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The New York Times
A federal judge on Wednesday threw out Medicaid work requirements in two states, a blow to Republican efforts to profoundly reshape a program that has provided free health insurance to the poorest Americans for more than 50 years.
In twin rulings, Judge James E. Boasberg of the Federal District Court for the District of Columbia rejected for a second time Kentucky's attempt to require recipients to work or volunteer as a condition of coverage and blocked a similar rule in Arkansas, which has resulted in more than 18,000 people there losing coverage since last summer.
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The New York Times
The Affordable Care Act was already in peril after a federal judge in Texas invalidated the entire law late last year. But the stakes ramped up again this week, when President Trump's Justice Department announced it had changed its position and agreed with the judge that the entire law, not just three pieces of it, should be scrapped.
A coalition of states is appealing the ruling. If it is upheld, tens of millions more people would be affected than those who already rely on the nine-year-old law for health insurance. Also known as Obamacare, the law touches the lives of most Americans, from nursing mothers to people eating at chain restaurants.
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The Washington Post
At the center of Court Square in this old Mississippi Delta town, the monument to the county's Confederate dead is inscribed: "No braver bled for a brighter land. No brighter land had a cause so grand."
It has been a long time since Marianna or surrounding Lee County could be described as bright. Along the square, a storefront funeral home sits empty, along with two former drugstores, a department store, a jeweler, a barber. Gone, too, is Ronny's dollar store, which let customers buy clothes on layaway. The National Guard Armory closed down and became a senior center, until that also closed.
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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 Pew Charitable Trusts
In a stark departure from past administrations, the Trump administration is allowing states to enact new Medicaid rules that will curtail benefits and reduce, rather than expand, the number of people eligible for the federal-state health program for the poor.
New work requirements have received most of the attention. This year, the administration has granted permission to Arizona and Ohio to impose work requirements of 80 hours a month for most able-bodied adults.
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WRAL-TV
Senate leaders are proposing an expansion of a Medicaid waiver program for intellectually and developmentally disabled adults as an alternative to wider Medicaid expansion backed by Democrats and some House Republicans.
The bill filed Tuesday would add $41 million in state funds to increase IDD slots in the state from 12,000 to 14,000. Those slots provide a range of supportive services, from housing to employment assistance, making it easier for IDD adults to live independently.
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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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KPAX-TV
Montana's Medicaid expansion, which covers 96,000 low-income adults, has had a huge economic and healthcare impact on the state, creating thousands of jobs and greatly lowering the number of uninsured people, says a study released Tuesday by Montana hospitals.
The study, released hours before a House committee planned to vote on bills to continue the Medicaid program, also compared Montana's program and health impacts to neighboring states, including those that have not expanded Medicaid to cover poor, able-bodied adults.
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Springfield News-Leader
For years, expanding Medicaid in Missouri has seemed a pipe dream.
Republican supermajorities in the General Assembly trying to reduce the number of people on the rolls have rejected the idea again and again.
But supporters may not ask their opinion in 2020.
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Winston Salem-Journal
The North Carolina Department of Health and Human Services has set July 2021 as the goal for enrolling individuals with severe behavioral health issues in individual tailored Medicaid plans.
Behavioral health includes mental health, substance abuse, traumatic brain injury and intellectual/developmental disability disorders. Enrollment can include individuals on waiting lists for services.
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WJCL-TV
Georgia's Republican governor has signed legislation giving his office wide leeway to reshape the state's healthcare system.
Gov. Brian Kemp on Wednesday signed the "Patients First Act," authorizing the state to pursue a Medicaid waiver.
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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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KREM-TV
Legislation requiring some Medicaid expansion recipients in Idaho to work failed in a Senate committee on Wednesday, upending the bill crafted to make it through both the House and Senate and get Gov. Brad Little's signature.
The Senate Health and Welfare Committee voted 7-2 to hold the bill in committee, killing it. The bill's Republican sponsor, Rep. John Vander Woude, said a federal judge's ruling against work requirements in two states was released during the committee meeting and likely spurred the committee to vote no after the measure passed the House earlier this month.
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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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STAT (Subscription required)
After months of planning, the Louisiana Department of Health has chosen a new Gilead Sciences (GILD) subsidiary to supply a hepatitis C medicine under a so-called Netflix payment model. The deal revolves around subscription-based payments. Asegua Therapeutics, the Gilead unit, has agreed to provide the state Medicaid program and Department of Corrections with unlimited access to an authorized generic version of the Epclusa treatment for a fixed amount of money for five years, according to the state Department of Health. A contract is expected to be finalized by June 1.
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The New York Times
Centene, a major insurer that has significantly expanded under the Affordable Care Act, is making a bold bet as the Trump administration renews its attacks on the federal health law.
The company announced on Wednesday that it had agreed to buy WellCare, a smaller publicly held insurer based in Florida, for about $15.3 billion.
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