News Briefs

✦ Oklahoma lawmakers at press time were attempting to replace Republican Gov. Kevin Stitt’s plan to transition fee-for-service Medicaid beneficiaries to a managed care model later this year, which will include the expanded adult group enrolling next month. Senate Bill 131 would require the Oklahoma Health Care Authority (OHCA) to develop a program that “controls costs and improves health outcomes for Medicaid beneficiaries” as an alternative to the managed care system that will address the voter-approved Medicaid expansion. The bill passed the House late last month and has returned to the Senate for final consideration, although it is likely to be vetoed by the governor, according to news reports. In a statement posted to the governor’s website, Stitt chided House Republicans for their “disappointing” vote and said he would “continue to advocate for this needed change.” Oklahoma will begin enrolling newly eligible adults into the SoonerCare program on June 1 for coverage effective July 1. On Oct. 1, OHCA will transition nonexempt beneficiaries to the SoonerSelect managed care model, which will be served by four MCOs (RMA 2/4/21, p. 8). View https://bit.ly/3vHuutT.

✦ Humana Inc. plans to fully acquire home health provider Kindred at Home from private equity firm Welsh, Carson, Anderson & Stowe (WCAS) and TPG Capital, the insurer said on April 27. (WCAS owns a controlling stake in MMIT, AIS Health’s parent company.) The insurer also reported strong financial results, with first-quarter adjusted earnings per share of $7.67 beating Wall Street’s consensus estimate of $7.07, or $1.04 billion in pretax income. Visit https://humana.gcs-web.com.

© 2021 MMIT

Lauren Flynn Kelly Managing Editor, Radar on Medicare Advantage

Lauren has been covering health business issues, including drug benefits and specialty pharmacy, for more than a decade. She served as editor of Drug Benefit News (the predecessor to Radar on Drug Benefits) from 2004 to 2005 and again from 2011 to 2016, and now manages Radar on Medicare Advantage. Lauren graduated from Vassar College with a B.A. in English.

Related Posts

https://www.mmitnetwork.com/wp-content/uploads/2021/12/WordPress-Featured_AdobeStock_363940192.jpg
December 2

Recent MA Coding Complaints Signal DOJ’s ‘Evolving Expectations’

READ MORE
https://www.mmitnetwork.com/wp-content/uploads/2021/09/WordPress-Featured-Image-radar-on-medicare-advantage-With-More-Online-Enrollment-MAOs-Must-Add-‘Personal-Touch.jpg
December 2

In AEP Home Stretch, MAOs Make Final Push for Enrollment

READ MORE
https://www.mmitnetwork.com/wp-content/uploads/2021/12/WordPress-Featured_AdobeStock_176084659.jpg
December 2

Expecting Hot Medicare AEP, E-Brokers Beefed Up Internal Sales Forces

READ MORE

GAIN THERAPEUTIC AREA-SPECIFIC INTEL TO DRIVE ACCESS FOR YOUR BRAND

Sign up for publications to get unmatched business intelligence delivered to your inbox.

subscribe today