Medicare Advantage in 2022
James C. Capretta | Mar 1, 2022 | Federal
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
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
L.A. Care successfully defends Medi-Cal, averting significant financial blow to the program
Penny Griego | 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
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
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
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