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Episode 61 of Clay’s Medicaid News Roundtable

Richard Topping and Clay covered the Medicaid News in the last 45 days. Run time 1hr 16 mins.

Stories we covered in this episode:

New York runs away from the pack on Medicaid spending

NCDHHS announces NC Medicaid Managed Care children and specialty plan

Hearing set for Health Plans challenging Florida Medicaid Contract Awards

Cook Children’s Health Plan sues the state of Texas over Medicaid contract dispute

Medicaid expert reacts to AHCCCS improperly issuing contracts to ALTCS health providers

Maternal healthcare sees a surge in venture capital

Vermont Medicaid overpaid some providers – and wants the money back

Pharma investors exhale despite $7.5B in drug price cuts

Colorado leads six states in $175M fraud lawsuit against pharmaceutical company

CMS expands coverage pathway for emerging technologies, drawing imaging industry criticism

CMS releases FY 2025 final rule for long-term care hospitals

Hochul announces $646M investment in health care workforce through Medicaid pilot

Illinois expanding Medicaid to nonmedical services

Study finds more than 20% of children with Medicaid receive Metformin for Type 1 Diabetes 

North Carolina to offer enhanced Medicaid funds to hospitals that help eliminate medical debt

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Episode 60 of Clay’s Medicaid News Roundtable

Kris and Clay covered the Medicaid News in the last 45 days. Run time 1hr 16 mins.

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

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Episode 59 of Clay’s Medicaid News Roundtable

Kat McDavitt and joined Clay and Steven to cover the Medicaid News in the last 45 days. Run time 1hr 16 mins.

Stories covered:

Uber Caregiver
Accenture buys Cognosante
Oklahoma managed care rollout challenges
$1.5B in questionable payments through NY MCOs
Centene says states did redeterminations wrong
Centene to spend $1B on housing
MN kicks out for profit MCOs
TX community plans kicked out
NV Medicaid digital efforts
MI telehealth pricing parity
GSA FedRamp advisory panel
Medicaid and weight loss drugs
340B in the courts
NH staffing rule (and Clay learns something)
DE, TN and babies’ butts
Newsom won’t deal with the $40B deficit he created
And much more!