In this annual data edition, The Hertel Report delivers the latest insights on plan enrollment, including detailed membership by county. But this year’s data goes beyond the numbers, revealing alarmingly poor performance among plans serving AHCCCS members across the state. This edition also covers the latest on the ALTCS contract award...
Arizona's Medicaid agency added four new positions to its leadership circle including two new positions in clinical operations, two in business operations and a new chief of population health. AHCCCS also announced the Division of Health Care Services is now split into two divisions: Division of Managed Care Services and the Division of...Arizona News
The Arizona Department of Health Services (ADHS) published the annual Maternal Mortality in Arizona report for 2018-2019 which showed a concerning increase in overall maternal mortality and disproportionate rates of maternal mortality among Black and Indigenous mothers.
According to the AZ DHS Report, national rates of maternal...
Our annual data edition focusing on the Arizona Health Care Cost Containment System (AHCCCS) covers a lot of territory and 15 pages to help readers keep tabs on the agency charged with overseeing the managed care plans contracted with the state to deliver care to about 2.2 million Arizona Medicaid members.
Correction: On Page 4 the...
Arizona's Medicaid agency announced it had filled five leadership positions rounding out the agency's executive management team and completing the new structure that combines the Division of Fee for Service Management (DFSM), the Division of Community Advocacy and Intergovernmental Relations (DCAIR), Communications, and Legislative...
Arizona lawmakers made progress on several bills related to healthcare and COVID-19 this week.
Last Tuesday, the Arizona Senate Health and Human Services Committee approved HB 2474, which would prohibit schools from requiring immunizations issued by the U.S. Food and Drug Administration (FDA) under emergency use authorization for...
The Hertel Report's annual data edition focusing on Arizona Medicaid includes everything you need to know about AHCCCS and the contracted managed care organizations (MCOs) providing integrated healthcare to 2.5 million in Arizona.
AHCCCS 2022 DATA EDITION
What's Inside:
Pandemic Population Growth
AHCCCS Complete Care MCOs
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Snyder oversees Arizona’s Medicaid and CHIP program, including its $18 billion annual budget to provide acute, behavioral health, and long-term care services and supports to more than 2.3 million Arizona residents. She began her work at AHCCCS in 2017 as the agency's deputy director and was appointed by Governor Doug Ducey in 2019...Arizona News
The insurer has a strong presence in Arizona, insuring about 400,000 Medicaid and 47,000 MA lives, and also competes under the Ambetter brand on the Health Insurance Marketplace.
According to reporting from the Phoenix Business Journal, Centene's notice to terminate its Medicaid contract with Tenet Healthcare's Abrazo Health...News
Gains were concentrated in Medicaid and enrollment increased in every state, but Arizona's enrollment grew faster than the average at 28.5% from February 2020 to April 2022. National enrollment in Medicaid & the Children's Health Insurance Program grew to 88.3 million enrollees in April 2022. Enrollment was declining in the two years...Arizona News
On Dec. 14, 2021, the Arizona Health Care Cost Containment System (AHCCCS) announced a new three-year contract with incumbent Public Consulting Group (PCG) to administer the Medicaid School-Based Claiming (MSBC) Program; PCG is an experienced TPA for the program after nearly a dozen years of continuous service.
The new contract...Arizona News
As the Affordable Care Act looks to go before a decidedly different Supreme Court, people across the country are grappling with the ripple effects of the law's potential demise.
While the elimination of the ACA would likely impact the vast majority of Americans in some way, it would hurt some more than others.
According to an...
This month's newsletter covers how Arizona hospitals and healthcare providers are faring financially during the public health emergency, AHCCCS enrollment trends, the status of the individual market and our popular Arizona Comings & Goings section.
The Hertel Report newsletters and data editions are only available to members...
Last week stakeholders across the healthcare landscape pushed Congressional leaders for more federal Medicaid funding and urged them to throw out the controversial proposed Medicaid Fiscal Accountability Rule (MFAR) that would remake how some states draw down federal dollars.
Addressed to Senate Majority Leader Mitch McConnell, Senate...Arizona News
Director Jami Snyder's March 17 letter to the Centers for Medicare and Medicaid Services asks the agency to waive certain Medicaid and CHIP requirements. Arizona's Medicaid agency also added a new webpage with a list of resources for addressing COVID-19 and a handy FAQ section.
Among the many asks to CMS, the Arizona Health Care Cost...Arizona News
In addition to Steward Health Choice individual and employer plans, BCBSAZ will now provide health coverage and related services to Arizonans eligible for Arizona Health Care Cost Containment System (AHCCCS) Complete Care plan and the “Generations” Medicare health plan.
Pam Kehaly, President and CEO of...Arizona News
A state task force established by Gov. Doug Ducey after an incapacitated woman in the care of Hacienda Healthcare was raped and gave birth last December, issued a report with recommendations to help prevent future incidents.
The 28-page report included 30 recommendations, among them are: improving reporting requirements, better...Arizona News
Maricopa County Assessor Paul Petersen received a 32 count indictment in Arizona on Oct. 15 following the discovery of an adoption scheme orchestrated by Petersen involving transporting women from the Marshall Islands to the United States to give birth. The pregnant women he brought to the U.S. were able to receive government-funded...Arizona News
A case manager at the Department of Economic Security (DES) is taking steps to lead a class action suit after filing a civil complaint alleging outstanding unpaid overtime hours for her and hundreds of other state workers in the developmental disabilities division.
Plaintiff Kimberly Spitler has worked for DES since 2017 and...Arizona News
Arizona's Medicaid agency, the Arizona Health Care Cost Containment System (AHCCCS), published its first "At A Glance" infographic in June. The agency offers this visual snapshot that includes its quarterly enrollment numbers, behavioral health services usage and details the impact of programs addressing the state's opioid crisis.
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