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Modern Healthcare
Several states soon may see an exodus of managed Medicaid plan insurers if they don't increase rates to help companies offset rising administrative costs, according to a new report. More than 50 million Medicaid beneficiaries in 39 states receive healthcare through managed care programs, but many states aren't paying insurers enough money to generate an adequate margin on that business. Unless states increase Medicaid insurance companies' rates, insurers may have to rethink managed care altogether, according to a report from The Society of Actuaries.
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Kaiser Health News
Under Obamacare, 31 states and the District of Columbia expanded Medicaid, the federal-state healthcare program for people with low incomes. In doing so, they added more than 11 million people to the rolls, including about 3.7 million in California. Joel Hay, a professor at the University of Southern California, believes the Medicaid expansion was the most successful part of the ACA and contends that the health insurance exchanges have struggled to provide affordable plans with adequate networks in many states.
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The Hill
Senate Majority Leader Mitch McConnell (R-Kentucky) warned Thursday that Republicans will face an uphill battle in their effort to repeal and replace Obamacare in the upper chamber. His comments come as some House lawmakers, as well as President Donald Trump's budget chief, Mick Mulvaney, have voiced optimism on reaching a deal to move a new bill to repeal and replace Obamacare after they return from the two-week April recess.
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Kaiser Health News
With the approval this month of two drugs to treat hepatitis C in children, these often overlooked victims of the opioid epidemic have a better chance at a cure. Kids may have an easier time than adults getting treatment approved, some experts say. Medicaid programs and private insurers have often balked at paying for the pricey drugs for adults, but stricter Medicaid guidelines for kids may make coverage more routine.
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St. Louis Post-Dispatch
On May 1, 250,000 additional Medicaid recipients in Missouri will be enrolled in a managed care system, and advocates and health policy experts say they are worried that not enough has been done to make them aware of the changes. Patients could fall through the cracks because of the confusion, say policy experts with the Missouri Foundation for Health.
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Politico
When former Indiana Gov. Mike Pence embraced Obamacare's Medicaid expansion with conservative twists — such as requiring enrollees to contribute to their care — critics lamented poor people would be locked out while backers cheered the program's focus on personal responsibility. Neither side's expectations were quite borne out. Two years later, as the program emerges as a national model thanks to Pence's role in the Trump administration, the reality on the ground shows what happens when political philosophy collides with the practical challenges of providing healthcare to tens of thousands of people, many of them in crisis.
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The Wichita Eagle
Democrats are preparing for another run at Medicaid expansion in Kansas when lawmakers return, hoping they can offer changes to conservatives to gain their support. But opponents vow to fight, saying there are no modifications that would win them over. The legislature will reconvene May 1. Supporters of expansion mounted an unsuccessful effort earlier this month to override Gov. Sam Brownback's veto of a bill that would have increased eligibility for the program.
Read more here: http://www.kansas.com/news/politics-government/article144943874.html#storylink=cpy
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The Cincinnati Enquirer
In four years of dealing with cancer and its consequences, Richard Cotterill, of Springdale, Ohio, has relied on a good attitude, his parents, his old dog Ranger and the mechanisms of the Affordable Care Act. Cotterill, 28, and more than 700,000 Ohioans benefited from the Medicaid expansion in the Buckeye State to get health insurance. Yet uncertainty clouds the ACA's future, even after the Trump administration's first effort to repeal the law crashed.
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The Atlantic
It's becoming increasingly clear that Medicaid is the center of the health policy universe. Medicaid is the largest single insurer in the United States, covering north of 70 million people with low incomes and disabilities, and is responsible for most of the 20 million additional people covered by Affordable Care Act. The ACA expansion established Medicaid as the bedrock of public insurance and public assistance in America. Now, there's evidence that it not only expanded health insurance coverage, but the electorate itself.
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