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MHPA
In addition to revisiting Affordable Care Act repeal-and-replace efforts and changes to Medicaid financing, the president's proposed fiscal year 2019 budget contains several reforms aimed at restructuring drug benefits in both Medicare and Medicaid. And while critics of the budget released Feb. 12 say the drug-related proposals do very little to address rising pharmaceutical prices, the document at the very least has some positive indications that policymakers are ready to revamp an outdated drug purchasing system in Medicaid, suggests one industry expert.
"I think it is a signal that policymakers are frustrated that pharmaceutical companies are still raising prices at 12 percent a year and that their publicly paid program can no longer afford the price escalation," remarks Jeff Myers, president and CEO of MHPA.
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The Hill
Pennsylvania Rep. Tom Marino says he met with Speaker Paul Ryan on Wednesday to push for the inclusion of a measure to fight high drug prices in a coming government funding bill. The bill, called the Creates Act, has support from members of both parties but has faced strong lobbying in opposition from the powerful pharmaceutical industry.
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TIME
Emergency room visits for suspected opioid overdoses increased by about 30 percent across the United States between June 2016 and September 2017, according to new data from the Centers for Disease Control and Prevention (CDC). The figures, included in the agency's monthly Vital Signs report, suggest that the ravages of the opioid crisis, which claimed more than 42,000 lives in 2016, show few signs of letting up.
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The Hill
Doctors, governors and healthcare advocates are pressing Congress to lift a decades-old rule that greatly restricts Medicaid from being used to fund care for opioid addiction. Lifting the limits could help thousands of people — but could cost as much as tens of billions of dollars over a decade, a daunting sum to try to pay for.
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Veyo is a full-service transportation brokerage designed specifically for healthcare. By integrating consumer technology with rideshare fleets, we have decreased costs and increased efficiencies. Operating in eight states with over 6 million completed trips and a 97.1% on-time rate, we're changing NEMT - one trip at a time. Learn More
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St. Paul Pioneer Press
Republican lawmakers in the Minnesota Legislature want to require the state's "able bodied" Medicaid recipients to be working, looking for a job or in school. House Speaker Kurt Daudt joined Rep. Kelly Fenton in sponsoring a bill that would impose work requirements for those receiving public healthcare assistance who are not the sole caregiver for a child nor someone with disabilities. They believe the requirements will boost the number of people participating in the state's workforce.
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The Detroit News
Michigan would join a small but growing number of states requiring Medicaid recipients to work or continue school to maintain government healthcare coverage under Republican legislation introduced this week. Sen. Mike Shirkey is proposing a 30-hour work or school requirement for poor but able-bodied adults. Rep. Jim Runestad wants the Michigan Department of Health and Human Services to develop similar requirements.
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The Washington Post
Virginia's General Assembly wrapped up its 2018 regular session Saturday with its most important task unfinished. At an impasse over whether to expand Medicaid to some 400,000 eligible Virginians, the legislature failed to pass a state budget before adjournment and will have to take that up at a special session.
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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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The Hill
Utah would partially expand its Medicaid program to cover almost 70,000 additional people under a bill that has passed the state legislature. The bill would require the state to submit a request for the Trump administration to impose work requirements on certain Medicaid recipients. But Utah would only expand coverage to people earning up to 100 percent of the federal poverty level and would still expect the Trump administration to pay its share of the costs.
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The Associated Press via U.S. News & World Report
A plan to continue New Hampshire's expanded Medicaid program cleared the Senate on Thursday night, backed by both Republicans and Democrats who argued it has served the state well and is critical to addressing the state's opioid crisis and mental health treatment challenges.
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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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Montana Public Radio
The hundreds of millions of federal tax dollars that Medicaid expansion is bringing to Montana have added thousands of jobs here and significantly boosted the state's economy. It's enough of a boost to pay for Montana's share of the jointly funded health program. That's according to a new report by economist Bryce Ward with the University of Montana's Bureau of Business and Economic Research. He summarized it for a legislative oversight committee Thursday.
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Kaiser Health News
Started in 1965, Medicaid is part of the financial bedrock of rural hospitals like Genesis, the main source of healthcare and the only hospital with maternity services in southeastern Ohio's rural Muskingum County. As treatments have become increasingly sophisticated — and expensive — healthcare has become inextricably linked to Medicaid in rural areas, which are often home to lower-income and more medically needy people. Kaiser Health News is examining how the U.S. has evolved into a "Medicaid Nation," where millions of Americans rely on the program, directly and indirectly, often unknowingly.
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