Nevada Lawmakers Approve Funding for Statewide Medicaid Managed Care
Nevada’s lawmakers step up to approve funding for a statewide Medicaid Managed Care program, paving the way for improved healthcare services across the state.
Medicaid managed care
How States Are Utilizing Managed Care to Address Social Determinants of Health
Dive into how states can utilize managed care to address health-related social needs and social determinants of health, promoting health equity and community well-being.
Value-Based Care Platform Joining CMS Advance Investment Payments (AIP) Incentive Program
Federally qualified health centers (FQHCs) and rural providers participating in ACOs using the Signify Health platform will receive advanced incentive payments when they join the Medicare Shared Savings Program.
Ohio Launches Nest Generation Managed Care Plans
The Ohio Department of Medicaid recently launched its Next Generation managed care plans, following an overhauling process that began in 2019.
Oklahoma Reissues Medicaid Managed Care RFP After OK Supreme Court Blocked First Attempt
On December 1, 2022, Oklahoma reissued an RFP to implement the Medicaid managed care for a program to be called SoonerSelect and the SoonerSelect Children’s Specialty Program.
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.
Lessons Learned: CalAIM Integrated Care Plans Can Be Replicated Across States
CalAIM fully integrates physical health, behavioral health, and oral health under one contracted managed care plan. How can this be replicated and beneficial to other states?
Iowa Takes a Second Crack at Managed Care – What is Different This Time?
The Iowa HHS issued a notice of intent to award Medicaid MCO contracts to Molina Healthcare and Amerigroup Iowa Inc. for managed care services for Medicaid members in Iowa. But what makes round two of Iowa’s MCO rollout any different than its failed first attempt?
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