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DHCS releases draft RFP for Medi-Cal managed care procurement

Emily Boerger | Jun 1, 2021 | California

The California Department of Health Care Services (DHCS) on Tuesday released its draft RFP for the state’s Medi-Cal Managed Care Plans reprocurement. The department is hosting a public webinar on June 10 to present the draft, and feedback on its content is due by July 1, 2021. Also due at...[ Read More ]

Amid Centene acquisition, WellCare withdraws protest against Texas STAR+PLUS Awards

Michael Goldberg | Jan 31, 2020 | Texas

WellCare of Texas formally withdrew its protest against the Texas Health and Human Services Commission’s STAR+PLUS Medicaid managed care contract awards.  The withdrawal comes after Centene announced this week that it had received the regulatory go ahead for a $17.3 billion acquisition of WellCare. The deal has significant implications for...[ Read More ]

L.A. Care successfully defends Medi-Cal, averting significant financial blow to the program

| Jan 13, 2020 | California

L.A. Care Health Plan, the largest publicly-operated health plan in the country, is pleased to announce that the Second District Court of Appeal ruled in favor of L.A. Care in a lawsuit involving payments to out-of-network providers. This first-of-its kind case is a culmination of a five-year legal battle that...[ Read More ]

Concerns about CCO 2.0 brought up in senate committee

Emily Boerger | Dec 6, 2019 | Oregon

Last month, former Gov. John Kitzhaber raised concerns about the direction coordinated care organizations are headed when he spoke at the 2019 Oregon State of Reform Health Policy Conference. Kitzhaber was the leading force behind the establishment of coordinated care organizations (CCOs) in 2012 when he was governor. With the...[ Read More ]

LAO report analyzes Medi-Cal pharmacy services carve-out

Marjie High | Apr 12, 2019 | California

The Legislative Analyst Office released a new report this week on the potential impact of a Medi-Cal carve out for managed care pharmacy services. The new policy came out of Governor Newsom’s Executive Order on drug pricing signed in early January 2019 that directs the Department of Health Care Services...[ Read More ]

Coordinated Care the Cornerstone of Reform in Oregon

DJ Wilson | Feb 7, 2012 | Oregon

As many states are trying to implement or exceed federal health reform, Oregon is hoping to provide better, cost-efficient care through coordinated care organizations (CCOs).  CCOs would manage care for Oregon Health Plan (Medicaid) enrollees through a bottom-up approach, with local community councils overseeing the CCOs.  The Oregon Capitol News...[ Read More ]