Florida Starting Medicaid Managed Care Procurement Process
Florida recently released the Medicaid data book, which must be published at least 90 days before issuing the invitation to negotiate for the statewide Medicaid managed care program.
managed care
House Lawmakers Requesting Extension of Value-Based Payment Incentives
More than 40 House lawmakers signed a letter asking congressional leaders to support value-based payment incentives and extend the 5% bonus for Alternative Payment Model (APM) participation.
CalOptima Health Integrating Care Through School District Partnerships
CalOptima says managed care plan partnerships with school districts across Orange County will increase behavioral health care access for children and youth and increase preventative and early intervention behavioral health care.
Pennsylvania Proposing New Profit-Sharing Agreement With Physical Health MCOs
Governor Tom Wolf announced that Pennsylvania is proposing a new profit-sharing agreement
with its Medical Assistance physical health (PH) managed care organizations (MCOs).
Blue Shield of California Launches New VBP Model
Blue Shield of California is launching a new value-based, shared savings payment model for specialty care physician practices
Nebraska Interviewing RFP Respondents for New Managed Care Contracts
The Nebraska Department of Health and Human Services (DHHS) has announced its plan to interview five bidders who responded to the state’s RFP to provide Medicaid managed care services
California DHCS Announces Intent to Award Contracts to 3 Managed Care Plans
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.
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
Anthem Closes on Acquisition of Integra Managed Care
Anthem, Inc. has finalized its acquisition of Integra Managed Care. The long-term care plan will bring 40,000 Medicaid members into the Anthem fold
Florida Medicaid Managed Care Re-procurement RFI Released
The Agency for Health Care Administration released an RFI in preparation for the upcoming Statewide Medicaid Managed Care re-procurement process later this year