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Los Angeles Times
As it races to revamp Medicaid by allowing work requirements for the first time, the Trump administration is failing to enforce federal rules directing states to assess the impact of the change on low-income patients who rely on the half-century-old safety net program, analysis shows.
None of the eight states that the administration has cleared to implement a Medicaid work requirement has in place a plan to track whether Medicaid enrollees find jobs or improve their health, two goals often touted by administration health officials.
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WILX-TV
Thousands of people in Michigan could lose Medicaid coverage once the state's new work requirements go into effect in 2020, according to a new report.
Last summer, former Governor Rick Snyder signed a bill that requires people on the Healthy Michigan Medicaid Expansion Plan to work at least 80 hours a month.
The law lists exceptions for parents, people who are disabled, and people in school.
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The Tennessean
Requiring people to work in order to keep government health insurance will hit low-income Tennessee parents, caregivers and children especially hard and cost the state more money than it saves, a panel of experts said Tuesday.
The proposed new work requirements were submitted to the federal government in December. They will require able-bodied TennCare recipients with children over the age of 6 to get a job, take classes or volunteer 20 hours each week.
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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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Politico
Obamacare supporters are mounting a campaign to get Medicaid expansion on the Florida ballot in 2020, potentially elevating the Obamacare program as a key election issue in the presidential swing state.
A mix of national and local healthcare groups, energized by the approval of Medicaid expansion ballot initiatives in three conservative states in November, have been collecting signatures for weeks to support a voter referendum that could cover an additional 700,000 low-income Florida adults. For now, however, the groups aren't saying much publicly about the effort.
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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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WUSF-FM
As a congressman, Ron DeSantis carved out a name for himself railing against Medicaid spending.
But as a newly elected governor, DeSantis released a $91.3 billion proposed spending plan Friday that, for the most part, maintains the status quo for Medicaid providers in Florida. The plan recommends that hospitals, HMOs and nursing homes be paid at levels state economists recommended in December for treating poor, elderly and disabled patients.
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The Salt Lake Tribune
The Senate plan to replace voter-approved Proposition 3 with a more restrictive — and initially more costly — Medicaid expansion plan is headed to the House floor after earning committee approval Wednesday.
But the 9-6 vote in the House Business and Labor Committee for S.B. 96 included three defections by Republicans, including Rep. Jim Dunnigan, the bill's House sponsor.
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The New Yorker
For years, Republican lawmakers in Utah refused to expand Medicaid, rejecting the terms available to states since 2010 under the Affordable Care Act. But, this past November, in a ballot initiative, voters approved extending Medicaid coverage to roughly a hundred and fifty thousand additional people in the state. The initiative, known as Proposition 3, won support from fifty-three per cent of voters; Medicaid expansion is due to take effect in Utah on April 1.
Now, however, the state legislature is considering bills that would limit or delay the expansion. Rebecca Kieffer is among the thousands of Utahans who would be newly eligible for Medicaid on April 1, and whose medical care now hangs in the balance.
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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 Associated Press via Couer d'Alene Press
The Idaho Supreme Court ruled Tuesday that a voter-approved initiative expanding Medicaid in Idaho is legal.
A majority of the five-member panel rejected arguments by the Idaho Freedom Foundation and its board chairman, Brent Regan, that the measure was unconstitutional because it delegated authority to the federal government and the state Department of Health and Welfare.
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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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Anchorage Daily News
Alaska is significantly behind on approving Medicaid applications, and in some cases applicants are waiting for months.
As of Jan. 29, Alaska had a backlog of 15,639 cases of new applicants or renewals on the books. About two-thirds of those, or 10,200 cases, were filed in 2018. The average wait time to be approved is currently 55 days, according to Clinton Bennett, the media relations manager for the Alaska Department of Health and Social Services.
That's the average, but not everyone is waiting that long, he wrote in an email.
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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 Hill
Google's sister company is partnering with a local health care provider in Ohio to back a treatment facility for those affected by the opioid epidemic.
Verily, an experimental health care spinoff from Alphabet, said in a blog post on Wednesday that it will help launch OneFifteen in Dayton, Ohio. The facility will take a tech-focused approach to treating individuals with substance-abuse disorders.
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