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MHPA
In recognition of International Women's Day, we celebrate the women who have made a difference in Medicaid:
Jennifer E. Moore, PhD., Executive Director at the Institute for Medicaid Innovation
Shannon Attanasio, director of government relations and advocacy at MHPA
Kirby Greissing, manager of policy at MHPA
Michelle Stein, director of communications at MHPA
Institute for Medicaid Innovation committee chairs:
Ana Fuentevilla, MD, MHCDS (UnitedHealthcare Community & State), chair of the Dissemination & Implementation (D&I) Committee at the Institute for Medicaid Innovation
Lisa Hollier, MD, MPH, FACOG (Texas Children's Health Plan), chair of the Subcommittee on the Health of All Women in Medicaid at the Institute for Medicaid Innovation
Tedra Anderson-Brown, MD (Cardinal Innovations Healthcare), co-chair of the Subcommittee on Opioid Misuse in Medicaid at the Institute for Medicaid Innovation
Katherine Paris, MPA (UnitedHealthcare Community & State), chair of the Data & Research (D&R) Committee at the Institute for Medicaid Innovation
Sandra G. Hassink, MD, MS, FAAP (Nemours), chair of the CHOPT for Medicaid National Advisory Committee at the Institute for Medicaid Innovation
We'd also like to remind our readers how Medicaid helps women across their lifespans, providing a critical lifeline to more than 25 million low-income U.S. women — the majority of adult enrollees — with health and long-term care coverage, and the work Medicaid health plans do to contribute to this mission:
Medicaid's Role for Women
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Addressing the Opioid epidemic in Medicaid Managed Care for Women and Newborns
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Preventing Preterm Birth: Access to Progesterone in Medicaid Managed Care
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The New York Times
Amazon has had no problem getting affluent households to buy from its online store. But people with low incomes have been less loyal to the retailer.
Now, Amazon is taking another step to persuade them to spend their money on the site.
Starting Tuesday, the company will offer a discount on its Prime membership program to the millions of recipients of Medicaid, the public health insurance program for low-income Americans.
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Bloomberg
A "rigged payment scheme" between drug plans, insurers and pharmaceutical companies has blocked access to less-expensive versions of some of the most costly drugs in the U.S., the head of the Food and Drug Administration said Wednesday.
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WTOP-FM
The yearslong fight over Medicaid expansion to cover around 300,000 more low-income Virginians could again derail the state's two-year budget. The General Assembly is supposed to adjourn by Saturday night, but a top Senate budget negotiator said Wednesday that the small group of lawmakers responsible for a budget plan remain far from a deal over one of the tougher budget negotiations in recent memory.
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The Associated Press via U.S. News & World Report
Arkansas lawmakers voted Wednesday to keep the state's Medicaid expansion another year after federal officials said the state can require people on the program to work or volunteer to keep their coverage.
The Arkansas House approved by a 79-15 vote the budget for the state's Medicaid program and the hybrid expansion, which uses federal and state funds to purchase private insurance for low-income residents. The measure needed at least 75 votes to pass. It now heads to Republican Gov. Asa Hutchinson's desk.
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The Philadelphia Inquirer
Among the hot-button issues for members of the Pennsylvania House of Representative's Appropriations Committee at Tuesday's hearing for the state's Department of Human Services was their desire to require able-bodied Medicaid recipients to work — for the sake of constituents who go without services "because someone else is getting a free ride."
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The Associated Press via The Seattle Times
Oklahoma Gov. Mary Fallin is ordering the state's Medicaid agency to develop a requirement that certain able-bodied participants work in order to keep receiving benefits.
Fallin issued an executive order on Tuesday directing the Oklahoma Health Care Authority to submit recommendations to the governor and legislature within the next six months.
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The Hill
Democrats on the House Energy and Commerce Committee warned the Trump administration not to approve requests from states that want to put a lifetime cap on how long people can be enrolled in the Medicaid program.
In a letter sent to Health and Human Services Secretary Alex Azar, the lawmakers said lifetime limits would harm patients and the agency doesn't even have the statutory authority to approve them.
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A KLAS Leader in PHM and Clinical Data Integration, i2i partners with health plans, providing bi-directional connectivity to over 2,500 Provider Sites (20+ million lives). i2i has the largest share of CHCs connected to a clinical data integration platform providing transparency to Payer and Providers, bringing claims and EHRs together.
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AHCJ
Medicaid work requirements going into effect in at least a handful of states will only affect the "able-bodied." But precisely what does that mean?
Emily Badger and Margot Sanger-Katz unpack that term, as well as "deserving poor." They say in "Who's Able-Bodied Anyway?" for The New York Times' "Upshot" blog, that the "able-bodied" are defined by what they are not – "not disabled, not elderly, not children, not pregnant, not blind."
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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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The Hill
Health insurer Cigna on Thursday announced it was acquiring pharmacy benefits manager Express Scripts in a $67 billion cash and stock deal.
Express Scripts is the largest independent drug middleman in the country. The acquisition is the latest to shake up the health industry as it looks to lower the rising cost of care. The move follows a similar merger of insurer Aetna and the drug store chain CVS in December.
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