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MedPage Today
Have you ever used the Z56 code to describe one of your Medicaid patients? How about Z59?
These two codes — which indicate issues with employment and with homelessness/food insecurity/other social needs, respectively — need to be used by clinicians more often in order to connect patients to the help they need, according to a report issued on Tuesday from the Institute for Medicaid Innovation.
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The Washington Post
The Trump administration wants to slash Medicaid spending through block grants — a strategy conservatives in Congress have repeatedly tried to implement without success. Here’s the tricky part: It would have to persuade states to accept fewer federal dollars than they're getting now.
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HealthPayerIntelligence
CMS has approved Arizona's request to add a community engagement requirement to its section 1115 Medicaid demonstration project, called "Arizona Health Care Cost Containment System" (AHCCCS).
After consulting with Native American tribal leaders at the state and federal level, the Arizona demonstration will be the first to include an exemption to this requirement for members of federally recognized tribes.
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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.
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Portland Press Herald
The Mills administration has rejected new work requirements for Medicaid recipients that were requested by former Gov. Paul LePage and approved by the Trump administration just days before LePage left office.
The work requirements were criticized by progressive advocacy groups, while LePage maintained that the requirements would provide beneficiaries with an incentive to find employment.
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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.
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WLBT-TV via WLOX-TV
Mississippi Executive Director of Medicaid Drew Snyder briefed members of the House of Representatives and gave them an update on the current status of the program.
The big issue at hand: Whether the state should "expand."
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Georgia Health News
A state analysis of a potential Medicaid expansion in Georgia finds that the move would cost up to $148 million in fiscal 2020 and would cover up to 526,000 people.
The "fiscal note," requested by Georgia House Democrats, comes in the wake of a governor's race in which the two major candidates split on the issue. Gov. Brian Kemp, the Republican who won the election, opposed Medicaid expansion as outlined by the Affordable Care Act. Democratic candidate Stacey Abrams strongly supported expansion and campaigned on the issue.
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Jackson Hole News & Guide
A Wyoming lawmaker is taking another swing at state Medicaid expansion, which would grant healthcare to a swath of low-income Wyomingites but has fallen on deaf ears at the Wyoming Legislature in recent years.
Opponents say that even though the federal government is footing the bill now for the nation's public health insurance program for people with low income, the state could end up paying later.
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In a recent analysis of 10,573 members receiving advanced pain care procedures, 61% received opioids and 36.7% were assessed as high or severe risk. The monthly spend for these members? 17 times the average cost.
Interested in improving pain care and reducing costs across your network? Let’s connect.
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The Hill
The Senate Finance Committee's first hearing of the year will focus on prescription drug prices, panel chairman Sen. Chuck Grassley (R-Iowa) announced Tuesday.
The Jan. 29 hearing "will be the first in a series of hearings scrutinizing prescription drug pricing and considering policy and oversight solutions to lower costs for American patients," Grassley said in a statement Tuesday.
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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.
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CNN
The lobbying group for the pharmaceutical industry spent about $27.5 million on lobbying activities in 2018, federal filings show.
This is a record annual total for the Pharmaceutical Research & Manufacturers of America, or PhRMA, which represents most of the nation's largest drug and biopharmaceutical research companies, including Pfizer, Sanofi, Merck, Johnson & Johnson and Gilead Sciences.
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Kern Health Systems (Kern) is overcoming numerous care management challenges using Jiva, the industry’s leading PHM platform. Learn how the powerful end-to-end platform is helping Kern consolidate data, streamline workflow, manage compliance, create holistic assessments, improve overall health outcomes, and plan for future expansion into new lines of business.
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FierceHealthcare
The cost of managing diabetes in the U.S. is rising quickly, largely due to dramatic increases in the cost of insulin, according to a new report from the Health Care Cost Institute.
Looking at health insurance claims from 13,800 to 16,200 people with Type 1 diabetes who use employer-sponsored health insurance, researchers found insulin spending per person in the U.S. was $5,700 in 2016, a 97 percent increase from $2,900 in 2012.
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