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In the NAMD newsletter: Brian Neale leaves CMS; Work Requirement Lawsuit; Indiana Waiver Extended; Happenings on the Hill; January MACPAC.

Update
February 6 2018
From the NAMD Desk
Lawsuit Against HHS Challenges Work Requirements, Other Waiver Provisions
Recently, three organizations filed a lawsuit in the U.S. District Court for the District of Columbia, which challenges CMS’s approval of Kentucky’s Medicaid waiver and CMS’s recent guidance on community engagement. In taking these actions, the lawsuit claims that CMS acted beyond its scope of authority under Section 1115 and bypassed the legislative process to transform Medicaid. It also claims that certain waiver provisions are not likely to promote the objectives of the Medicaid Act.
 

The lawsuit specifically challenges the following waiver components:
  • Work and community engagement requirements;
  • Premium requirements;
  • Cost sharing for non-emergency use of the emergency room;
  • Lockout penalties for beneficiaries;
  • Waiver of retroactive eligibility; and
  • Waiver of non-emergency medical transportation.
Legal experts have noted that the lawsuit, were it to succeed, may not directly impact other states’ waivers. However, it could impact CMS’s willingness to approve similar waivers.

 

The text of the legal challenge is available here.

 

FYI: Milbank Memorial Fund and AcademyHealth State and Local Innovation Prize
The Milbank Memorial Fund has teamed up with AcademyHealth to establish a new annual award that recognizes state and local efforts to advance innovation using data to improve the health of populations and the performance of health systems.

 

The prize was created to draw attention to, and reward, the efforts of state and local governments to develop and use data to achieve measurable improvements in the health of a population. The recipient(s) of the inaugural award will be recognized on the main stage at the 2018 Health Datapalooza, an annual conference sponsored by AcademyHealth.
Nominations are now being accepted. Nominators may self-nominate or nominate an individual, team, or project.

 

Interested? Please read more here. 

In This Issue

Save the Date

NAMD Fall Meeting
November 12-14, 2018
Washington Hilton, Washington, D.C.
 

 

 

Reg Update

 

CMS Says Goodbye to Brian Neale
Brian Neale, Director of the Center for Medicaid and CHIP Services (CMCS), had his last day as CMCS Director yesterday. NAMD will miss Brian and is grateful for his commitment to working with Medicaid Directors. In the words of NAMD Executive Director Matt Salo: “Brian brought a commitment to the state-federal partnership on day one of tenure at CMCS. He and his team made it a priority to work collaboratively with state Medicaid Directors on a host of key issues ranging from longstanding concerns such as the managed care regulations and SPA/waiver improvements as well as new issues like the outcomes Scorecards. NAMD looks forward to continuing this work with the new CMCS leadership and also to working with Brian in whatever his next role may be.”

 

CMS Extends Indiana’s HIP 2.0 1115 Waiver, Includes Work Requirements and Other Features
On February 2, the Centers for Medicare and Medicaid Services (CMS) announced the renewal of Indiana’s Healthy Indiana Plan (HIP) 2.0 1115 waiver demonstration through the end of 2020. The renewal extends the HIP 2.0 framework of Personal Wellness and Responsibility (POWER) accounts, with modifications to incentivize additional health behaviors. Notable changes include:
  • A community engagement requirement taking effect in 2019, under which non-exempt populations will be required to participate in community engagement activities (employment, education, job skills training, volunteer work, etc.) for 20 hours a week for 8 months of the year. Beneficiaries who do not meet this requirement will have coverage suspended until they demonstrate one month’s worth of compliance with the requirement; otherwise the individual will be disenrolled from HIP 2.0 and may re-apply for coverage.
    • The requirement will be phased in over 18 months, with the full 20 hours only being required in month 18 and on.
    • Previous non-compliance with the community engagement requirement does not impact future eligibility determinations.
    • Pregnant women, medically frail individuals, students, certain caregivers of dependents, individuals in active substance use disorder (SUD) treatment, individuals aged 60 or older, homeless beneficiaries, and individuals incarcerated within the past six months are exempt from the requirement.
    • Beneficiaries who use tobacco and do not participate in tobacco cessation activities will be charged an additional premium surcharge after the first year of their enrollment.
    • HIP 2.0 enrollees will have eligibility confirmed during a redetermination period, beginning 45 days prior to the end of the beneficiary’s eligibility period. Failure to provide information confirming eligibility will result in disenrollment, though an additional 90-day reconsideration period will be available after this disenrollment.
      • Failure to utilize the 90-day reconsideration period or to demonstrate good cause for non-compliance will result in the individual’s inability to re-enroll in the program for three months.
      • HIP 2.0 will develop a SUD continuum of care, including coverage for short-term residential services for all Medicaid enrollees.

 

2015 Managed Care Enrollment Data
The Center for Medicaid and CHIP Services (CMCS) is pleased to announce that the 2015 Managed Care Enrollment Data is now available. The nationwide data is broken down by program and population, as well as by individual state. The enrollment data provides an accurate snapshot of managed care enrollment for a particular year as of July 1st. The nationwide enrollment data by program and population is available here . The State Data is available here.

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CMS Proposes Medicare Advantage and Part D Updates to Provide New Benefits for Enrollees, New Protections to Combat Opioid Crisis
Last week, CMS released proposed changes for the Medicare health and drug programs in 2019 that increase flexibility in Medicare Advantage that will allow more options and new benefits to Medicare beneficiaries, meeting their unique health needs and improving their quality of life. Furthermore, the proposal includes important new steps to ensure new patient-doctor-plan communication in combatting the opioid crisis. As a part of these changes, CMS is redefining health-related supplemental benefits to include services that increase health and improve quality of life, including coverage of non-skilled in-home supports, portable wheelchair ramps and other assistive devices and modifications when patients need them.

 

For a fact sheet on the 2019 Advance Notice, Part II, and the Draft Call Letter, please visit here (CMS released Part I of the Advance Notice on December 27, 2017). The 2019 Advance Notices (Part I and Part II) and Draft Call Letter may viewed by visiting here and selecting “2019 Advance Notices.”

 

Comments on the proposed Advance Notices and Draft Call Letter are invited from industry, seniors, consumer advocates, and the public and must be submitted by March 5, 2018. The 2019 Final Rate Announcement and Call Letter will be published on April 2, 2018.

 

Attorney General Sessions Delivers Remarks on 
Efforts to Reduce Violent Crime and Fight the Opioid Crisis
Last week, Attorney General Jeff Sessions announced the formation of a new Justice Department team to crack down on illegal opioid sales online, an emerging front in government efforts to respond to the nation’s addiction crisis.
 
The team will collect and analyze data from the approximately 80 million transaction reports it collects every year, which include distribution figures and prescription drug inventories, to identify any patterns or outliers the agency can use to go after offenders. This effort, said Sessions, “will help us make more arrests, secure more convictions-and ultimately help us reduce the number of prescription drugs available for Americans to get addicted to or overdose from these dangerous drugs.”

 

CMS Updates Open Payments Data
CMS has updated the Open Payments dataset to reflect changes to the data that took place since the last publication on June 30, 2017. The updated dataset is now available for viewing here.

 

CMS updates the Open Payments data at least once annually to include updates from disputes and other data corrections made since the initial publication of the data.

 

Release of the HHS Poverty Guidelines for 2018
The Department of Health and Human Services (HHS) has released new poverty guidelines for 2018. The 2018 poverty guidelines account for the 2.1 percent increase in prices as measured by the Consumer Price Index between calendar years 2016 and 2017.
Please follow this link to view.

 

QMD Public Comment Stakeholder Notification: Physical and Mental Health Integration Measure
On behalf of CMS, Mathematica Policy Research is seeking public comment on the measure specification and justification for a quality measure currently under development. The measure is called: “All-cause emergency department (ED) utilization rate for Medicaid beneficiaries who may benefit from integrated physical and behavioral health care.”

 

A memo listing questions on which we request public comment, as well as the measure information form (MIF) and measure justification form (MJF), are available in zip files in the Download section on this web page.

 

The public comment period for this measure runs from January 25, 2018 to February 14, 2018. Please submit your comments by February 14, 2018 to  PMHQualMeasures@mathematica-mpr.com.
You may also send any questions to this email address.

 

QMD Public Comment Stakeholder Notification: Substance Use Disorder Measure
On behalf of CMS, Mathematica Policy Research is seeking public comment on the measure specification and justification for a quality measure currently under development. The measure is called: “Follow Up after Hospitalization or Residential Treatment for Substance Use Disorder (SUD).”

 

A memo listing questions on which we request public comment, as well as the measure information form (MIF) and measure justification form (MJF), are available in zip files in the Download section on this web page.

 

The public comment period for this measure runs from January 25, 2018 to February 14, 2018. Please submit your comments by February 14, 2018 to SUDQualMeasures@mathematica-mpr.com

You may also send any questions to this email address.

 

Hill Update

 

Federal Funding Vote This Week; Agreement Expected on Several Health Programs
Funding for the federal government expires on Thursday, February 8, though lawmakers are poised to pass another short-term continuing resolution (CR) tomorrow that should keep the government open through late March. The House is taking the lead in this round of funding negotiations. The current plan is reportedly for a spending patch that would fund the government through Mar. 22, beyond key deadlines for the deferred action for childhood arrivals (DACA) program (Mar. 5) and debt ceiling (mid-March). For that reason, House Democrats are likely to continue their opposition, while House Speaker Paul Ryan (R-WI) is reportedly facing sharp resistance from his own party as the House Freedom Caucus and other conservatives have signaled they may vote against a CR unless progress is made on their own immigration plan. With a vote tentatively scheduled for Tuesday, Republican leaders may need to make additional concessions in one direction or the other in order to ensure that another spending patch can pass the lower chamber.

 

As part of the broader funding conversation, a deal on health care extenders – including various Medicare spending priorities, funding for federally qualified health centers, a delay of the ACA disproportionate share hospital cuts, and potentially other areas – is expected to be announced this week, possibly as soon as today. These programs represent the bulk of non-CHIP funding that has thus far remained in limbo.

 

Current CR Includes CHIP Funding
On January 22, the brief government shutdown came to an end with the passage of another short-term continuing resolution (CR) funding the federal government through February 8. As part of the CR, the Congress also funded the Children’s Health Insurance Program (CHIP) for the next six fiscal years, using the same policy framework that both the House and Senate agreed to in recent months. Specifically, the package:
  • Reauthorizes and funds CHIP through FY 2023;
  • Phases out the ACA’s enhanced CHIP FMAP on the following basis:
    • 23 percentage point enhancement remains in FY 2018 – 2019;
    • Enhancement reduced to 11.5 percentage points in FY 2020;
    • Normal CHIP FMAP applies in FY 2021- 2023;
  • In FY 2020 – 2023; CHIP maintenance of effort requirements do not apply to children with family incomes above 300% FPL.

 

Senate Confirms Alex Azar as HHS Secretary
On January 24, the Senate voted 55 – 43 to confirm Alex Azar as Secretary of the U.S. Department of Health and Human Services. Six Democrats and an Independent joined all but one of the Senate’s Republicans in supporting Azar’s nomination. Azar will be sworn in today (January 29).

 

Mr. Azar previously served HHS general counsel under former President George W. Bush from 2001 to 2005. He then became deputy secretary for two years under Secretary Mike Leavitt, where he oversaw the Department’s regulatory process. Since leaving the administration, Mr. Azar had a 10-year tenure at Eli Lilly, where he served as president of Lilly USA from 2012 to 2017.

 

In the News

 

Modern Healthcare: “Most physicians don’t think value-based payment models work”
A majority of physicians don’t believe pay for performance programs are effective solutions for quality improvement and cost control, according to a new survey from Leavitt Partners. As reported by Modern Healthcare, just 22% of the 621 doctors surveyed thought accountable care organizations (ACOs) would lower spending, only 21% supported using bundled payments to drive down costs, and only 29% thought both ACOs and episode-based payment would improve patients’ health outcomes. The survey revealed that few doctors, moreover, understand the requirements of the Quality Payment Program: 47% of physicians surveyed said they have heard of MACRA but are not familiar with the requirements, and only 4% said they have in-depth knowledge about the law.
 
“Once you talk to the physicians themselves, not very many of them can articulate what the changes are; that is why they don’t see it as positive,” says David Muhlestein, an author of the report and chief research officer of Leavitt Partners.

 

To read the article, please click here.

 

The New York Times: “Amazon, Berkshire Hathaway And JPMorgan Team Up to Try to Disrupt Health Care”
Last week, Amazon, Berkshire Hathaway and JPMorgan Chase announced that they would form an independent health care company for their employees in the United States. The partnership brings together three behemoths: Amazon, the online retail giant known for disrupting major industries; Berkshire Hathaway, the holding company led by the billionaire investor Warren E. Buffett; and JPMorgan Chase, the largest bank in the United States by assets. The companies said the initiative, which is in its early stages, will be “free from profit-making incentives and constraints,” but did not specify whether that meant they will create a nonprofit organization. At this point, it also remains unclear how extensively the three partners will overhaul their employees’ existing health coverage – whether they will simply help workers find a local doctor, steer employees to online medical advice, or use their muscle to negotiate lower prices for drugs and procedures.

 

To read the New York Times’s coverage of the alliance, please click
here.
 
The Wall Street Journal: “To Deal with A Flu Onslaught, Emergency Rooms Expand into Waiting Rooms and Hallways”
In a recent article, the Wall Street Journal investigates how emergency departments are tackling the aggressive onslaught of this year’s flu season. “Emergency departments across the U.S. have been slammed,” writes the Journal; as of mid-January, visits to hospital emergency departments, urgent care centers, and other outpatient clinics by people with flu symptoms had surpassed every flu season except 2009-10, when a new flu strain caused a global pandemic. This means that hospitals are being forced to devise new spaces to house patients, restrict visitors, and postpone elective surgeries.

 

To read the article, please click here.

 

Oregon Public Broadcasting Covers Successful Referendum on Financing State’s Medicaid Expansion
 
On January 23, Oregon Public Broadcasting published an article
on state voters’ passing, with 60% affirmative votes, of Measure 101, a public referendum on a 0.7% tax on large hospitals and a 1.5% tax on certain health plans. The measures are aimed at generating an estimated $320 million in revenue to fund Oregon’s state share of the Medicaid expansion. The measure was supported by both the hospitals and plans subject to the taxes, in addition to other groups, though its opponents said they believe the referendum brought voter attention to fundamental problems in the health care system.

 

NPR: “After Months in Limbo for Children’s Health Insurance, Huge Relief Over Deal”
When parts of the federal government ground to halt last weekend, Linda Nablo, who oversees the Children’s Health Insurance Program in Virginia, had two letters drafted and ready to go out to the families of 68,000 children insured through the program, depending on what happened: One said the federal government had failed to extend CHIP after funding expired in September and the stopgap funding had run out; the other said federal funding had finally come through and the program’s future was assured. Since Monday’s deal to end the shutdown included a six-year reauthorization of CHIP, enrolled families in Virginia will get that second letter. States and advocates alike appear content with the congressional deal – in the words of
Joan Alker of the Georgetown University Center for Children and Families, “Overall, it really was a fair and reasonable compromise.”

 

Alker does worry, however, that the months of uncertainty around CHIP may have already caused children to drop out of the program, increasing the uninsured rate among children. That should become clear in the fall, when the Georgetown Center for Children and Families does its annual assessment of the children’s uninsured rate.

 

To read the full article, please click here.

 

Washington Post: “Working Americans are using less health care, but spending more”
According to a new report by the Health Care Cost Institute, Americans who get health insurance through their jobs are not using more medical care than they were five years ago, but they are spending more due to soaring medical prices. In 2016,
health spending for the more than 150 million people who receive insurance through their employers was $5,407 per person (a 4.6% jump over 2015), even though people’s use of almost every broad category of care dropped or stayed the same over a five-year period.

 

To read the full article and learn more, please click here.

 

Take Note

 

Urban Institute: Health Insurance Coverage among Children Ages 3 and Younger and Their Parents in 2016
Using the 2016 American Community Survey (ACS), this Urban Institute brief updates a previous analysis that examined health insurance coverage among children ages 3 and younger and their parents in 2015. It finds that:
  • High rates of coverage through Medicaid and the Children’s Health Insurance Program (CHIP) continued among young children and their parents in 2016, the third year after implementation of the major coverage provisions of the Affordable Care Act;
  • Uninsurance among both young children and their parents continued to decline, and coverage levels varied across states and metropolitan areas; and
  • Certain family characteristics, such as lower incomes, younger parents, and mixed immigration status, were more prevalent among parents of younger children, placing them at higher risk of lacking coverage.
To read the full report, please click here.

 

AHRQ Study Finds Medicaid Expansion May Have Led More Medicaid Patients Seeking Care at Non-Safety-Net Hospitals
Following implementation of the Affordable Care Act (ACA), Medicaid-funded hospital stays rose overall, but the trend was more pronounced for hospitals not designated as “safety net” hospitals, a new AHRQ study indicates. The results suggest that newly enrolled Medicaid patients, when given the option, may be choosing non-safety-net hospitals rather than safety-net hospitals for their care, researchers said. The study, published in Health Services Research, found that Medicaid-funded hospital stays increased about 14 percent more in non-safety-net hospitals than their safety-net counterparts between 2013 and 2014, when Medicaid was expanded under the ACA. Safety-net hospitals are those that care for a larger-than-usual proportion of patients who are low income, uninsured or underinsured. These hospitals typically receive additional reimbursements through federal, state, and local funding mechanisms. The study was based on data from AHRQ’s Healthcare Cost and Utilization Project. Access the
abstract.

 

Avalere: Profile of the Medicaid Expansion Population: Demographics, Enrollment, and Utilization
In a new report issued recently, Avalere analyzes membership and claims data from three Medicaid managed care organizations (MCOs) serving members in plans across multiple states that expanded eligibility for Medicaid in January 2014. This analysis was conducted to understand how enrollment, utilization, and cost patterns for newly eligible enrollees have changed over time and whether spending patterns differed for earlier versus later expansion enrollees. The data submitted by the three MCOs spanned nine different state and plan combinations, providing an extensive view of experience with the expansion population.
The main findings of the report include:
  • Across plans and states, the expansion population experienced high disenrollment rates, indicating that, as in other Medicaid eligibility groups, there is substantial churn in this population.
  • Even after adjusting for age and gender, claims costs increased steadily over time, suggesting that expansion enrollees have complex and/or chronic conditions. For some enrollment cohorts, average claims costs decreased modestly in the second half of the first year of enrollment, suggesting some initial pent-up demand for services, though claims costs increased steadily from that point forward.
  • Across enrollment groups, per member per month spending on prescription drugs increased with enrollment duration. Among enrollees who remained enrolled the longest, inpatient claims initially made up the largest share of claims costs, but were surpassed by prescription drug claims by month 8 of enrollment, on average.

 

To read the full report, please click here.

 

Urban Institute Report on Medicaid Buy-In
Legislation recently introduced in the U.S. Senate would create a mechanism for states to offer their residents the opportunity to buy a Medicaid-based public insurance option. In a new report, the Urban Institute discusses how eligible residents could use their premium tax credits to purchase these plans, and reduced cost-sharing requirements would apply as well. The bill, the Institute finds, could improve access to affordable health care in some states. However, the Institute also maintains there would be many differences between a Medicaid buy-in plan and existing Medicaid programs, and many of the states that could most benefit from the option would be unlikely to take advantage of it.

 

To read the report, please click here. 

 

NQF: A Framework for Medicaid Programs to Address Social Determinants of Health: Food Insecurity and Housing Instability
Social determinants of health (SDOH) are among the most influential factors that affect the health of individuals. There are a growing number of initiatives to address SDOH within healthcare settings; however, many are happening in silos. There is little Medicaid-specific guidance for collecting SDOH data and supporting the role of healthcare organizations in addressing social needs.

 

In collaboration with the Centers for Medicare & Medicaid Services (CMS), the National Quality Forum (NQF) convened an Expert Panel to identify a framework for state Medicaid programs to support the collection of SDOH data and the integration of health and non-health services, using food insecurity and housing instability as illustrative examples.

 

The Expert Panel recommended the following:
  1. Acknowledge that Medicaid has a role in addressing social determinants of health.
  2. Create a comprehensive, accessible, routinely updated list of community resources.
  3. Harmonize tools that assess social determinants of health.
  4. Create standards for inputting and extracting social needs data from electronic health records.
  5. Increase information sharing between government agencies.
  6. Expand the use of waivers and demonstration projects to learn what works best for screening and addressing SDOH.
These recommendations are discussed further in a new report by NQF. Click here to read.

 

MACPAC Holds January Public Meeting
On January 25 and 26, the Medicaid and CHIP Payment and Access Commission (MACPAC) held a public meeting. Meeting materials are available on MACPAC’s website here. Commissioners focused their time on several important topics, including:
  • Impact of 42 CFR Part 2 on Sharing SUD Data: MACPAC staff briefed Commissioners on key findings from an expert roundtable convened last November on 42 CFR Part 2. Commissioners agreed that they should continue work in this area and explore methods to streamline 42 CFR Part 2 regulations to facilitate more data sharing while ensuring appropriate SUD data protections.
  • IMD Exclusion for SUD Treatment: Commissioners focused on potential impacts on the SUD care continuum posed by targeted lifting of the institutions for mental diseases (IMD) exclusion. Significant discussion centered on whether SUD residential treatment options which would be opened up by waiving the IMD exclusion represent the most appropriate setting, and the need to situate residential treatment within a wider SUD care system – including outpatient settings with medication-assisted therapy (MAT).
  • Stakeholder Experiences with MLTSS: MACPAC intends to include a chapter in its June report to Congress on beneficiary and provider interactions with managed long-term services and supports.
  • Review of HHS MFP Report: Commissioners were critical of the HHS report on the Money Follows the Person (MFP) demonstration, citing deficiencies in data on how MFP dollars were spent on transition infrastructure and the need for more focus on state plans to sustain MFP activities at the end of the demonstration period. MACPAC intends to send a letter to HHS and Congress on these issues.
  • Future Reports to Congress: MACPAC’s March report to Congress will include options to streamline Medicaid managed care authorities, updates on disproportionate share hospital (DSH) payments and the hospitals that receive them, and telehealth. The June report will focus on privacy regulations, drug pricing, and continuity of care.
  • Formal Recommendation to Congress on Managed Care Authorities: Commissioners voted to approve a recommendation in the March report stating that Congress should amend Section 1932(a)(2) of the Social Security Act to allow states to require beneficiaries to enroll in managed care programs under state plan authority. Two Commissioners abstained from this vote.

 

Health Affairs: Recommended Actions for States to Protect Their Health Insurance Markets
In a new post, Health Affairs outlines five actions states could take in 2018 following executive and legislative action to the individual health insurance market. They are in addition to steps many states have already taken (e.g., directing insurers to reflect the cessation of cost-sharing reduction payments solely in premiums for silver plans and working with insurers to ensure coverage is available in all areas) and include:
  1. Restore individual mandate.
  2. Improve affordability.
  3. Limit substandard plans.
  4. Safeguard health plans.
  5. Get people covered.

 

To read more, please click here.

 

Jobs
Nevada Posting for 3 Positions – Health Care Coordinator 2, Management Analyst 3, and Health Care Coordinator 2 – Nurse
Health Care Coordinator 2:
The Health Care Coordinator 2 serves within the Division of Health Care Financing and Policy (DHCFP/Medicaid) of the Department of Health and Human Services. The incumbent of this position duties will fall primarily under the Facility Outreach and Community Integration Services (FOCIS)/Money Follows the Person (MFP) Unit located at the Las Vegas Medicaid District Office. FOCIS is a program created by the State of Nevada in response to the Federal Olmsted Decision. This mandate requires that individuals residing in nursing facilities, hospitals, or rehabilitation centers, be given the opportunity to explore resources as an alternative to living within an institution. MFP is a grant awarded to the State which provides qualified individuals, residing in long term care settings, resources to assist them in moving out of institutions into their own homes or community-based settings.

 

Health Care Coordinators are out in the field, meeting with recipients, or within travel up to 50%. Incumbents should possess a degree of knowledge and proficiency sufficient to perform work independently with some training. DHCFP provides a supportive and team-based atmosphere that encourages flexibility and creative collaboration.
Click here for more information on this position and to apply.

 

Management Analyst 3:
This position is for an Management Analyst 3, within the Department of Health and Human Services, Office of Analytics. This position will be located in Carson City, NV. The purpose of this position is to analyze data related to healthcare, finance and policy, and assist in demonstrating the burden of disease and other health conditions utilizing Medicaid claims data. This fast-paced position includes compiling, analyzing and reporting statistical data in Nevada by recognizing trends, shifts, and distribution of information. This position maintains data quality and control, and completes all requests related to claims data from internal and external partners within specified timeframes. This position requires the demonstrated use of statistical methods and programs utilizing SAS or similar analytic software. This position may require travel both in and out of state up to 25%.

 

Click here for more information on this position and to apply.

 

 Health Care Coordinator 2 – Nurse:
This position is with the Department of Health and Human Services in the Division of Health Care Financing and Policy (DHCFP/Medicaid) unit, and is located in Carson City, NV. This position is responsible for the development, implementation, management and evaluation of the medical coverage policies and procedures for the Dental Program. The incumbent will be required to research /analyze federal and state regulations and other best practices. The incumbent will be required to work with contractors, providers and other stakeholders to perform education and outreach on policies and procedures. The position is required to manage tasks in an independent manner.

 

Click here for more information on this position and to apply.
 

Indiana Posting for Pharmacy and Clinical Outcomes Director
The mission of Indiana’s Family and Social Services Administration is to develop, finance, and compassionately administer programs to provide healthcare and other social services to Hoosiers in need in order to enable them to achieve healthy, self-sufficient, and productive lives. As part of the Family and Social Services Administration, the Indiana Office of Medicaid Policy and Planning (OMPP) receives around 13 percent of the state’s budget to ensure vital healthcare coverage for approximately 1 in 5 Hoosiers. This position is responsible for:
  • Effectively administering the state’s pharmacy benefits for 1.4 million Medicaid members;
  • Coordinating population health strategies and integrating novel programmatic interventions that will help contain the cost of drugs and improve member health outcomes;
  • Helping OMPP achieve its mission by effectively promoting population health improvements that have long-term cost containment benefits, which ensures sustainability of the program and longer, healthier lives for vulnerable Hoosiers.

 

Applications are due by February 15, 2018.

For more job opportunities, please check out NAMD’s State Jobs page!

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