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Colorado, October 20, 2021

Restricting patient steering and pharmacy quotas: CPhA on legislative successes

| Sep 16, 2021 | California

The California Legislature recently passed two of California pharmacists’ highest priority bills. Senate Bill 524 prohibits health plans from requiring patients to get their medications or services from certain pharmacies -- a practice known as “patient steering.” SB 362 prevents community pharmacies from enforcing quotas on their pharmacists. The two...[ Read More ]

CHI report highlights missed care during pandemic, urges providers to reconnect with patients

| Sep 16, 2021 | Colorado

A report released this month by the Colorado Health Institute (CHI) illustrates the magnitude of missed medical care in Colorado during the pandemic and offers recommendations for addressing this offput care.  Using medical record data from the Colorado Health Observation Regional Data Service (CHORDS), CHI examined the volume of patient...[ Read More ]

Texas Medicaid managed care procurement updates: STAR Health Draft RFP, STAR Kids ACO RFI

| Sep 15, 2021 | Texas

As it prepares to procure new managed care contracts for its Medicaid programs over the next few years, the Texas Health and Human Services Commission (HHSC) has taken various preliminary steps to prepare for the process.     STAR Health Earlier this month, HHSC released the draft request for proposal...[ Read More ]

Commissioner Conway details Colorado's plan for implementing Prescription Drug Affordability Board

| Sep 14, 2021 | Colorado

Colorado Insurance Commissioner Michael Conway gave an overview the state’s plan for implementing the recently passed Prescription Drug Affordability Board (PDAB) at a recent webinar hosted by the Colorado Department of Health Care Policy and Financing (HCPF). The heavily debated SB 21-175 creates an affordability board to review the prices...[ Read More ]

California could soon require health plans to cover enrollees' dependent parents

| Sep 14, 2021 | California

Pending final approval from Gov. Gavin Newsom, California is positioned to require private, state-regulated health plans to offer health insurance coverage to eligible dependent adults. AB 570, or the “Parent Healthcare Act,” authored by Asm. Miguel Santiago and sponsored by the California Department of Insurance (CDI), will require health plans...[ Read More ]

HHSC seeks public input on evaluation criteria for STAR+PLUS managed care procurement

| Sep 10, 2021 | Texas

The Texas Health and Human Services Commission (HHSC) announced on Tuesday an invitation for public comment on its Best Value Criteria, which it intends to use as part of evaluating the upcoming Medicaid Managed Care procurement for its STAR+PLUS program. The comment period ends on Sept. 17. HHSC defines “best...[ Read More ]

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