Great conversation with Dana Flannery, New Mexico’s Medicaid Director. Topics include: Justice-involved waiver, MCO transformation, and healthcare authority. Run time: 17 mins
Category: Amazing Free Content
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
5BF: 8/23/2024
Here are our bullets:
–David’s slingshot
–Big Apple Makes Big (?) Workforce Play
–IRA a nothinburger? A somethingburger?
–VC’s eyeing the womb
–Farris’s Fantastic Fraud Follies (Officer Eff-Map is on the case)
5BF: 8/9/2024
Episode 60 of Clay’s Medicaid News Roundtable
Stories we covered in this episode:
Half of States Lack Full SUD Care Coverage in Medicaid Managed Care Plans
Over 1.6M people in Maryland enrolled in Medicaid, more than before COVID
State report shows most Virginians on Medicaid can’t access prenatal services
UnitedHealth’s cyberattack response costs to surpass $2.3B this year
HHS releases proposed rule designed to improve patient engagement, information sharing, interoperability
Leidos awarded Medicaid Enterprise Systems Integrator contract
Court Losses Mount For Pharma In Legal Bid To Block Medicare Drug Price Negotiations
Legislation to grant 4-year coverage of breakthrough medical devices passes Ways and Means, with a heavy discount
Telehealth 4 Walls Update: CMS Issues Proposed Rule to Eliminate Medicaid Standard
Florida appeals a ruling regarding payment of KidCare insurance premiums
Kansas official rejects appeal by unsuccessful bidders on state’s $4 billion KanCare contract
North Carolina’s Medicaid expansion program has enrolled 500,000 people in just 7 months
Hospitals raise hands to pay taxes that plug Medicaid shortfalls
Medicaid in Five States Will Cover MOUD for Prisoners Nearing Release
Can a Medicaid plan that requires work succeed? Georgia’s experiment is not promising