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Modern Healthcare
Despite a year of policy delays, glitches and uncertainty, insurers may be the ones to come out ahead of other segments of the industry in 2018. Uncertainty and policy confusion will no doubt continue this year since House and Senate Republicans are already on different pages when it comes to healthcare reform.
Now that the GOP's $1.5 trillion tax overhaul is done, House Speaker Paul Ryan (R-Wisconsin) is setting his sights on entitlement reform as a way to rein in costs. This could mean trimming welfare, Social Security and Medicaid, but he has signaled Medicare provider cuts are also on the table.
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STAT
Drug makers dodged more than $1.3 billion in Medicaid drug rebates between 2012 and 2016 because they inappropriately or mistakenly miscategorized brand-name products as generics, which qualify for lower rebates. Some $1.17 billion of that figure was associated with miscategorizations for just two drugs, according to a new report from the Health and Human Services Department's independent inspector general, which did not name the products or their manufacturers. Had the 10 most expensive of the drugs been classified appropriately, state Medicaid programs would have saved that $1.3 billion figure, the report said. Instead, they collected just $199 million for those drug rebates.
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STAT
Several lawmakers are targeting the sky-high price of an old drug that cost just $50 for a bottle of 100 pills a little more than a decade ago but goes for $15,000 today. The drug, which was once called Daranide and is now known as Keveyis, was originally approved in 1958 to treat glaucoma, although it was more recently approved to combat periodic paralysis and received orphan status. This means the drug was endorsed for a rare disorder affecting a small group of people — about 5,000 in the U.S. — and also several years of market exclusivity.
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The Hill
Medicaid could face crucial tests in 2018 at both the federal and state levels. Republicans in Congress failed in their attempts earlier this year to impose drastic cuts to the program as part of Obamacare repeal, but GOP lawmakers could try again next year. The tax bill that President Donald Trump recently signed into law is projected to add $1 trillion to the federal deficit, making cuts to Medicaid an even more tempting target for some conservatives.
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The Boston Globe (Subscription required)
Health care executives and politicians in Massachusetts worry that Republicans in Washington are not finished trying to repeal, or at least weaken, the law known as Obamacare.
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Watch Eliza’s on demand webinar titled: Know your Members: Segmentation Strategies to Impact Engagement, where Ralph Perfetto, Ph.D., Chief Analytics Officer breaks down member segmentation strategies to inform, remind, and persuade persona activation to drive engagement results. Watch Now →
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The Hill
Obamacare repeal and entitlement reform are at the top of the agenda for House Republicans in 2018, Majority Whip Steve Scalise (R-Louisiana) said Tuesday.
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Modern Healthcare
Both houses of Congress reached a deal on a plan to avert a government shutdown, but it won't be enough to help states that are running out of money for their Children's Health Insurance Programs. Thursday night, the Senate followed the House lead and passed a budget patch to fund the government through Jan. 19. The package included the House plan (PDF) to add just $2.85 billion to CHIP through March 31.
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Milwaukee Journal Sentinel
With $1.5 trillion in tax cuts signed into law last week, Wisconsin Republicans like U.S. House Speaker Paul Ryan and the party's two U.S. Senate candidates face a question: Should the GOP move on to overhauling entitlements? In 2018, Republicans could use their control of the federal government to prioritize an infrastructure bill, a rewrite to immigration law or changes to entitlement programs such as Medicaid health programs for the needy and Medicare coverage for seniors.
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AL.com
The Alabama Department of Public Health has decided not to freeze enrollment for the Children's Health Insurance Program on Jan. 1 or terminate coverage Feb. 1 because Congress approved a temporary funding measure. ADPH had previously announced the enrollment freeze and the coverage termination. Congress approved the temporary measure on Dec. 21. But it is only expected to sustain CHIP for a short period of time.
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A KLAS Leader in the delivery of actionable population health, i2i Population Health’s integrated Population Health Management and Analytics solutions have proudly served healthcare organizations for over 17 years. The company offers a depth of experience gained from over 2,500 healthcare delivery sites across 34 states, supporting 20+ million lives.
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Forbes
Amid campaigns to expand Medicaid in at least three Republican-leaning states, a new poll shows nearly 6 in 10 Utah voters support a "full Medicaid expansion ballot initiative." The UtahPolicy.com poll by Dan Jones & Associates asked whether Utah registered voters supported or opposed requiring Utah to expand Medicaid "as proposed under the Affordable Care Act to all those who qualify up to 138 percent of the federal poverty level." There were 59 percent of Utah registered voters who said they favored the ACA's Medicaid expansion, while 36 percent opposed it. Four percent said they didn't know, the poll showed.
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KCUR-FM
When Kansans on Medicaid are incarcerated or treated at residential mental health facilities, their Medicaid benefits are terminated. Mental health advocates hope to change that during the upcoming legislative session by pushing for a bill that would instead suspend those benefits. After patients or inmates are dropped from Medicaid, it can take weeks or months to reinstate health coverage — a risk for people who need continuous care for mental health conditions.
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