Florida
04/26/2010Theresa FlahertyTALLAHASSEE, Fla. – The state has proposed transitioning most Medicaid beneficiaries into managed care plans, but such a move could shut HME providers out of the program,...
View ArticleThink managed care is the solution?
Liz Beaulieu03/25/2011Industry consultant Alison Cherney says “everyone wants to get into managed care” these days.“They’re saying, ‘I’m in a competitive bidding area and I lost Medicare, what do I do...
View ArticleNew Hampshire: Providers size up new MCOs
09/24/2012Theresa FlahertyCONCORD, N.H. – HME providers here learned just before Labor Day that CMS had approved the state’s plan to move Medicaid beneficiaries into managed care organizations on Jan....
View ArticleManaged care monopoly?
Stakeholders in Florida fight to make program more equitable05/30/2014Liz BeaulieuORLANDO, Fla. – Industry stakeholders are taking issue with Univita Health’s role as both a third-party administrator...
View ArticleGAO finds fragmented oversight of Medicaid
06/16/2015HME News StaffWASHINGTON – CMS needs to do a better job overseeing Medicaid managed care, the Government Accountability Office says in a report public released June 18.The GAO found that the...
View ArticleLaid off employees sue Univita for lack of notice
08/04/2015HME News StaffMIRAMAR, Fla. – Omar Olivier and about 1,000 other employees who have lost their jobs at Univita Health filed a class action complaint against the company on Aug. 2.The...
View ArticleWho’s to blame for Univita's collapse?
09/03/2015I am reading the Univita story in the latest edition and something is missing or was lost in translation (“Chaos erupts as Univita loses biz,” p. 1, September 2015).Univita did not contract...
View ArticleManaged Care: Locate the haystack
Q. How do I know whether my HME company is built for a managed care world?09/25/2015Lynn EverardA. Shifts in the market point to continued growth in managed Medicaid. This is the place where most HME...
View ArticleProviders feel shut out from managed care
10/02/2015Theresa FlahertyYARMOUTH, Maine – Record numbers of beneficiaries are enrolling in Medicare Advantage plans, but with many of those plans locking down their markets to a handful of providers,...
View ArticleManaged care mess: Providers struggle with new reality of serving Medicaid...
10/16/2015Liz BeaulieuYARMOUTH, Maine – The increasing number of states turning to managed care to run their Medicaid programs is creating a logistical nightmare for providers.Many of the respondents...
View ArticleIowa: Providers fear managed care lock out
12/22/2015Tracy OrzelDES MOINES, Iowa – Stakeholders in Iowa say they have a number of concerns about the upcoming transition to IA Health Link, a new Medicaid managed care program, slated for Jan. 1,...
View ArticleManaged Care: Survive service agreements
12/22/2015Lynn EverardQ. What’s the deal with service level agreements?A. Have you ever noticed that with each new cut in reimbursement there are no reductions in the service levels required? Service...
View ArticleAAHomecare looks beyond Medicare
05/17/2016HME News StaffWASHINGTON – AAHomecare has brought on board Laura Williard to help the association identify opportunities with payers besides Medicare. Williard, most recently senior director...
View ArticleSuperior HealthPlan to make changes to Medline contract
08/15/2017HME News StaffAUSTIN, Texas – Superior HealthPlan, a managed care company that’s administering part of the state’s Medicaid program, has decided to delay a contract with Medline until Oct. 1,...
View ArticleIn brief: HHS scores win in appeals fight, Superior HealthPlan makes changes...
08/18/2017HME News StaffNEW YORK – The D.C. Circuit on Aug. 11 ordered a federal judge to take a deeper look at whether or not the U.S. Department of Health and Human Services can clear a backlog of...
View ArticleMCOs shift Medicaid landscape
‘We are disappointed that they are taking away quality customer service and care’08/18/2017Liz BeaulieuYARMOUTH, Maine – Managed care organizations targeting single-source or preferred provider...
View ArticleYear in review: The next front materializes, and the impact piles up
HME News Staff11/29/2017Here’s a look at the most read stories for 2017. I know there are still 32 days left in 2017 (who’s counting), but I couldn’t help myself (and I needed a blog topic).The No. 1...
View ArticleThe year in review: Escalating turmoil, relief efforts dominate headlines
12/29/2017HME News StaffYARMOUTH, Maine – Moves by managed care organizations to send more Medicaid business to large distributors was the most read story of 2017 at HME News.Here’s that story, and...
View ArticleActivStyle drops out of IlliniCare
11/16/2018HME News StaffSPRINGFIELD, Ill. – ActivStyle, a Minneapolis-based provider of incontinence supplies, is dropping out of IlliniCare Health’s network after “a year of operating at a loss,” CEO...
View ArticleMCO bill clears Kentucky House
02/22/2019HME News StaffFRANKFORT, Ky. – A bill that would hold managed care organizations more accountable passed the Kentucky House of Representatives on Thursday 100-0, VGM reports. The bill, H.B....
View Article
