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Aitf Medicaid Cuts, Past And Proposed, A Concern To Businesses And Patient Advocates After Management Shake-Up, Molina Loses N.M. Medicaid ContractThe board of directors ousted the CEO and chief financial officer -- both sons of the founder -- last year. In other Medicaid news <a href=Link uk</a> , Florida lawmakers question plans to move some children into a managed care pro <a href=Link kubek</a> gram and Capitol Hill looks at fixes for Puerto Rico s problems.Modern Healthcare:Molina Loses New Mexico Medicaid ContractMolina Healthcare has lost a contract to manage New Mexico s Medicaid recipients starting in 2019. The loss is a blow to the company, which is in the midst of an overhaul after ousting CEO Dr. Mario Molina and his brother, who was chief financial officer, in 2017. Long Beach, Calif.-based Molina is the largest Medicaid managed-care plan in New Mexico, serving 225,000 people and bringing in $893 million in premium revenue for the first nine months of 2017, or about 6.3% of Molin <a href=Link sport</a> a s total premium revenue, the company said early Wednesday in an Securities and Exchange Commission document. Livingston, 1/10 News Service of Florida:Senators Question Florida Plan To Privatize Medicaid Program For KidsFlorida senators on Wednesday expressed concerns about plans by Gov. Rick Scotts administration to alter a Medicaid program that cares for about 80,000 medically complex children with a network of specialty physicians and care coordinators. The changes would transfer control of the program from the state to a privately run managed-care plan. Sexton, 1/10 The Hill:Senators Eye Puerto Mvft First Edition: October 8, 2009 Thursday, Jun 11 2009Reports Examine Health Plans ; Cost-Containment Strategies, Supreme Court Texas HMO Liability Law RulingThe following reports are Health Affairs Web exclusives: Managed Care Rebound Recent Changes in Health Plans Cost Containment Strategies : Glen Mays, an associate professor in the Department of Health Policy and Management at the University of Arkansas for Medical Sciences College of Public Health; Gary Claxton, vice president of the Kaiser Family Foundation; and Justin White, a research assistant at Mathematica Policy Research, examines cost-containment strategies implemented following the backlash toward managed care. They found that since 2001, plans have re-introduced utilization management techniques, experimented with new variations on managed care -- such as tiered provider networks and incentive-based provider payments -- and have continued to invest in disease and case management Mays et al., Health Affairs, 8/11 . The Supreme Court Limits Lawsuits Against Managed Car <a href=Link max plus</a> e Organizations : Timothy Stoltzfus Jost, who holds the Robert L. Willett Family Professorship at the Washington and Lee University School of Law, looks at Aetna H <a href=Link cups uk</a> ealth Inc. v. Da <a href=Link originals samba</a> vila, in which the U.S. Supreme Court ruled that under the Employee Retirement Income Security Act, patients cannot file suit against HMOs in state court when they experience injuries as a result of administrative decisions related to treatment. Jost says the court found that the federal law pr | |
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