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Modern Healthcare
Nine health plans including Humana and UnitedHealthcare won five-year Florida Medicaid contracts worth tens of billions of dollars Tuesday after more than 40 plans jumped in to bid in the state's first procurement period since 2013. They are eyeing a market that could grow even more if the state expands its Medicaid program. This second-ever procurement period coincides with fresh speculation that Florida could expand its Medicaid rolls, which already support more than 4 million people.
Jeff Myers, president of the trade group Medicaid Health Plans of America, said he sees the odds for expansion improving with Florida's push to move more of the high-cost patients to managed care through this latest bid process.
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Roll Call
This year could mark a significant shift for Medicaid programs across the country, as some states look to expand the government insurance program to more poor Americans while others seek to add more requirements for people who benefit.
Initiatives to get Medicaid expansion put on the November ballot are underway in Utah, Nebraska, Idaho and Montana. And Virginia lawmakers appear on the verge of securing an expansion deal, after years of rejecting the idea.
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The Boston Globe
Seema Verma has one of the biggest jobs in health care: She runs the massive federal agency that insures 130 million Americans on Medicare, the health program for seniors, and Medicaid, the health program for the poor, low-income, and disabled.
As administrator of the Washington-based Centers for Medicare & Medicaid Services, Verma has considerable sway over the broader health care industry. Care providers and private insurers pay close attention to what Medicare and Medicaid are doing.
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The Hill
Top Democrats on the House Energy and Commerce Committee voiced concerns over the speed at which the Republican chairman is aiming to put opioid legislation on the House floor.
Chairman Greg Walden (R-Ore.) has repeatedly said he hopes the House can take up the committee’s legislation to combat the opioid epidemic by Memorial Day weekend.
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The Hill
The largest drug lobby group in America spent record-breaking amounts on lobbying in the first quarter of 2018 as it fought a bipartisan drug pricing measure working its way through Congress.
The Pharmaceutical Research and Manufacturers of America (PhRMA) spent nearly $10 million on lobbying efforts between Jan. 1 and March 31, according to federal filings, breaking its own record for the most spent in a single quarter.
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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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The Hill
Congress hasn’t done much to rein in the costs of prescription drugs, so states are taking matters into their own hands.
While lawmakers have railed against pharmaceutical executives and accused them of jacking up prices, they haven’t passed major legislation on the issue. That lack of action has, in part, spurred state legislatures to consider a slew of bills aimed at decreasing the cost of drugs, increasing price transparency and cracking down on controversial industry practices.
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KCUR-FM
A behind-the-scenes struggle over proposed changes to Kansas’ Medicaid program is coming down to the wire.
Republican Gov. Jeff Colyer has offered concessions. But he appears determined to stick with his proposal to make some non-disabled recipients work, or undergo job training, for their health care coverage.
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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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Forbes
Supporters of Medicaid expansion in Idaho say they will meet their goal to put an initiative on the November general election ballot.
Idaho is among several states including Utah and Nebraska that may follow the lead of voters in Maine who last November voted to expand Medicaid under the Affordable Care Act via ballot initiative. These states are seeking ballot initiatives because their Republican-leaning legislatures or GOP governors have been roadblocks to the idea.
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Concord Monitor
An amended plan to continue New Hampshire’s Medicaid expansion program cleared the House Finance committee nearly unanimously Wednesday in a 24-2 vote that sets the stage for a final vote on the House floor.
After limited discussion, members recommended renewing expansion – which provides Medicaid coverage to about 50,000 low-income residents in the state – for another five years.
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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 Associated Press via The Seattle Times
The latest forecast shows about 300,000 Rhode Island residents will be enrolled in Medicaid by June, which is 6,000 more than the governor estimated in her budget plan.
The Providence Journal reports the estimates released by the Executive Office of Health and Human Services on Monday predict Medicaid spending will be $18.3 million over budget.
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