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.
Medicaid
New Mexico Human Services Department Cancels Procurement for Medicaid MCOs
The New Mexico Human Services Department announced it will cancel the procurement process for the selection of managed care organizations to deliver services to Medicaid Centennial Care members in the state.
CMS Announces Changes That Will Improve Quality of Care for Medicare Beneficiaries in 2023
CMS recently announced that three innovative accountable care initiatives will grow and provide higher quality care to more than 13.2 million people with Medicare in 2023
CMS & HHS Working to Improve Medicaid’s Social Determinants of Health Endeavors
The Department of Health and Human Services (HHS) and CMS recently announced guidance for state Medicaid programs ILOS to boost the quality of Medicaid social determinants of health initiatives.
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.
CMS Approves ACOs for High Needs Track of the ACO REACH Model
CMS recently approved 20 Medicare accountable care organizations (ACOs) for the High Needs track of the new ACO REACH model. These provider organizations can serve small populations, including those with complex conditions or dual eligibility for Medicare and Medicaid.
Medicaid Home Health Benefit Supports Children with Complex Medical Conditions
This new optional Medicaid health home benefit helps state Medicaid programs provide Medicaid-eligible children who have medically complex conditions with person-centered care management, care coordination, and patient and family support
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
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.
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