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Churning between Medicaid, exchanges to be costly
The Washington Post
Experts warn of gaps in health coverage as most states are still grappling with the issue. Jeff Myers, MHPA's president and CEO, notes that it's a serious problem for patients' continuity of care and plans' stability.
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Detailed report delivers good news on health costs, but will it last?
Kaiser Health News
Definitive 2012 numbers show continued, historically low increases in medical prices and the use of medical services. Health spending rose 3.7 percent, up slightly from 2011 but far below the 8 percent increases of the early 2000s, according to figures released by the Centers for Medicare & Medicaid Services.
HealthCare.gov defects leave many Americans eligible for Medicaid, CHIP
without coverage
The Washington Post
More than 100,000 Americans who applied for insurance through HealthCare.gov and were told they are eligible for Medicaid or the Children's Health Insurance Program remain unenrolled because of lingering software defects in the federal online marketplace, according to federal and state health officials.
Obamacare Medicaid split creates 2 Americas for poor
Bloomberg
Amber Sanchez, a San Francisco cancer survivor, skipped visiting the gynecologist last year to check a growth on her ovary because she was uninsured. This year, it's at the top of her New Year's plans. The difference: As of Jan. 1, the 27-year-old is eligible for California's Medicaid expansion under Obamacare.
In Alabama, which rejected the expansion, Jefferica Poindexter isn't so lucky. Dealing with high cholesterol, chronic sinus pain and a bad back, she depends on emergency rooms and nonprofit clinics — when they can see her.
Study: Expanding Medicaid doesn't reduce ER trips; it increases them
The Washington Post
As the healthcare law expands Medicaid to cover millions more Americans, a new Harvard University study finds that enrollment in public program significantly increases enrollees' use of emergency departments. The research showed a 40 percent increase in emergency department visits among those low-income adults in Oregon who gained Medicaid coverage in 2008 through a state lottery.
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Obamacare comes to Skid Row
NPR and Kaiser Health News
If you were led blindfolded from Los Angeles' grand city hall a few blocks east, you would know when you entered Skid Row. There is the pungent smell of urine and burning marijuana smoke, and the sound of music and easy laughter. A carnival rising out of misery. This is the chaos that Chris Mack plunges into on most days. Once homeless himself, Mack is an outreach worker for the JWCH Institute's Center for Community Health, a free clinic that sits at the heart of Skid Row.
Missouri Medicaid expansion advocates hope summer work yields compromise
Kansas Health Institute
A year ago, Missouri had a Democrat governor who strongly supported expanding the state's Medicaid program in line with the original intent of the Affordable Care Act, but a Republican legislature that was foursquare against the idea. Those political dynamics appear unchanged as the General Assembly prepares to convene for this year's session.
Missouri Medicaid expansion still a priority, but prospects remain slim
The Associated Press via Belleville News-Democrat
For Missouri Gov. Jay Nixon, state Medicaid expansion remains a priority. Missouri lawmakers open their annual legislative session this week. However, the prospects of that occurring appear slim.
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Kansas to get $10.8 million Medicaid bonus from feds
Kansas Health Institute
Kansas will get $10.8 million in additional Medicaid money from the federal government as a bonus for enrolling more children from low-income homes in state-federal health insurance programs. The award was announced by officials at the federal Centers for Medicare and Medicaid services. It is part of more than $307 million in bonuses to be paid out to 23 states.
Kansas hospitals leading new push for Medicaid expansion
Kansas Health Institute
Many uninsured Kansans who Congress assumed would get coverage under the health reform law are instead falling in to what is being called the "Medicaid gap." They make too much money or don't meet other criteria to qualify for the state's Medicaid program — called KanCare — but don't earn enough to be eligible for federal tax credits to offset the cost of private insurance.
Stuck in the Medicaid gap in Idaho
Idaho Statesman
Amy Workman and her 12-year-old son spent the holidays stuffing their Coeur d'Alene, Idaho, home into a moving truck. They gave away some furniture. They gave a neighbor their Christmas tree. A few days after Christmas, the mother of three and her youngest son hit the road for Oregon. They headed west in search of health insurance.
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Millions gaining health coverage under law
The New York Times
Millions of Americans will begin receiving health insurance coverage under the Affordable Care Act after years of contention and a rollout hobbled by delays and technical problems. The decisively new moment in the effort to overhaul the country's healthcare system will test the law's central premise — that extending coverage to far more Americans will improve the nation's health and help many avoid crippling medical bills.
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Feds give states $307 million bonus for signing up kids for Medicaid
The Hill
The Centers for Medicare and & Medicaid Services announced that it has awarded $307 million in bonuses to 23 states that found ways to increase the enrollment of kids in Medicaid. The bonuses are permitted under the Children's Health Insurance Program Reauthorization Act, which President Barack Obama signed into law in 2009.
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With new year, Medicaid takes on a broader healthcare role
The Washington Post
Medicaid embarks on a massive transformation — from a safety-net program for the most vulnerable to a broad-based one that finds itself at the front lines of the continuing political and ideological battle over the Affordable Care Act. Already the nation's largest healthcare program, Medicaid is being expanded and reshaped by the law to cover a wider array of people.
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2013-2014 Best Practices Compendium on sale
MHPA
MHPA's Best Practices Compendium is our annual compilation of exemplary programs run by Medicaid health plans and their partners that help improve member lives. It's also a valuable reference tool that features a listing
of the current state Medicaid directors and an MHPA member health plan/vendor resource directory. Get yours today ($25 for members, $30 for nonmembers). To order, call 202-857-5720, or email us here.
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Job opportunity: Johns Hopkins HealthCare LLC COO
Johns Hopkins HealthCare LLC via FurstGroup
Johns Hopkins HealthCare LLC seeks an accomplished operational leader to join the executive management team to drive performance excellence, growth and strategy. The chief operating officer is a strategic business partner to the JHHC President, and together they will implement a plan for growth and transformation in response to healthcare reform that is in concert with that of JHM.
Qualified candidates will possess a bachelor's degree in business administration or a related field with a preference for a master's degree or MBA. We require at least 15 years of increasingly responsible senior management experience in health plan operations or a similar highly transactional environment with demonstrated skills in innovation, change management and strategic systems thinking.
Access the position profile on our Web site via the link here. For immediate consideration, please apply directly to Deanna Banks, principal at FurstGroup.
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