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Bloomberg BNA
The Medicaid program turned 50 in 2015 and is coming off a year of significant enrollment growth, due in large part to the expansion of eligibility under the Affordable Care Act. That enrollment trend is likely to continue into 2016, as the remaining states consider whether they want to expand coverage under the ACA, Medicaid stakeholders and health policy analysts told Bloomberg BNA.
Most stakeholders and analysts said they expect the biggest changes in 2016 to occur at the state or federal regulatory level, as Congress may be reluctant to roll out any major legislative proposals in an election year.
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Inside Health Policy (Subscription required)
Medicaid expansion, Medicaid 1115 and ACA 1332 waivers, drug pricing, the Medicaid managed care regulation and efforts to continue CHIP funding will be hot topics in the state health policy world in 2016.
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MHPA
Thanks again to all who attended and who participated in this great recap of MHPA's annual conference. (download conference presentations here).
Next up: Save the date for mhpa2016 from Sept. 21-23!
PwC
For those who did not attend the session at mhpa2015, this webinar will explore findings from PwC's annual report, "The Still Expanding State of Medicaid in the United States", including an extensive view of the Medicaid market and private Medicaid health plans, the continuing impact of Medicaid expansion, and key considerations around the future growth potential of the Medicaid market, powered by the proprietary collection and analysis of state Medicaid data.
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Complex Clinical Reviews. Dependent Audits. And More.
Contact HMS today!
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The Hill
More than 50 Democratic lawmakers are calling on the White House to take stronger action against companies accused of price-gouging prescription drugs, suggesting that officials could be doing more with their existing powers. The lawmakers wrote to the heads of the Department of Health and Human Services and the National Institutes of Health on Monday, suggesting that they should consider lifting the exclusive rights awarded to drug companies if they are unfairly pricing their products.
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Modern Healthcare
The California health plans that would pay higher taxes on their managed-care plans to bolster funding for the state's Medicaid program are still "crunching the numbers" on the controversial tax that was included in Gov. Jerry Brown's budget released Thursday.
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Winston-Salem Journal
Legislators and the healthcare industry will today get their first update on the roll out of the state’s controversial Medicaid reform initiative. Approved in September, the initiative represents a hard-fought compromise between the McCrory administration and a divided Republican-led legislature. Medicaid covers about 1.9 million North Carolina residents and is a $14 billion a year program.
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Reuters
Louisiana Gov. John Bel Edwards laid out his agenda during his inaugural address on Monday, pledging to expand Medicaid, enact education reforms, and find long-term solutions to the state's large budget deficit. Edwards, the first Democrat to hold the office of governor in Louisiana since 2008, said he planned to begin accepting federal funding on Tuesday to expand healthcare to residents through the Affordable Care Act, also known as Obamacare.
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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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New Hampshire Public Radio
Republican leaders in the New Hampshire House and Senate say they're willing to consider reauthorizing the state's Medicaid expansion after its sunset date at the end of 2016 — as long as they can find someone to help foot the costs.
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The Associated Press via Chicago Tribune
Bills related to Medicaid and the governor's power to accept additional federal money for a budget item are included in the first batch of measures filed ahead of the upcoming legislative session. They follow Alaska Gov. Bill Walker's actions last year to expand Medicaid to provide healthcare coverage to more lower-income Alaskans after legislators tabled the issue for further review.
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The Washington Post
Take one governor bent on furthering his liberal policies. Add a Republican-controlled legislature determined to stop him. It's a recipe for partisan fireworks that will heat up Mr. Jefferson's Capitol when the General Assembly reconvenes Wednesday. But amid expected fights over Medicaid, gun control and climate change, Virginia Gov. Terry McAuliffe and Republican lawmakers are showing signs that they will try something new — compromise.
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Kaiser Health News
For people whose income changes shift them above or below the Medicaid threshold during the year, navigating their health insurance coverage can be confusing. Ditto for lower income people who live in states that may expand Medicaid this year. Under the health law, states can expand Medicaid coverage to adults with incomes up to 138 percent of the federal poverty level (about $16,000 for an individual). Thirty states and the District of Columbia have done so.
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