Clay goes to NAMD 2024! There he had the opportunity to interview US Virgin Islands’ Medicaid Director, Gary Smith. They discussed three main topics: the difference between being a Territory Medicaid Program and State, getting Members off the Island for needed care, and staffing in the Territory. Run time: 30 mins
Author: MM_ADMIN
[LIVE @ NAMD] Medicaid Conversations: Interview with Bill Hanna
Clay goes to NAMD 2024! There he had the opportunity to interview Wisconsin’s Medicaid Director, Bill Hanna. They discussed three main topics: Medicaid Expansion, Housing Waiver, and Food is Medicine. Run time: 21 mins
Medicaid Conversations: Interview with Adela Flores-Brennan
Great conversation with Adela Flores-Brennan, Colorado’s Medicaid Director. They walk through the latest updates happening in Colorado – Maternal equity, amendment waivers to benefit social health, and their new program, “Cover All Coloradans”. Run time: 15 mins
Medicaid Conversations: Interview with Chris Esguerra
Great conversation with Chris Esguerra, Health Plan of San Mateo’s Chief Medical Officer. They walk through HPSM’s process of going beyond Process of Prior Authorizations. Run time: 17 mins
State Spotlight- New Mexico: Interview with Dana Flannery
Great conversation with Dana Flannery, New Mexico’s Medicaid Director. Topics include: Justice-involved waiver, MCO transformation, and healthcare authority. Run time: 17 mins
State Spotlight- Indiana: Interview with Cora Steinmetz
Great conversation with Cora Steinmetz, Indiana’s Medicaid Director. Topics include: their recent MLTSS launch, implementing new federal rules, and improving forecasting processes. Run time: 17 mins
State Spotlight- California: Interview with Tyler Sadwith
Great conversation with Tyler Sadwith where he and Clay talked in detail about California’s Medicaid transformation – CalAIM.
Run time: 22 mins
Episode 61 of Clay’s Medicaid News Roundtable
Richard Topping and Clay covered the Medicaid News in the last 45 days. Run time 1hr 16 mins.
Stories we covered in this episode:
New York runs away from the pack on Medicaid spending
NCDHHS announces NC Medicaid Managed Care children and specialty plan
Hearing set for Health Plans challenging Florida Medicaid Contract Awards
Cook Children’s Health Plan sues the state of Texas over Medicaid contract dispute
Medicaid expert reacts to AHCCCS improperly issuing contracts to ALTCS health providers
Maternal healthcare sees a surge in venture capital
Vermont Medicaid overpaid some providers – and wants the money back
Pharma investors exhale despite $7.5B in drug price cuts
Colorado leads six states in $175M fraud lawsuit against pharmaceutical company
CMS expands coverage pathway for emerging technologies, drawing imaging industry criticism
CMS releases FY 2025 final rule for long-term care hospitals
Hochul announces $646M investment in health care workforce through Medicaid pilot
Illinois expanding Medicaid to nonmedical services
Study finds more than 20% of children with Medicaid receive Metformin for Type 1 Diabetes
North Carolina to offer enhanced Medicaid funds to hospitals that help eliminate medical debt
State Spotlight- New York: Interview with Amir Bassiri
Great conversation with Amir Bassiri, New York State Medicaid. Topics include: 1115 Waiver, Unwind / PHE, and Pharmacy initiatives around 340-B. Run time: 17 mins
3 Things to Know This Week for HHS Pharma Teams: Week of 8/19/2024 (Week 34)
- Majority of GLP-1 Prescriptions Paid by Commercial Insurance.
- Modest reaction to $7.5B Medicare drug price cuts
- CMS Unveils Final coverage Pathway guidance for breakthrough devices, but Industry Pushes for Legislative Fix.