- Majority of GLP-1 Prescriptions Paid by Commercial Insurance.
- Modest reaction to $7.5B Medicare drug price cuts
- CMS Unveils Final coverage Pathway guidance for breakthrough devices, but Industry Pushes for Legislative Fix.
Author: MM_ADMIN
3 Things to Know This Week for HHS Solution Providers: Week of 8/19/2024 (Week 34)
- Washington launches electronic consent tool for sensitive health data
- Venture capital fuels maternal healthcare growth
- Georgia launches state-run health insurance exchange.
5BF: 8/23/2024
MedicaidConversations: Gui Woolston (Connecticut)
Great conversation! with Gui Woolston, Connecticut’s former Medicaid director. He and Clay covered 3 main topics: 1) implementing Test and Learn capabilities; 2) CT’s maternity bundle; and 3) value-based payments and HCBS. Run time: 27 mins.
5BF: 8/9/2024
Episode 60 of Clay’s Medicaid News Roundtable
Stories we covered in this episode:
Half of States Lack Full SUD Care Coverage in Medicaid Managed Care Plans
Over 1.6M people in Maryland enrolled in Medicaid, more than before COVID
State report shows most Virginians on Medicaid can’t access prenatal services
UnitedHealth’s cyberattack response costs to surpass $2.3B this year
HHS releases proposed rule designed to improve patient engagement, information sharing, interoperability
Leidos awarded Medicaid Enterprise Systems Integrator contract
Court Losses Mount For Pharma In Legal Bid To Block Medicare Drug Price Negotiations
Legislation to grant 4-year coverage of breakthrough medical devices passes Ways and Means, with a heavy discount
Telehealth 4 Walls Update: CMS Issues Proposed Rule to Eliminate Medicaid Standard
Florida appeals a ruling regarding payment of KidCare insurance premiums
Kansas official rejects appeal by unsuccessful bidders on state’s $4 billion KanCare contract
North Carolina’s Medicaid expansion program has enrolled 500,000 people in just 7 months
Hospitals raise hands to pay taxes that plug Medicaid shortfalls
Medicaid in Five States Will Cover MOUD for Prisoners Nearing Release
Can a Medicaid plan that requires work succeed? Georgia’s experiment is not promising
3 Things to Know This Week for HHS Pharma Teams: Week of 8/5/2024 (Week 32)
- CMS releases new Part D information for 2025 bids.
- Medicaid coverage as factor to increase clinical trial participant racial diversity
- FDA Digital Health advisory committee updates
3 Things to Know This Week for HHS Solution Providers: Week of 8/5/2024 (Week 32)
- Missouri considers tech overhaul to deal with challenges.
- Gainwell overpayment errors lead to provider frustration in Vermont.
- Senate moves to renew $7B broadband access funding program.
3 Things to Know This Week for HHS Solution Providers: Week of 7/29/2024 (Week 31)
- Headway gets $100M in latest funding round.
- Pennsylvania releases RFI for waiver management vendor.
- ABA connect acquires Houston provider.
Listen to audio version (above) and get up to speed on these in less than 3 mins, or check out on Spotify
3 Things to Know This Week for HHS Pharma Teams: Week of 7/29/2024 (Week 31)
- Retro study looks at Hep-C market access approaches for Medicaid during initial rollout.
- CMS releases new guidance on Medicare drug program member outreach and co-pay rules.
- Pharmacies sue UnitedHealthcare over security failures.
Check out the audio version above, or on Spotify