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The Hill
America's Health Insurance Plans (AHIP) has been the voice of the health insurance industry for years, but questions have been swirling about whether the association carries the same political clout it once did. Three of the country's five largest insurance companies have left the group, and the industry has lost some key policy battles with the Trump administration and the Republican-led Congress.
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AIS Health via MHPA
With the Trump administration's approval of Kentucky's waiver to require work and other qualifications for Medicaid eligibility, health plans have new concerns about churn — and subsequent declines in health status and outcomes — in their Medicaid populations. A key question for insurers is how to set up the systems and processes needed to validate who qualifies, says one industry insider. Nonetheless, in the long run, focusing on social determinants to improve health outcomes will be a win-win for states and health plans.
The proposal raised concerns that some states were trying to create new requirements in order to intentionally reduce the rolls, but Jeff Myers, CEO of the Medicaid Health Plans of America (MHPA) trade group, tells AIS Health that states are prohibited from doing so.
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The Washington Post (Subscription required)
Republican lawmakers in a half-dozen states are launching fresh efforts to expand Medicaid, the nation's health insurance program for the poor, as party holdouts who had blocked the expansion say they're now open to it because of Trump administration guidelines allowing states to impose new requirements that program recipients work to get benefits.
In Utah, a Republican legislator working with the GOP governor says he hopes to pass a Medicaid expansion plan with work requirements within the year. In Idaho, a conservative lawmaker who steadfastly opposed Medicaid expansion in the past says the new requirements make him more open to the idea. And in Wyoming, a Republican senator who previously opposed expansion — a key part of President Barack Obama's healthcare law — says he's ready to take another look at fellow Republicans' expansion efforts in his state.
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CBS News
Opening the door to work requirements for Medicaid recipients is being touted by the Trump administration as "making a positive and lasting difference" in poor Americans' health. But a new study about work requirements for Kansas welfare recipients is raising questions about the cost, impact and efficacy of such stipulations. A free-market think tank called the Foundation for Government Accountability has praised Kansas' welfare reform efforts as helping "struggling families get back on their feet," but another recent study from the Center on Budget and Policy Priorities calls those conclusions "fundamentally flawed."
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Reuters
A lawsuit challenging the U.S. federal government's approval of work requirements for Medicaid recipients in Kentucky could rein in the power of the Trump administration to reshape the health insurance program for the poor, legal experts said.
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The Washington Post (Subscription required)
Virginia House Speaker M. Kirkland Cox on Monday signaled that Republicans would be willing to go forward with some kind of Medicaid expansion if Democrats support a work requirement for recipients. Cox, who assumed the speakership this year after his party nearly lost control of the chamber in the November elections, indicated that he would consider providing "healthcare coverage to more Virginians" under certain conditions.
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Georgia Health News
From a legislative standpoint, the chances of a broad increase of health insurance coverage look pretty dim this year in Georgia. Lt. Gov. Casey Cagle on Monday told reporters that he is opposed to expanding Medicaid in Georgia.
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The Associated Press via U.S. News & World Report
A key state senator is backing off plans to change Mississippi's state-federal Medicaid program. The Senate Medicaid Committee on Monday advanced a version of Senate Bill 2836 removing earlier proposals to cut payments to health care providers and require all Medicaid spending to be administered by managed care companies. It goes to the Senate for more debate.
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Watch Eliza’s on demand webinar titled: Know your Members: Segmentation Strategies to Impact Engagement, where Ralph Perfetto, Ph.D., Chief Analytics Officer breaks down member segmentation strategies to inform, remind, and persuade persona activation to drive engagement results. Watch Now →
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Observer
Senate Minority Leader Charles Schumer plans to draw attention to the nation's opioid epidemic at President Donald Trump's first State of the Union address on Tuesday, bringing a New York mother of a U.S. soldier who died of a heroin overdose. On Monday, Schumer announced that he is bringing Stephanie Keegan, mother of Daniel Keegan, a veteran who overdosed on heroin while waiting to be seen at his local Department of Veterans Affairs Hospital, as his guest at Trump's address before a joint session of Congress in Washington, D.C.
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A KLAS Leader in the delivery of actionable population health, i2i Population Health’s integrated Population Health Management and Analytics solutions have proudly served healthcare organizations for over 17 years. The company offers a depth of experience gained from over 2,500 healthcare delivery sites across 34 states, supporting 20+ million lives.
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Kaiser Health News
For more than 50 years, the program for the poor and sick has been required to ferry certain clients to and from medical appointments. But a few states have sought — and received — waivers to that rule.
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