Great conversation with Tyler Sadwith where he and Clay talked in detail about California’s Medicaid transformation – CalAIM.
Run time: 22 mins
Category: Webinars & Interviews
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
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
Episode 59 of Clay’s Medicaid News Roundtable
Stories covered:
Uber Caregiver
Accenture buys Cognosante
Oklahoma managed care rollout challenges
$1.5B in questionable payments through NY MCOs
Centene says states did redeterminations wrong
Centene to spend $1B on housing
MN kicks out for profit MCOs
TX community plans kicked out
NV Medicaid digital efforts
MI telehealth pricing parity
GSA FedRamp advisory panel
Medicaid and weight loss drugs
340B in the courts
NH staffing rule (and Clay learns something)
DE, TN and babies’ butts
Newsom won’t deal with the $40B deficit he created
And much more!
State Spotlight- Nevada: Interview with Stacie Weeks
Great conversation with Stacie Weeks of Nevada Medicaid. Topics include: strengthening the workforce, innovations through stronger communications, and innovations for BH and jail health programs. Run time: 12 mins
State Spotlight- Iowa: Interview with Liz Matney
Great conversation with Liz Matney of Iowa Medicaid. Topics include: helping providers and members navigate the post-covid Medicaid world, implementation of their new hospital provider tax, and finding new opportunities to be more flexible in managing their programs. Run time: 21 mins
The Medicaid Geezer Show: May 2024
Episode 58 of Clay’s Medicaid News Roundtable
MedicaREConversations: Interview with Rex Wallace
Great conversation with Rex Wallace. Topics include: data security (including the United/Change disaster and the impact on Medicare member trust, CAHPS surveys (and the changes in weighting after this year), and insights on health equity as a component of STARs.
Run time: 16mins
Run time: 17 mins