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MarketWatch
Gilead Sciences Inc. said the U.S. Food and Drug Administration granted a priority review of its experimental hepatitis C combination drug. The Foster City, California, drugmaker filed a new drug application for the treatment — a combination of the biopharmaceutical company's Sovaldi with velpatasvir — in late October. The FDA is expected to decide whether to approve the combination therapy by June 28.
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The Associated Press via The Kansas City Star
A Kansas legislative panel is recommending that hepatitis C patients who drink alcohol or stop using their medications should lose Medicaid coverage. The KanCare Oversight Committee also recommended this week that the state health department use step therapy, which requires Medicaid patients to try cheaper treatments first and receive more expensive treatments only if the other medicines fail. State law currently forbids that practice.
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California Healthline
CMS last week officially approved a five-year, $6.2 billion federal 1115 waiver for California, also known as Medi-Cal 2020.
The waiver approval means California can move forward on four reform fronts over the next five years.
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Complex Clinical Reviews. Dependent Audits. And More.
Contact HMS today!
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Los Angeles Times
California officials never anticipated how many people would sign up for state-run health insurance under Obamacare. The state's health plan for the poor, known as Medi-Cal, now covers 12.7 million people, 1 of every 3 Californians. If Medi-Cal were a state of its own, it would be the nation's seventh-biggest by population; its $91-billion budget would be the country's fourth-largest, trailing only those of California, New York and Texas.
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The Post and Courier
South Carolina Gov. Nikki Haley isn't expected to release her proposed executive budget until mid-January, but the South Carolina Medicaid director already said his agency needs millions more from the General Assembly next year. If it doesn’t get the extra funds, the South Carolina Department of Health and Human Services, which administers the low-income Medicaid program, will consider scaling back services or cutting reimbursement rates paid to doctors and hospitals.
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The Courier-Journal
More than 400,000 people have been added to Kentucky's Medicaid program under the Affordable Care Act that allowed the state to accept anyone earning below 138 percent of the federal poverty level — about $16,200 for an individual. As the 2016 session of the Kentucky General Assembly opens, lawmakers say they plan to keep a close eye on changes to the state's Medicaid system proposed by Gov. Matt Bevin, who has said he wants to reshape it along the lines of one operated by Indiana, which requires premiums, copays and provides different tiers of coverage.
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The Courier-Journal
Kentucky Gov. Matt Bevin's announcement Wednesday about his plans to change the state's Medicaid program quickly devolved into a harsh war of words between him and his predecessor, Steve Beshear, after the new governor accused Beshear's administration of lying about true costs of the government health plan.
Bevin derided "happy talk" from the Beshear administration about Medicaid expansion under the Affordable Care Act and ripped as a "smokescreen" previous findings of an outside consultant that found Kentucky stood to gain economically from the expansion that has added some 425,000 Kentuckians to Medicaid.
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With an emphasis on innovative initiatives and data-driven solutions, DentaQuest is partnering with health plans to fundamentally change the way oral health is delivered in America. Integrating preventive oral health programs not only offers members a wider portfolio of choice - it is also a proven driver of cost control.
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The New York Times
John Thune of South Dakota, the No. 3 Republican in the Senate, voted earlier this month to repeal major provisions of the Affordable Care Act and to end its expansion of Medicaid, arguing that the health law was "unpopular and unaffordable." A week later, his state's Republican governor, Dennis Daugaard, announced that he wanted to make 55,000 additional South Dakota residents eligible for Medicaid under the law.
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The Associated Press via KATV-TV
Arkansas Gov. Asa Hutchinson has told federal officials he wants to impose new limits on the state's hybrid Medicaid expansion that's providing coverage to more than 200,000 people. Hutchinson's office on Monday released his formal request to overhaul the state's "private option," which uses federal funds to purchase private insurance for low-income residents. The program was crafted in 2013 as an alternative to expanding Medicaid under the federal health law.
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The Hill
Maine Gov. Paul LePage is re-emphasizing his vow to veto any expansion of Medicaid under Obamacare, accusing fellow Republican lawmakers in the state legislature of playing politics with a drug abuse crisis to push for expansion.
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The Times-Picayune
Louisiana healthcare advocates are eager to see Medicaid expansion get off the ground in 2016, sometime after Gov. elect John Bel Edwards' Jan. 11 inauguration. The new governor has said Medicaid expansion — which would provide health insurance for more than 250,000 uninsured working poor — is "among the highest priorities" of his new administration. But there also are several challenges Edwards' new administration could face as the expanded program takes off.
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MHPA
Click on the session names to download select presentations. You may also access them through the online version of the mhpa2015 conference app — just click on the schedule icon for the sessions. The presentations are listed in the documents section.
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MHPA
"What If We Knew The Future: A Prevention Approach to Safer Use of Prescription Opioids," an RxAnte webinar presented by Michael Ross, M.D., chief medical officer, and Amie Joyce, MPH, vice president of account management at RxAnte, took place on Nov. 18.
Download the presentation.
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