This message was sent to ##Email##
|
|
|
|
|
|
Advertisement
|
|
|
| |
Modern Healthcare
Health plans clashed with provider and consumer groups in their reactions to the CMS' proposal to give states more flexibility in regulating the adequacy of provider networks in Medicaid managed-care plans.
Two major health plan groups strongly backed the CMS' proposal to roll back the Obama administration's 2016 rule requiring states to set minimum time-and-distance standards for network adequacy, which nearly all states now use. Under the proposed rule, states could use alternative standards, such as provider-to-enrollee ratios.
Another contentious issue was pass-through payments from plans to providers in states that are transitioning to Medicaid managed care. The CMS proposed granting states a three-year period during which they can require plans to make such payments to ease the transition. The National Association of Medicaid Directors supported that proposal, while Medicaid Health Plans of America and the American Hospital Association urged lengthening that to at least five years.
READ MORE
Modern Healthcare
Hospitals are furious that the Trump administration is reportedly exploring allowing states to convert their Medicaid programs into block grants, a policy the industry fervently fought when Congress tried to repeal the Affordable Care Act. If states take advantage of the block-grant flexibility, first reported in Politico, it would cap federal spending for Medicaid in those states and could leave them on the hook for any expenditures over that limit. States would either have to cut their Medicaid rolls or payments to disproportionate-share hospitals and nursing homes to curb spending, some experts said.
READ MORE
|
Promoted by
|
|
|
|
 |
WYFF-TV
South Carolina health officials are considering changes to the Medicaid system. The Section 1115 Demonstration Waiver would require people on Medicaid to have a job, go to school, or get involved in the community. State officials say the demonstration waiver will help families by improving health overall and reducing health costs.
READ MORE
 |
|
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.
|
|
The Atlanta Journal-Constitution
Georgia Gov. Brian Kemp said Thursday that his administration would request a federal waiver to seek new flexibility to use Medicaid dollars, using his first State of the State address to embrace an idea to "expand access without expanding a broken system."
Long an opponent of Medicaid expansion, the Republican said he would set aside $1 million in the state health department's budget to develop a waiver that would "drive competition and improve quality while encouraging innovation."
READ MORE
 |
|
Promoted by
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.
|
|
Richmond Times-Dispatch
A tax on hospital revenue to pay for Virginia's share of the cost of expanding its Medicaid program might not cover the expense of administering a state proposal for a work requirement and other conditions for people who receive health care benefits under the program.
Some members of the Senate Finance Committee were taken aback Tuesday by Gov. Ralph Northam's proposal to use money from the state budget's general fund to pay $13 million in administrative expenses for the state to seek federal approval of a waiver that would allow it to establish the work requirement and other conditions.
READ MORE
|
|
|
|
|
| |
The Columbus Dispatch
More than 700,000 Ohioans were removed from the state's Medicaid program in just the first 10 months of 2018.
Franklin County had the most disenrollments, with nearly 90,000 losing the healthcare coverage from January through October, the most recent data available show.
READ MORE
|
Promoted by
|
|
|
|
 |
The Boston Globe
Privately insured patients have been asked to rate their medical providers for years. Now, for the first time, Massachusetts is seeking the opinions of thousands of Medicaid recipients about their experiences in the doctor's office.
Beginning this month, nearly 250,000 low-income and disabled patients will be asked questions such as whether they or their children were able to get appointments when they needed them, whether doctors and office staff communicated respectfully, and whether their mental health treatment actually improved their ability to work or attend school.
READ MORE
 |
|
Limiting opioids will not solve our nation’s pain problem- 56% of Americans will still experience pain in any three-month period, contributing to the $300 billion cost of chronic pain.
Our capabilities improve pain care across a network to ensure members receive appropriate cost, high quality care for their pain conditions.
|
|
The Hill
House Democrats this week fired a shot across the bow of the nation's pharmaceutical companies as they begin a long-anticipated effort to cut down on high drug prices.
The House Oversight and Reform Committee launched a sweeping investigation into how the industry sets its prices, in what is being seen as one of the broadest drug pricing investigations in decades.
READ MORE
 |
|
A commercial Medicaid plan in Nevada leveraged MCG solutions in its community health program and reduced ER visits by 20% and hospital readmissions by 30%. Click here to learn more about how MCG can support improved member outcomes and cost control.
|
|
USA Today
For the first time, Americans' odds of dying from an accidental opioid overdose are higher than from a motor vehicle crash, a data analysis found.
Injury Facts, an analysis from the nonprofit group National Safety Council, found the lifetime odds of dying by an accidental opioid overdose were 1 in 96, and the odds of dying by motor vehicle crash were 1 in 103.
READ MORE
|
|
|
|
|
7701 Las Colinas Ridge, Ste. 800, Irving, TX 75063
|
