Half of States Expanding Medicaid Managed Care in 2012
Hot 'Off The Wire' News for the Week of November 7, 2011
To manage their Medicaid budgets during fiscal year 2012, 24 states plan to expand their managed care programs—either by expanding the geographic area under Medicaid managed care or by including more populations. States are using Medicaid managed care to control costs and to expand the use of disease and care management programs and patient-centered medical homes to coordinate care for high cost and high need populations. Kentucky, Louisiana, New Jersey, New York, and Texas are implementing new or significant expansions of comprehensive managed care programs. As of October 2010, of the total 54 million Medicaid beneficiaries in the U.S., about two-thirds were enrolled in some form of managed care, and all states (except Alaska, New Hampshire, and Wyoming) operated Medicaid managed care programs, either through capitated managed care organizations (MCOs), primary care case management (PCCM), or prepaid health plans... Full Article (all members)
Children's Services
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- In 2010, 40% of TANF Cash Assistance Payments Went To Children (premium members)
Mental Health & Chemical Dependency Services
- 15 Year Interval Between Initial Substance Abuse & First Admission To Addiction Treatment (premium members)
- No Help for 20% of People Experiencing an Initial Episode of Psychosis (premium members)
- North Carolina Launches Public/Private Mental Health, Addiction Treatment Bed Locator To Reduce ER Wait Times (premium members)
- Medicare Adds New Coverage for Preventive Depression, Alcohol Screening & Counseling in Primary Care (all members)
- Hazelden Opens NYC Collegiate Sober Housing Facility (premium members)
- Florida Health Partners Challenges State Medicaid Medical Loss Ratio Calculation (premium members)
Cognitive Disabilities
- New York OPWDD To Layoff Medicaid Service Coordinators (premium members)
- Arc of California & UCP of San Diego Sue State To Block Automatic Cuts To DD Services (premium members)
Social Services
- Illinois Delays Payment To Non-Profit Human Service Contractors (premium members)
- California Benefit Corporation Legislation Signed into Law (premium members)
Disability Support
- HHS Suspends Implementation of CLASS Act (premium members)
- Community-Based Organizations To Share $500 Million To Prevent Hospital Readmissions (all members)
Strategic Health Care News
- Los Angeles County Develops Universal Health Care Coverage Strategy, Cuts Reimbursements for Indigent Emergency Care (premium members)
- 19% of U.S. Companies Impose Penalties To Drive Employee Participation in Health Management Programs (premium members)
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- Missouri Cancels SynCare Contract for Medicaid HCBS Eligibility Administration; Takes Over Services (premium members)
- U.S. Remote Patient Monitoring Market Hit $7 Billion in 2010 (premium members)
Newsmakers
- Scot Adams, Ph.D. Appointed Interim Director of Nebraska Department of Health and Human Services, Division of Children and Family Services (all members)
- Jean Ortega-Piron Appointed Acting Director of Illinois Department of Children and Family Services (all members)
- Lisbeth Armstrong Named Interim Chief Executive Officer of Hammer Residences, Inc (all members)
News Wire Recap
- October 31, 2011: 5% of Adults Have Serious Mental Illness, Prevalence Highest in Rhode Island & Lowest in Hawaii
- October 24, 2011: 60% of Medicare Psychiatric Hospitalizations Are for People Under Age 65
- October 17, 2011: Virginia Medicaid Preparing Behavioral Health Carve-Out RFP
- October 10, 2011: Implementation of Health Reform To Double Number of Medicaid Beneficiaries Using Behavioral Health Services
- October 3, 2011: 45% of Addiction Treatment Programs Offer Medication-Assisted Treatment
- September 26, 2011: Appeals Court Rules Blue Shield of California Must Pay for Residential Anorexia Treatment
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