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L.A. Care
Solera Health, the leading integrated community network, will join forces with L.A. Care Health Plan, the largest publicly operated plan in the country, to administer a Diabetes Prevention Program (DPP) for low-income residents in Los Angeles County. The partnership with Solera will enable L.A. Care's adult members who are at risk of developing type 2 diabetes to access the DPP through one of Solera's many DPP providers within the county.
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Modern Healthcare
With congressional action to repeal the Affordable Care Act off the table in 2018, the Trump administration and the states engaged in a tense tug of war through the year between expanding, not expanding and limiting Medicaid eligibility.
The administration in 2018 also proposed penalizing legal immigrants for enrolling in Medicaid and offering states greater flexibility in how they regulate Medicaid managed-care plans.
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The Associated Press
Big-dollar decisions about healthcare and education will top the agenda in many state capitols as lawmakers convene for their 2019 sessions with a closer balance between Republicans and Democrats.
Some states will be considering anew whether to expand government-funded health coverage to more people after Democrats put a sizable dent in Republican statehouse dominance during the November elections. Others will be wrestling with how to boost salaries for teachers and funding for their public schools.
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HFI’s mission is to partner with healthcare clients to improve their fiscal health by advocating for their most vulnerable members. HFI helps members get necessary benefits and income affording them access to important social determinants of health.
We effectively identify and reclassify eligible super-utilizers from TANF/ACA to ABD.
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Politico
Arkansas is throwing thousands of people off its Medicaid rolls each month for not complying with work requirements, blindsiding vulnerable residents panicked about losing their health coverage.
Views differ on the fairness of the unprecedented social experiment, but there’s unanimity here that it's causing confusion. And that's feeding a philosophical debate about whether low-income adults are ducking the work rules or just can't navigate the tech-heavy reporting system that goes offline every night at 9 p.m.
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Detroit Free Press
The Trump administration on Friday approved Michigan's request to require some low-income individuals receiving Medicaid to prove they are working, trying to find work or undergoing training — or risk losing their health care coverage.
The Centers for Medicare & Medicaid Services (CMS) sent Gov. Rick Snyder a letter approving the request, which was part of legislation passed earlier this year by the Republican-dominated state Legislature.
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ZeOmega
Watch how Kern Health Systems, a large Medicaid organization in California, uses Jiva—the industry’s leading PHM platform—to achieve seamless integration and single sign-on while also streamlining workflows, lowering costs, and improving overall health outcomes for its members.
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WSLS-TV
More people in the commonwealth have access to health coverage starting Jan. 1.
That's because Virginia joins 32 other states in expanding Medicaid coverage. This will give more adults between the ages of 19 and 64 access to quality low-cost and no-cost health insurance.
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Politico
Mississippi's Republican governor is considering Medicaid expansion, the first sign that long-held GOP opposition could be wilting in the Deep South after an election that was a big winner for the Obamacare program.
Republican Gov. Phil Bryant, entering his final year in office, has been engaged in quiet talks about adopting expansion after resisting for years, according to two sources familiar with the discussions.
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Uniquely positioned to tackle the challenges of the opioid epidemic, axialHealthcare brings together pharmacy, medical, and behavioral claims data with advanced proprietary algorithms and an expert clinical care team to improve patient outcomes, mitigate opioid misuse, and drive financial performance.
Learn more here.
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The Hill
Republicans are facing a repeat of the 2018 midterms if a court battle about the legality of Obamacare drags into the 2020 campaigns.
When a district judge in Texas ruled Obamacare unconstitutional last week in a case brought by Republican states, it gave Democrats another opportunity to box in GOP lawmakers on protections for people with pre-existing conditions — a line of attack that Democrats credit with helping them win back the House.
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Kern Health Systems (Kern) is overcoming numerous care management challenges using Jiva, the industry’s leading PHM platform. Learn how the powerful end-to-end platform is helping Kern consolidate data, streamline workflow, manage compliance, create holistic assessments, improve overall health outcomes, and plan for future expansion into new lines of business.
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The Hill
Americans woke up Tuesday to higher pharmacy costs as more than three dozen pharmaceutical companies raised their prices on hundreds of drugs including generic medicines, according to a study first reported by The Wall Street Journal.
The health software company Rx Savings Solutions found that dozens of drugs produced by major brands such as Allergan and Hikma Pharmaceuticals saw average price increases of about 6.3 percent as the new year began.
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USA Today
Almost 9,000 children and teenagers died from opioid poisoning from 1999 to 2016, and annual deaths increased threefold over the 18 years, a team of researchers at Yale University reported.
The finding suggests the opioid epidemic will likely continue, the team said, unless legislators, public health officials, doctors and parents do more to keep the drugs out of the hands of young people.
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