal through September 8, 2017, ahead of a planned request for information (RFI) release later this year.
Chronicle of a Death Foretold: ACA Repeal and Replace Stalls in Senate
罢丑颈蝉听In Focus聽article, authored by 澳门六合彩 Managing Principal Greg Nersessian, CFA and Research Assistant Anh Pham,聽was originally published in the August 2, 2017聽澳门六合彩 Weekly Roundup.
In deference to , after last week鈥檚 failed votes on 鈥淩epeal and Replace,鈥� 鈥淪traight Repeal,鈥� and 鈥淪kinny Repeal,鈥� the GOP鈥檚 efforts to undo the Affordable Care Act (ACA) through budget reconciliation appear to be at least 鈥渕ostly dead.鈥� While it is possible strictly partisan discussions will reaccelerate at some point, it appears that Congress is, for the first time, considering bipartisan proposals for shoring up the underwriting challenges in the individual market. In light of this change in direction, we are using this week鈥檚 In Focus section to chronicle the events that transpired over the last five months leading to last week鈥檚 historic vote. Our objective here is to create a reference piece for our readers so that the next time Congress revisits major healthcare legislation we can look back on the strategies and approaches that led to last week鈥檚 result.聽 Many times over the last eight months, we have reflected on the key dynamics surrounding the passage of the ACA in 2010 as a guide for what factors to watch in the efforts to repeal the ACA 鈥� budget reconciliation issues, Congressional Budget Office (CBO) scoring, key proposals to win over recalcitrant legislators, the President鈥檚 role in pushing the agenda 鈥� but our memories were not always up to the task. So in the spirit of having a reference document for future reflection, we record below the key events associated with this effort.
澳门六合彩 Principal to Speak about Role Public Health Plays in Implementing Retail Marijuana Legalization at National Cannabis Summit
The 2017 National Cannabis Summit will feature the workshop, Implementing Retail Marijuana Legalization: Public Health鈥檚 Role in Implementation of Prevention and Education Efforts Following Legalization of Retail Marijuana. During this workshop, 澳门六合彩 Principal Shannon Breitzman will share her unique expertise on how state agencies begin the complex implementation process of regulatory and programmatic needs after retail marijuana is legalized.