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In this issue
 
  • Never Ending Medicaid Conference 9 is TODAY!
  • Latest 5BF is out!
  • Medicaid News Curator updates
  • HHS Job Hunter updates
  • This Week's Medicaid Wrong Answers Only Game - Taking Submissions for OPRA
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Agenda
 
Medicaid News Roundtable Episode 52

The Medicaid Geezer Show

Solving complex health system problems by combining investment, non-profit and community approaches

Medicaid solution provider funding rounds news
Steven Hedgepeth
MostlyMedicaid
Ray Hanley
Arkansas Foundation for Medical Care
Vern Smith 
HMA
Binoy Bhansali
SCAN Health Plan 
Kris Vilamaa
MostlyMedicaid
Joel Menges
The Menges Group
Clay Farris
MostlyMedicaid
Len Kirschner
AARP Arizona
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Latest Medicaid News in HHS Curator
  1. Legislature delays negotiations of $4 billion Kansas Medicaid contracts until 2023
[MM Curator Summary]: The bill to handle MCO contract schedules directly by legislative power has moved forward in Kansas, but will be 1 vote shy of being veto proof from the Governor it is seeking to control.
 
  1. PSD rejoining Colorado’s Medicaid reimbursement program
[MM Curator Summary]: A CO school will re-sign up to get Medicaid funding for healthcare services after a 10 year break and starting a new plan on how to manage the funding stream.
 
  1. Biden administration drops fight over Texas’ Medicaid waiver
[MM Curator Summary]: Biden backs down and Texas safety net providers start to recover from 12 months of uncertainty caused by the unprecedented political power-grab use of CMS.
 
  1. Centene Profits Hit $849 Million On Medicaid, Medicare And Obamacare Growth
[MM Curator Summary]:If you're the largest Medicaid plan on the planet, its been a good coupla years. 
 
  1. CMS Guidance to Drug Manufacturers Reporting Medicaid Best Price
[MM Curator Summary]: Changes to CMS drug regulations will now allow manufacturers to enter more value based arrangements with states.
 
  1. CAO overbilled Medicaid $18.16 at a time; files $1M lawsuit for being ‘lulled into complacency’
[MM Curator Summary]: A substance abuse provider is suing its software vendor, claiming the software vendor is at fault for $1M in overbillings to the state.
 
  1. New York State budget expands Medicaid eligibility for older adults
[MM Curator Summary]: A new change in the NY budget process will allow older members to make more money and have more in assets and still have Medicaid coverage. It will also give non-citizens over 65 Medicaid coverage, but those members will have to be paid for using zero federal dollars.
 
  1. Illinois Gov. JB Pritzker has law that would expand Medicaid coverage
[MM Curator Summary]: She doesn't really emphasize that expanding to non-citizens will have to be paid 100% by state taxes.
 
  1. TennCare legislation requires renewal with providers that didn’t win contracts
[MM Curator Summary]: Legislators in TN are looking for a way to guarantee incumbents keep their dual eligibles contracts even after losing the larger Medicaid contracts.
 
  1. California investigating Centene over alleged Medicaid fraud
[MM Curator Summary]: CA begins its efforts to access the $1.2B set aside by Centene to deal with PBM spread pricing allegations.
 
  1. UnitedHealth (UNH) Inflated Drug Costs, Louisiana AG Alleges in Suit
[MM Curator Summary]: UHC is now facing its own spread pricing allegations related to its subsidiary PBM OptumRx.
 
Read latest Curator items
HHS JobHunter
  1. Technical Project Manager Medicaid and IVV Projects
 
  1. Data Analyst Medicaid Fraud Control Unit | Office of the Minnesota Attorney General
 
  1. Director Writing for Medicaid Proposal Development
 
  1. Health Policy Analyst | Centers for Medicare & Medicaid Services
 
  1. Field Director, Medicaid – West Region – Johnson & Johnson Health Care Systems Inc. at Johnson & Johnson
 
  1. Medicaid Sales Manager – Minnetonka – Medica Health Plans
 
  1. Sales Account Manager- Medicare and Medicaid
 
  1. Director State and Local CA Medicaid
 
  1. Senior Government Consultant – Medicaid Policy and State Operations Marsh & McLennan
 
  1. Researcher – Medicaid, Ann Arbor, Michigan
 
 
Check out latest HHS jobs
Weekly Medicaid Wrong Answers Only Acronym Game
The current acronym in our game is: 

OPRA

to learn more about the real meaning, click here

Send me your best wrong answer. Win a $5 Starbucks card. 
 
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Coffee Talk
We put on a series of ongoing virtual meet and greets for different segments of our audience. Sign up for the next one below. 
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2022 Medicaid Health Plan Great Ideas Awards
We want to be a part of spreading positive news in our space.

The more people that know about successful innovations, the more those innovations can be repeated and adapted in other states.

Anyone can nominate a Medicaid plan for its work by filling out our simple survey here

https://survey.zohopublic.com/zs/2uCzZE

You can nominate a plan through October 20th, 2022. Early submissions are encouraged.
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