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The Hill
Drug company executives are resisting calls to testify publicly before a new GOP-led inquiry into their pricing practices, setting up a showdown with Senate Finance Committee Chairman Chuck Grassley (R-Iowa).
The pressure for industry CEOs to appear before Congress is mounting as scrutiny on their business practices intensifies in Washington. On Tuesday, both the Democratic-led House Oversight and Reform Committee and the Republican-led Senate Finance Committee opened a series of hearings into drug prices.
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The Hill
House Democrats are probing the three main insulin manufacturers in the U.S. over "skyrocketing costs."
Eli Lilly, Novo Nordisk and Sanofi received questions about their pricing strategies from Rep. Frank Pallone Jr. (D-New Jersey), chairman of the powerful Energy and Commerce Committee, and Rep. Diana DeGette (D-Colorado), chairwoman of the Energy and Commerce Subcommittee on Oversight and Investigations.
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WIBW-TV
On Tuesday, Kansas Gov. Laura Kelly introduced a bill that would bring KanCare coverage to more people. Kelly made the case for KanCare expansion at Wednesday’s meeting of the Kansas Academy of Family Physicians.
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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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Dallas Observer
It's still January, a couple of months away from the meat of the 2019 Texas legislative session, and it's already easy to see the difference in the way Dallas state representatives and senators are representing their city. Wednesday afternoon, Nathan Johnson, the Park Cities and North Dallas state senator who knocked off tea party conservative Don Huffines in November, introduced two bills that would allow Texas voters to decide in November whether the state would expand Medicaid in 2020.
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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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Modern Healthcare
Utah Senate Republicans are racing to replace the state's voter-approved Medicaid expansion with a more limited expansion model that would require an unprecedented CMS waiver.
The bill, S.B. 96, approved on a party-line committee vote Tuesday, would cover low-income adults only up to 100 percent of the federal poverty level, rather than up to 138 percent as required by Proposition 3. The proposal passed by 53 percent of Utah voters in November and requires coverage to start April 1.
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The Atlantic
In November, Utah's voters defied their state legislature and moved to adopt Obamacare's Medicaid expansion in the state. With strong majority support, Utahns passed Proposition 3, a ballot initiative that would expand Medicaid coverage to all poor and near-poor adults. Joining Idaho and Nebraska, Republican-led states that passed similar initiatives in November, Utah reflected a divide between political leadership in ruby-red states — which has often opposed anything to do with Barack Obama's signature policy — and the will of even Republican voters, who often like the plan and the prospect of more affordable coverage for more people.
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The News & Observer
Members of a political panel said they were optimistic that a new era of bipartisan cooperation could begin this year, but then went on to dissect some of the big issues that divide Democratic and Republican elected officials.
Democratic Gov. Roy Cooper and Democrats in the legislature have Medicaid expansion as a top priority.
Asked at a forum Wednesday night when the legislative session would end, Lee Lilley, Cooper's director of legislative affairs, replied: "The session ends when we get Medicaid expansion."
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Visit us at booth 22 to learn how our data-driven and tech-enabled solutions can support your Medicaid program. Plus, hear from our Chief Science & Clinical Officer Dr. Elizabeth Ann Stringer during Wednesday’s panel focused on innovative care strategies that improve outcomes for members with behavioral and substance use disorders.
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Casper Star Tribune
A Wyoming legislative committee voted to move a Teton County lawmaker’s Medicaid expansion proposal to the full House of Representatives late Wednesday, 6-3.
Considered something of a pipe dream in Wyoming politics since the establishment of the Affordable Care Act — and a subsequent Supreme Court decision — allowed states to expand Medicaid, Wednesday night's vote marked a small victory for medical associations across the state as well as a bipartisan coalition of supporters who have long pushed for expansion.
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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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The Associated Press via WSFA-TV
The head of Alabama's Medicaid agency says it will need less money in the coming year.
News outlets reported Medicaid Commissioner Stephanie Azar told state lawmakers Wednesday that Medicaid is asking for $715 million for the coming year. That's $40 million less than the current year.
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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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The Associated Press via Albuquerque Journal
New Mexico would open its Medicaid program to paying customers in an effort to expand affordable healthcare options under proposed legislation unveiled Wednesday.
The measure from Democratic Rep. Deborah Armstrong of Albuquerque aims to create a Medicaid buy-in option for state residents who make too much to qualify for Medicaid coverage or marketplace subsidies under the Affordable Care Act but still may struggle to afford adequate care. Medicare recipients would not be eligible.
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