Iowa DHS Awards Two Additional Managed Care Contracts
Of the five insurers that submitted bids to join Iowa’s $6 billion-plus Medicaid and Children’s Health Insurance Program, two were awarded managed care contracts
Value-Based Payment News
Humana Finalizes Deal to Acquire Wisconsin Managed Care Plan
Humana finalized a deal to acquire Inclusa, a Wisconsin managed care plan in a bid to bulk up its Medicaid services. Inclusa partners with more than 6,000 service providers across about 40 service categories.
PHI Releases Strategic Plan to Address Direct Care Workforce Challenges Through 2025
As the nation’s leading authority on the direct care workforce, PHI promotes quality direct care jobs as the foundation for quality care. Their new strategic plan responds to the challenges and opportunities facing the direct care workforce through 2025
CMS Provides Roadmap to Connect Children With Complex Medical Conditions to Necessary Medicaid Services
The U.S. Department of Health and Human Services, through the Centers for Medicare & Medicaid Services (CMS), today unveiled guidance on a new Medicaid health home benefit for children with medically complex conditions.
Delaware Department of Health and Social Services Announces Companies to Operate Medicaid Managed Care Program
The Department of Health and Social Services (DHSS) announced today that it has selected three companies to operate its Medicaid Managed Care Program.
CMS Proposed Physician Payment Role Designed to Expand Access to Quality Care
CMS issued the Calendar Year 2023 Physician Fee Schedule (PFS) proposed rule, which would significantly expand access to behavioral health services, ACOs, cancer screening, and dental care
CMS Issues Home Health Prospective Payment System Rate Update Proposed Rule
On June 17, 2022, CMS issued the calendar year 2023 Home Health Prospective Payment System Rate Update proposed rule, to update Medicare payment policies and rates for home health agencies.
HHS & CMS Providing Resources to States to Ensure Access to Quality Care
The U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS) unveiled a suite of new resources to improve CMS and state oversight of Medicaid and Children’s Health Insurance Program (CHIP) managed care programs
Several States Extend Medicaid Postpartum Coverage to 12 Months
CMS approved actions in Maine, Minnesota, New Mexico, and Washington, D.C., to extend Medicaid and CHIP coverage for 12 months after pregnancy.
Humana Expanding Value-Based Home Care Subsidiary to Virginia
Humana Inc. announced that it will bring its onehome value-based home care model to Virginia. The expansion will support Medicare beneficiaries healing at home and create employment opportunities in Virginia.