Great conversation with Stuart Portman, Georgia’s Medicaid Director. He and Clay talked about Medicaid in Georgia, Rural Health Transformation, value-based care and The Ahead Model. Run time: 14 mins
Author: MM_ADMIN
[LIVE @ NAMD] Medicaid Conversations: Interview with Emily Ricci
Great conversation with Emily Ricci, DOH Deputy Commissioner, and Alaska Medicaid Director. She and Clay talked about Alaska Medicaid, Medicaid Changes, and Adolescent Behavioral Health. Run time: 14 mins
[LIVE @ NAMD] Medicaid Conversations: Interview with Jennifer Strohecker
Great conversation with Jennifer Strohecker, Utah’s former Medicaid Director. She and Clay talked about NAMD, Pharmaceuticals, What’s next?, and GLP-1’s. Run time: 11 mins
[LIVE @ NAMD] Medicaid Conversations: Interview with Mike Boeder
Great conversation with Mike Boeder, CFO of Chorus Community Health Plans. He and Clay talked about refocusing on Medicaid, Looking past rates, and expanding across Wisconsin. Run time: 20 mins
[LIVE @ ACAP] Medicaid Conversations: Interview with Sarah Spiekermeier
Great conversation with Sarah Spiekermeier, CEO of Banner Health Plans. She and Clay talked about work requirements, Arizona’s H2O Program, and Community Wellness Events. Run time: 7 mins
Who’s Buying What? Part 2: Insights from Interviews with Solution Provider Sales Execs
About the series
As federal Medicaid priorities teeter on the edge of major transformation, many state agencies, managed care plans, and federal HHS teams have entered a period of collective pause—a “shock mode” marked by internal uncertainty, delayed decisions, and heightened scrutiny. At the same time, some solution providers continue to invest heavily in go-to-market efforts, not always recognizing the dramatic shift in buyer psychology. Others continue their sales efforts, but are struggling to know how to pivot.
This three-part series, “Who’s Buying What?”, shares anonymous insights from both sides of the market—solution provider CEOs and Medicaid plan and agency executives—to uncover the a potential and growing misalignment between pitch and purchase. From ghosted pilots to silence from state buyers, these stories reveal the deeper dynamics shaping Medicaid procurement in 2025. The series offers practical, targeted guidance for vendors adjusting their targeting strategies in a time of heightened uncertainty, and for buyers hoping to signal needs without inviting a flood of premature outreach.
Who’s Buying What? Part 1: Insights from Interviews with Medicaid Plan Executives
About the series
As federal Medicaid priorities teeter on the edge of major transformation, many state agencies, managed care plans, and federal HHS teams have entered a period of collective pause—a “shock mode” marked by internal uncertainty, delayed decisions, and heightened scrutiny. At the same time, some solution providers continue to invest heavily in go-to-market efforts, not always recognizing the dramatic shift in buyer psychology. Others continue their sales efforts, but are struggling to know how to pivot.
This three-part series, “Who’s Buying What?”, shares anonymous insights from both sides of the market—solution provider CEOs and Medicaid plan and agency executives—to uncover the a potential and growing misalignment between pitch and purchase. From ghosted pilots to silence from state buyers, these stories reveal the deeper dynamics shaping Medicaid procurement in 2025. The series offers practical, targeted guidance for vendors adjusting their targeting strategies in a time of heightened uncertainty, and for buyers hoping to signal needs without inviting a flood of premature outreach.
5BF- 8/8/2025
Officer fMap’s Monthly Fraud Sheet- May 2025
🚨 Officer FMAP’s Monthly Medicaid Fraud Sheet – A look back at the Medicaid frauds reported the last 30 days
Each month, Officer FMAP rounds up all the Medicaid fraud stories and enforcement cases we’ve tracked over the last 30 days – and this month’s fraud sheet is packed.
You’ll find:
✅ A downloadable file with case summaries
📊 High-level charts showing trends, types of fraud, and states impacted
🔗 Direct links to original news stories
We are working on improving the quality of our data mining tools here at the precinct. We know we have a few bugs in the Type Classifier. Please report any other bugs you find.
Download the file. Share with your team. Tell us where we got info wrong. Be a part of fixing Medicaid.
5BF: 05/02/2025
Here are our bullets:
1- Slimy Ron Update
2- Meet Dutch
3-No MA goodies for you!
4- Meet Loop Holio
5- Aetna says Peace Out Homies1- Slimy Ron Update
Run time: 15 min