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The Associated Press via MSN
President Donald Trump's budget contains an $844 billion mystery pot for his still undefined health care plan, signaling steep cuts to Medicaid and "Obamacare."
That 10-year number represents hypothetical savings that would be used for a health care plan Trump has been promising since he was a candidate. His election-year budget released Monday repeats the pledge, but details again remain elusive.
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HealthLeaders
States participating in the optional block grant proposal for their expanded Medicaid populations would have to generate up to 8% of the total savings to keep below the aggregate cap over the five-year span of the model, a new study from Avalere suggests.
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The Register-Guard
Governors of both major political parties are warning that a little-noticed regulation proposed by President Donald Trump’s administration could lead to big cuts in Medicaid, reducing access to health care for low-income Americans.
The arcane fiscal accountability rule proposed by the Centers for Medicare and Medicaid Services, or CMS, would tighten federal oversight and approval over complex financing strategies states have long used to help pay for their share of the $600 billion program. Also targeted are certain payments to hospitals that treat many low-income patients. Public comments closed last week amid a chorus of criticism from hospitals, nursing homes, insurers, doctors and advocates for the poor.
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By connecting vulnerable populations with public benefit programs, we improve health outcomes for members and in doing so, we enhance our clients' bottom line.
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Houston Chronicle
A proposed change in Medicaid rules could cost Texas hospitals billions of dollars, forcing many to cut services and some rural hospitals to close their doors, health care industry officials said.
The change, aimed at increasing the transparency of how the program's money is spent, narrows the definition of state and local funds that can be used to determine federal matching funds. That, in turn, would reduce federal funding and cost Texas hopsitals an estimated $11 billion a year, industry officials said.
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News-Press NOW
A petition in Missouri is aiming for enough signatures to add a proposal to expand Medicaid to a future ballot, potentially as soon as November.
The future possibility of the expansion of Medicaid through the Affordable Care Act in Missouri has been met with mixed opinions among those in Northwest Missouri.
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An MCO saw rapid results after launching mPulse Mobile Redetermination and Health Risk Screenings Solutions. Results include a 3x increase in completion rate for Health Risk Screenings and a 20+ percentage point increase in redetermination rates. Read more about the study and outcomes here.
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The Associated Press via KTVB-TV
The budget for the Idaho Department of Health and Welfare's Division of Medicaid will surpass $3 billion for the first time.
More than $2 billion of that is coming from the federal government. Administrator Matt Wimmer on Monday also told the Legislature's budget-setting committee that Medicaid expansion was going well with about 62,000 people having signed up since Jan. 1.
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The Wichita Eagle
Minutes after an anti-abortion amendment to the Kansas Constitution failed in the House, Senate President Susan Wagle made clear the consequences.
In a nearly empty Senate chamber Friday afternoon, the Wichita Republican sent more than a dozen bills that could be used as legislative vehicles for Medicaid expansion back to committee, ensuring they won't be passed anytime soon.
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CAQH
 Improper Medicaid payments, such as for ineligible patients or for services not provided, were
estimated to be $36.2 billion in fiscal 2018, accounting for 9.8% of Medicaid spending. The road to accountability is only growing more complex, and payers, especially Medicaid and MCO plans, cannot succeed without a strong strategy for effective COB/TPL.
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Lockport Union-Sun & Journal
The makeup of a blue ribbon panel poised to examine spiraling Medicaid costs is drawing strong concerns from some in the state's health care industry.
Dr. Art Fougner, president of the Medical Society of the State of New York, a membership-backed lobby for physicians, told CNHI that it is "ridiculous" Gov. Andrew Cuomo's 21-member Medicaid redesign team has no doctors without ties to the governor's administration.
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Bozeman Daily Chronicle
Since a steady cure for hepatitis C has existed, Montana denied people on Medicaid access to treatment until the disease severely damaged their liver. This week, the state lifted that restriction among others citing lower prices for the care.
Health providers and advocates celebrated the change that went in place Feb. 3, though they say it came late.
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Nutrition is a key component to addressing the Social Determinants of Health to your members and leads to healthier communities. Nourish your members with home-delivered meals to reduce readmissions, malnutrition, and lower costs.
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844.688.8005.
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WSPA-TV
Currently, Illinois Medicaid is not guaranteed to cover clinical cancer treatment.
That would change is Sen. Andy Manar's bill gets passed into law. The bill would require the state to cover approved experimental treatment.
The bill passed out of committee on Wednesday, and now will head to the Senate floor. If it passes through both the House and Senate, Illinois will become the 14th state to make the change.
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