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The Hill
Members of the Senate Finance Committee grilled pharmaceutical executives during a public hearing Tuesday about their role in rising drug costs, an issue that has elicited outrage from the American public and members of Congress.
The leaders of seven drug companies told members of the Senate on Tuesday they want to do something about high prescription costs but wouldn't commit to dropping list prices.
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Forbes
The nation's largest primary care doctor group supports Medicare and Medicaid expansions that include a "buy-in" for those looking to gain health coverage under the age of 65.
The American College of Physicians, which has more than 150,000 member physicians, is a key voice to expanding coverage given other national doctor groups like the American Medical Association have been less supportive of recent legislation introduced by Democrats to expand the government's role in achieving universal health coverage for all Americans. ACP's membership is largely primary care doctors including 154,000 internal medicine physicians, "related sub-specialists, and medical students," the group said.
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Modern Healthcare (Subscription required)
A trio of Democratic senators introduced a bill on Wednesday that would give states that recently expanded Medicaid the same federal funding as those that previously expanded. The legislation from Democratic Sens. Mark Warner and Tim Kaine of Virginia and Doug Jones of Alabama comes as more red states are considering expansion.
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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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Milwaukee Journal Sentinel
Wisconsin is the only state in the country that partially expanded eligibility for Medicaid but didn't take the additional federal dollars available through the Affordable Care Act to cover most of the cost.
Gov. Tony Evers' proposed budget wants to change that. His office released details of his healthcare plan Thursday ahead of the formal announcement in the evening.
The governor has proposed covering adults in BadgerCare Plus, the state's largest Medicaid program, up to the threshold that would enable Wisconsin to receive the additional federal dollars available through the Affordable Care Act.
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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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Georgia Health News
The Georgia Senate approved legislation Tuesday to let Gov. Brian Kemp seek healthcare waivers from the federal government.
The party-line 32-20 vote came after Democrats argued that a full expansion of Medicaid, as outlined under the Affordable Care Act, would cover more Georgians and cost less than Senate Bill 106 would provide.
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Moscow-Pullman Daily News
The Idaho Legislature's joint budget committee unanimously approved a $381 million, 15.6 percent increase in the Division of Medicaid's fiscal 2020 budget Wednesday.
Medicaid expansion accounted for nearly 52 percent of that, or $197.3 million. Federal funding, however, will cover almost that entire amount; the general fund tab for Medicaid expansion next year is just $9.3 million, and that's offset entirely by savings in other agency budgets.
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The Associated Press via KIFI-TV
Draft legislation involving voter-approved Medicaid expansion in Idaho would require recipients to meet similar work or employment training as the state requires in its food assistance program.
Documents obtained by The Associated Press show Republican Rep. Bryan Zollinger is seeking co-sponsors for the legislation. Zollinger on Wednesday said whether the legislation gets introduced depends on if a group of lawmakers meeting informally can reach an agreement involving Medicaid expansion.
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A referral to a high-quality treatment facility boosts recovery chances for members with opioid use disorder. That referral also comes at a fraction of the cost. For Medicaid members receiving quality addiction treatment, PMPM spend is $500 less than alternative treatment options. Refer quality care with Centers of Recovery Excellence.
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New Hampshire Public Radio
New Hampshire has joined a handful of states that mandate some Medicaid recipients to engage in certain activities: For example, a job, school or community services. But recent federal changes tightening certain aspects of the program, as well as proposed legislation, have renewed debate over the Granite State's approach.
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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 Columbus Dispatch
An Ohio state senator wants to impose work requirements for Medicaid recipients that are stricter than those the state has proposed, arguing that people are leaving the workforce to claim the tax-funded health benefits.
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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 WVLT-TV
Tennessee Republican lawmakers who have long balked at taking millions in federal dollars to expand Medicaid advanced a plan Wednesday that would overhaul how the state provides healthcare to its lower-income and disabled residents.
GOP state lawmakers are moving forward on a proposal calling on the federal government to send Tennessee a fixed amount of money each year in the form of block grants. The bill still faces several key hurdles, but early GOP endorsements from top legislative leaders have signaled the legislation could reach the governor’s desk.
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