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Healthcare Reform › MCOs › Medicaid

McDermott Will & Schulte

Budget reconciliation’s effect on New York’s Medicaid and Essential Plan funding

McDermott Will & Schulte on

The budget reconciliation process resulting in the One Big Beautiful Bill Act, which was enacted on July 4, 2025, contains many significant changes to the Medicaid program. Many of the changes, such as those related to work...more

Sheppard Mullin Richter & Hampton LLP

Understanding the Federal Reconciliation Bill’s Implications for MCO Tax Structure

Sheppard Mullin Richter & Hampton LLP on

New York’s Medicaid financing strategy—particularly its use of a managed care organization (MCO) tax—has come under renewed federal scrutiny amid recent legislative proposals and regulatory developments. The federal...more

Holland & Knight LLP

Holland & Knight Health Dose: May 20, 2025

Holland & Knight LLP on

The budget reconciliation package is expected to be considered by the full U.S. House of Representatives as soon as May 22, 2025. The House Committee on Rules is scheduled to meet on May 21, 2025, at which time additional...more

McDermott Will & Schulte

New York Executive Budget Proposes Amendments to MCO Provider Tax

McDermott Will & Schulte on

The New York State Executive Budget for Fiscal Year (FY) 2026 proposes significant updates to the managed care organization (MCO) provider tax, aiming to enhance Medicaid funding through innovative financial strategies. The...more

Harris Beach Murtha PLLC

NYS DOH Seeks Grant Applications for Health Equity Social Care Networks

Harris Beach Murtha PLLC on

The New York Department of Health (DOH) recently announced it is accepting applications for New York Health Equity Reform: Social Care Networks regional grants. The nine regional grants will distribute a total of $500 million...more

Akerman LLP - Health Law Rx

Issues and Analysis of the State’s Medicaid Managed Assistance ITN

Akerman LLP - Health Law Rx on

The recently released Invitations to Negotiate (ITN) for Florida’s Statewide Medicaid Managed Care program (SMMC) parallels in large part the State’s initial procurements that were released in 2012 and 2013. Where the current...more

King & Spalding

OIG Report Examines Minimum Loss Ratio Impact on South Carolina Medicaid Managed Care

King & Spalding on

OIG recently issued a report determining that South Carolina’s Medicaid Managed Care program would not have realized any savings if the state agency implemented a minimum Medical Loss Ratio (MLR) similar to the current...more

Dentons

Medicaid in Iowa: What's Next

Dentons on

In my previous blog post, I provided a brief history of Medicaid in Iowa, including sharing details on it’s current modernization and challenges. In this post, we’ll cover what’s next for Medicaid members with the move to...more

Burr & Forman

Alabama Medicaid: The Move To A Managed Care Program (Part I)

Burr & Forman on

On May 17, 2013, Governor Bentley signed into law Act 2013-261, Ala. Code §§ 22-6-150 et seq., which changes the Alabama Medicaid system from a fee-for-service to a managed care program (the "Act"). This historic legislation...more

Burr & Forman

2013 Healthcare Year In Review

Burr & Forman on

Bob Dylan's quote from 1964 -- "The Times They Are A-Changin" -- could equally apply to the healthcare industry in 2013. This was the year that the Affordable Care Act ("ACA") came into full public view with the start of the...more

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