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.
Medicaid
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
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
Launch of Ohio’s Reformed Medicaid Managed Care System Partially Delayed
The projected launch date of many of the reforms stemming from the revamp of Ohio’s Medicaid managed care system is being pushed back to the end of this year.
Value-based Care Startup Powering In-Home and Virtual Care for Seniors
Value-based care platform Vytalize Health has landed $53 million in series B funding to power its virtual and in-home primary care offerings for seniors.
2023 Medicare Advantage Part D Rate Gets 8.5% Revenue Hike
North Carolina is providing $650 million in funding for the launch of a new Medicaid pilot program, Healthy Opportunities, which will reimburse social service provider organizations for interventions that address social determinants of health.