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Inside Health Policy
In the agency's first major overhaul of Medicaid managed care requirements in over a decade, CMS tossed out the unpopular 14-day fee-for-service period before beneficiaries' are auto-enrolled in Medicaid managed care, stayed with its proposal on the Institutions for Mental Disease (IMD) exclusion, but didn't budge from its 85 percent medical loss ratio. For more, sign up for your no-obligation, one-month free trial to InsideHealthPolicy.com.
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The Philadelphia Inquirer
Southeastern Pennsylvania will have two new companies offering managed Medicaid benefits in 2017, the Pennsylvania Department of Human Services said Wednesday. Entering the market are publicly-traded Centene Corp., of St. Louis, and UPMC For You, part of the giant University of Pittsburgh Medical Center, which dominates the managed Medicaid market in western Pennsylvania.
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Arkansas News
As expected, opponents of Arkansas Gov. Asa Hutchinson's Medicaid expansion plan made an unsuccessful last-ditch effort Tuesday to kill program. Also Tuesday, the Senate honored a former member from Pine Bluff who recently died, and new bills were filed to appropriate money for online filing of campaign finance reports and educational expenses of prison inmates.
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The Associated Press via Santa Fe New Mexican
The New Mexico Human Services Department has released an outline of proposed cuts to reimbursement rates for Medicaid health care providers aimed at trimming up to $160 million in annual state and federal spending. The proposal would rescind previous reimbursement increases to nearly 2,000 general physicians and trim payment rates to hospitals by between 3 percent and 8 percent.
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Kaiser Health News
In Medi-Cal's HIV-AIDS program, the state of California pays for a range of services, including case management, nursing, caregiving, therapy, transportation and home-delivered meals. But the agencies that provide services under the $12 million program say it's getting harder to do so, because funding has remained largely stagnant for 15 years. That has led some providers to stop or reduce their participation.
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Deseret News
Most Utahns want the legislature to expand Medicaid further, according to a UtahPolicy poll — the first survey on the topic since state lawmakers decided to extend Medicaid to around 16,000 of the poorest Utahns. The poll, conducted by Dan Jones & Associates, found that 51 percent of respondents believe Medicaid should be expanded to cover all remaining low-income uninsured Utahns.
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Modern Healthcare
Even as the White House touts the Affordable Care Act's successful coverage of nearly 20 million people, residents across the country are struggling to access and afford healthcare and social service programs. State legislatures are seeing shrinking revenue because of tax cuts and low energy prices. North Dakota and Texas, which rely on oil tax revenue, are facing huge budget shortfalls.
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The Hill
A leading Senate Democrat is vowing to take on prescription drug price-gouging amid a deepening congressional probe into embattled drugmaker Valeant Pharmaceuticals. "Pigs get fed, hogs get slaughtered. It's time to slaughter some hogs," Sen. Claire McCaskill, the top Democrat of the Senate Aging Committee, said Wednesday.
McCaskill's remarks were the opening salvo of a high-drama hearing on Wednesday, which features three current or former executives from Valeant. The company's founder, CEO and former chief financial officer are all slated to testify at the hearing.
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The Hill
Sen. Ron Wyden (Oregon), the top Democrat on the Senate Finance Committee, on Wednesday introduced a bill aimed at protecting seniors from high drug costs, an issue that has attracted growing scrutiny. Wyden's measure would cap drug cost-sharing for Medicare enrollees so that seniors would not have to pay out of pocket costs above a roughly $7,500 cap.
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* Prevent high cost events * Optimize risk management
* Close quality gaps * Streamline care transitions *
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MHPA
During this webinar, asthma compliance and asthma control will be the main topics of discussion. Basic information on the current state of asthma compliance and some of the real-world limitations will be introduced. Data results will be provided on a pilot study that was completed within the Medicaid population that utilized remote in-home patient monitoring to improve asthma medication compliance. Other areas of potential impact to improve asthmatic control using new and updated technology will be discussed. This program serves to increase the awareness and consideration of alternatives to the standard mode of treatment to improve asthma control.
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MHPA and Institute for Medicaid Innovation
Last year, MHPA and the Institute for Medicaid Innovation (IMI) received nearly 100 submissions for consideration in the annual best practices compendium.
2016-2017 Medicaid Managed Care Best Practices Compendium
The categories for this year's compendium remain the same; women's and maternal health, child health, behavioral health, long-term care and transitions of care and expansion population. However, the deadlines for submission are earlier due to MHPA's annual conference occurring in September, instead of November as last year.
The following is the timeline for this year's submission cycle.
April 30: Best Practices Submission Form DUE
Sept. 21: Release of Compendium and Announcement of Awards at MHPA Conference (D.C.)
Women's Reproductive Health Project
The IMI is also leading a women's reproductive health project that is funded by the Kaiser Family Foundation. We will be administering a questionnaire developed by your colleagues at Medicaid health plans that will include an opportunity to briefly identify innovative and promising best practices, develop an issue brief and host a policy briefing with Kaiser. We encourage your participation in the following ways:
May 16: Questionnaire DUE
TBD: Kaiser and Institute Joint Policy Briefing (D.C.)
Please send your submissions and any questions to Jennifer Moore.
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