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July 18, 2017

Hot Topic

Despite uncertainty over future funding for Medicaid programs, health insurers continue to aggressively compete for contracts. Here’s a look at recent developments:

Wash. Awards Regional Contracts To Integrate Behavioral Care
The Washington state Health Care Authority has notified subsidiaries of Anthem, Inc., Centene Corp. and Molina Healthcare, Inc. of its intent to award Fully Integrated Managed Care contracts in the North Central Region...
From MEDICARE ADVANTAGE NEWS

Managed Medicaid Market Grew, Saw Healthy M&A Activity in 2016
Medicaid has been the fastest-growing sector over the past few years, but changes in the political climate could threaten some of the investments made by insurers in this market...
From MEDICARE ADVANTAGE NEWS

Illinois Medicaid Seeks to Expand Managed Care With Fewer MCOs
As part of an ongoing process to streamline its managed Medicaid program, the state of Illinois is in the midst of soliciting bids from insurers who will compete for a limited number of statewide contracts to serve a larger swath of Medicaid enrollees and meet certain quality objectives...
From MEDICARE ADVANTAGE NEWS

 
Today's AIS Health Datapoint

10% ... is the amount by which Centene Corporation's membership has grown since its 2016 acquisition of Health Net, Inc. This growth is in part due to a 25% gain in commercial risk enrollment, as well as strong growth in its core Medicaid sector.

From AIS’s DIRECTORY OF HEALTH PLANS

            AIS's Directory of Health Plans: 2017

Quote of the Day

“For me that is a big change in policy, [and CMS’s way of saying], ‘We want to help, we want to look at these arrangements, we do think there’s value there and give us your ideas.’”

— Mara McDermott, vice president of federal affairs with CAPG, tells AIS Health about CMS’s proposed rule implementing the Quality Payment Program created by the Medicare Access and CHIP Reauthorization Act (MACRA)

Click here to read the MEDICARE ADVANTAGE NEWS article in which this quote appeared — "New MACRA Rule Clarifies ‘All-Payer’ APM Option, Mulls Greater MAO Involvement" (Free for MAN subscribers; $17 for non-subscribers.)

 
 
 

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