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December 21, 2016

Today's Featured Story

Medicaid Block Grants: Boom, Then Bust?
Reprinted from HEALTH PLAN WEEK

Republican lawmakers have long advocated giving states the option of per capita Medicaid financing or moving to block grants. Both Rep. Tom Price, M.D. (R-Ga.) — Trump’s pick as HHS secretary — and House Speaker Paul Ryan (R-Wis.) have highlighted block grants as the centerpiece of a reformed Medicaid program. While Medicaid is a federal entitlement program through which state funding is matched with federal dollars, block grants would be an appropriation, and would need to be approved by congressional committees each year. It’s uncertain if they would have the votes needed to move legislation forward.... Read Full Story


Quote of the Day

WellCare Health Plans, Inc.’s planned acquisition of Universal American Corp. is a “strategically and financially sound acquisition for the company, especially after the GOP sweep in the election, which virtually assures 50+% private penetration of Medicare Advantage while alternative primary care driven payment models will continue to gain traction.”

— Leerink securities analyst Ana Gupte, Ph.D.

Click here to read the MEDICARE ADVANTAGE NEWS article in which this quote appeared — "In Friendly MA Climate, Time Is Right for WellCare-Universal Deal" (Free for MAN subscribers; $17 for non-subscribers.)


Today's Datapoint

10.8 million ... covered lives are served by Medicaid managed care plans in California, the state with the largest managed Medicaid market. That is 21.99% of the total Medicaid managed care market.



Today from Washington

People on the Move

Daniel J. Hilferty, president and CEO of Independence Blue Cross, was elected to a second term as chairman of the Blue Cross and Blue Shield Association Board of Directors….Horizon Blue Cross Blue Shield of New Jersey named David Gambino vice president and chief pharmacy officer, a newly created position. He previously was chief strategy officer at Via Christi Health.…Cigna Corp. appointed Ralph Holmes president and general manager for its commercial health care benefits plans in Arizona. Holmes most recently served as president, Aetna Health Inc. of Texas.


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