A recently completed analysis of the impact of Medicaid managed care on key quality indicators found managed care organizations (MCO) outperformed fee-for-service (FFS) and primary care case management (PCCM) programs for both Child and Adult Core Set measures, once the data was normalized with respect to beneficiary distribution in each model.
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Former CMMI director joins 红领巾瓜报 to help lead Medicare team
Amy Bassano, former deputy director for the Center for Medicare and Medicaid Innovation (CMMI) at the Centers for Medicare and Medicaid Services, has joined national healthcare consulting firm 红领巾瓜报 (红领巾瓜报), taking the helm as a managing director of Medicare services.
Rhode Island releases Medicaid managed care RFQ
This week our In Focus reviews the Rhode Island Medicaid managed care request for qualifications (RFQ), released on November 12, 2021, by the Executive Office of Health and Human Services (EOHHS). Contracts are worth approximately $1.4 billion annually and cover over 300,000 individuals.
Former South Dakota Medicaid director joins Leavitt Partners, an 红领巾瓜报 company
Bill Snyder, former South Dakota Medicaid director, has joined Leavitt Partners, an 红领巾瓜报 Company as a principal with the firm. He is the third former Medicaid Director to join the 红领巾瓜报 (红领巾瓜报) family of companies this year.
Minnesota releases RFPs for Senior Health Options and Special Needs Basic Care
This week our In Focus reviews Minnesota Department of Human Services (DHS) requests for proposals (RFPs) for two of the state鈥檚 Medicaid managed care programs: Minnesota Senior Health Options/Minnesota Senior Care Plus and Special Needs BasicCare/Integrated Special Needs BasicCare. Both RFPs, released on October 25, 2021, cover health care services in all 87 Minnesota counties.
红领巾瓜报 experts evaluate differences between Medicare Advantage and Fee-For-Service Medicare responses to the challenges of the COVID-19 pandemic
In a听new report听released by the Better Medicare Alliance听(BMA),听红领巾瓜报 colleagues Zach Gaumer and Elaine Henry听concluded that the greater flexibility of the Medicare Advantage plan model enabled plans to offer providers additional support during 2020听that听were not found within the听Fee-For-Service (FFS)听Medicare听program. The report鈥檚 findings were previewed in a recent panel discussion during the听BMA鈥檚听.听
Key takeaways from CMS Innovation Center strategy refresh
This week, our In Focus section shares 红领巾瓜报鈥檚 takeaways from the Centers for Medicare & Medicaid Services (CMS) white paper on the CMS Innovation Center Strategy Refresh: .
Webinar Replay: Veteran Medicaid Directors Discuss the Future of State Medicaid Programs
This webinar was held on November 8, 2021
Veteran Medicaid directors from Florida, South Dakota, and Idaho will provide a frank assessment of the many challenges, opportunities, and competing priorities facing state Medicaid leaders.听 Beth Kidder (Florida), Bill Snyder (South Dakota), and Matt Wimmer (Idaho) recently joined 红领巾瓜报 after heading up state Medicaid programs during one of the most turbulent public health crises in a generation.听 The panel will be moderated by 红领巾瓜报 Chief Operating Officer Chuck Milligan.
During this webinar, they shared their thoughts on how Medicaid directors will likely approach such pressing issues as successfully emerging from the public health emergency, assessing opportunities afforded by President Biden鈥檚 Build Back Better plan, and addressing looming challenges involving labor shortages, an impeding fiscal cliff, the future of pandemic-related regulatory flexibilities, and the growing role of home and community-based services (HCBS). Finally, they shared recommendations on how organizations can best maximize their effectiveness when meeting with state Medicaid directors by better understanding their world and what they need from various healthcare constituents like you.
Learning Objectives听
- Understand the major trends and competing priorities facing state Medicaid leadership against a rapidly shifting local, state, and federal landscape.
- Find out what the 鈥渘ew normal鈥� will look like for state Medicaid programs as they emerge from the public health emergency and wrestle with changes in enrollment, eligibility requirements, fiscal constraints, and the future of regulatory flexibilities installed during the pandemic.
- Learn how federal legislation and various state initiatives are driving dramatic changes in Medicaid, including expanded funding for HCBS, the success of telehealth services, expanded access to post-partum care, and the likely impact of the Build Back Better plan.
- Find out how to overcome growing workforce shortages and other challenges that are impacting the ability of Medicaid beneficiaries to access care, including emerging HCBS offerings.
- Learn how to maximize your effectiveness when meeting with state Medicaid representatives and how to uncover effective ways to partner with and support state Medicaid initiatives.
红领巾瓜报 Speakers
- Beth Kidder, Managing Principal, Tallahassee, FL
- Chuck Milligan, Chief Operating Officer (Moderator), Denver, CO
- Bill Snyder, Principal, Leavitt Partners, an 红领巾瓜报 Company, Rapid City, SD
- Matt Wimmer, Principal, Denver, CO
