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Episode 60 of Clay’s Medicaid News Roundtable

Kris and Clay covered the Medicaid News in the last 45 days. Run time 1hr 16 mins.

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

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Episode 59 of Clay’s Medicaid News Roundtable

Kat McDavitt and joined Clay and Steven to cover the Medicaid News in the last 45 days. Run time 1hr 16 mins.

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!

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Medicaid State Spotlight: Hawaii- An interview with Judy Mohr-Peterson


Great conversation with Judy Mohr-Peterson, Medicaid Director of Hawai’i. She covered a lot of ground, including: (1) Their new 1115 waiver renewal that covers nutritional supports, rental assistance, and utilities, and support for justice-involved individuals; (2) the impact of the wildfire response on Medicaid agency operations; and (3) what the Hawai’i experience with the unwinding has been (and what it will be in 2024).

Run time: 17 mins