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Medical cures bill unanimously passes House panel
The Hill
The House Energy and Commerce Committee on Thursday unanimously approved a medical cures bill shortly after reaching a bipartisan $13 billion deal to pay for the legislation. The 21st Century Cures measure, which passed, 51-0, is aimed at streamlining the Food and Drug Administration's approval process for new drugs. It received bipartisan support in the Energy and Commerce Committee, easily passing a subpanel last week on a voice vote. A $2.8 billion change reduces Medicaid payments for certain medical equipment.
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Skyrocketing Medicaid signups stir Obamacare fights
Politico
Medicaid enrollment under Obamacare is skyrocketing past expectations, giving some GOP governors who oppose the program's expansion under the health law an "I told you so" moment. More than 12 million people have signed up for Medicaid under the Affordable Care Act since January 2014, and in some states that embraced that piece of the law, enrollment is hundreds of thousands beyond initial projections. Seven states have seen particularly big surges, with their overruns totaling nearly 1.4 million low-income adults.
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Rhode Island Medicaid overhaul would hurt the poor, opponents say
Providence Journal
Speakers at a House Finance Committee hearing on Tuesday night were all for the long-term innovations at the heart of Rhode Island Gov. Gina Raimondo's Reinventing Medicaid initiative, but some said they were concerned that its immediate cuts would cause significant harm to the hospitals and nursing homes that care for Rhode Island's poor.
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Marco Rubio, GOP House members back Florida governor in Medicaid standoff with Obama administration
The Washington Times
Presidential candidate Marco Rubio and other Florida Republicans urged President Barack Obama on Wednesday to renew federal funding for health program at the center of a festering dispute between Gov. Rick Scott and the administration, which wants the state to expand Medicaid under Obamacare instead. Their letter to the president comes days after Scott, a Republican, personally asked congressional Republicans to wade into the fight.
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Medicaid expansion discussion in Kansas has a new twist
Kansas Health Institute
Some Kansas legislators are considering the possibility of eliminating the state's earned income tax credit in exchange for expanding its Medicaid program. Sen. Laura Kelly, a Topeka Democrat, and Rep. Don Hill, an Emporia Republican, serve on their respective chambers' health and budget committees and declined to say which legislators are promoting the would-be deal.
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House Medicaid budget provision draws fire in North Carolina
WRAL-TV
The proposed House budget would give Health and Human Services Secretary Aldona Wos sweeping authority to run North Carolina's Medicaid program, allowing her to push forward with changes to the program's details and overall structure with relatively little intervention from the General Assembly.
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Utah police cite Medicaid expansion as crime prevention tool
The Salt Lake Tribune
Provo, Utah, Police Chief John King on Tuesday called for the Utah Legislature to accept federal funds to extend health insurance for thousands more state residents to prevent future crime, as well as save money. King made his plea along with a representative of Fight Crime: Invest in Kids, an anti-crime organization that supports Gov. Gary Herbert's Healthy Utah expansion plan, which includes provisions for treatment of mental health issues.
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Is Medicaid the answer to crushing healthcare costs for inmates?
U.S. News & World Report
Jails and prisons across the country are aggressively enrolling inmates in government-funded Medicaid under President Barack Obama's healthcare law, hopeful that their efforts will reduce the crippling costs for cities, states and counties responsible for inmate healthcare and that it will help prisoners gain better access to services upon their release.
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SPONSORED CONTENT


May 27 Webinar Wednesday: 'Continence Management: Opportunities to Improve Care and Reduce Costs Beyond Per Unit Savings'
First Quality
As your health plan cares for increasing numbers of adult members, as well as dual eligibles and other populations with long term care needs, disposable incontinence products are a growing cost. Please join, Christine Pruneau, RN, BSN, RAC-CT, director of clinical programs and Julie Hyer, director of Medicaid health plan programs for First Quality, to learn about the negative effect to members when they do not get the products that they need to manage their incontinence on a daily basis.
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June 10 Webinar Wednesday: 'Integrating High-Risk Member Care with Risk Adjusted Revenue for Medicaid Members and Dual Eligibles'
PopHealthCare
Taking a holistic approach to integrated programs in high-risk population management can provide true value to members, the plans and the providers serving them. Please join Eddie Gilmartin, vice president, product and business development for PopHealthCare, who will offer groundbreaking programs in high-risk population management that drive rapid, large and demonstrable improvements in member quality of life and satisfaction, while helping its partnering health organizations realize appropriately enhanced revenues, enhanced quality scores and reduced medical costs.
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June 17 Webinar Wednesday: 'The Latest Trends in OHI Discovery and Cost Avoidance for Payers of Last Resort'
Syrtis Solution
Why "pay and chase" when you can cost avoid? It's not easy to discover if a Medicaid enrollee has primary commercial coverage at the point of sale — costing time and money, chasing reimbursements for claims that others should have paid. On average less than 17 percent of the dollars billed to primary insurers are paid back to Medicaid plans that paid claims in error. This webinar will focus on a very unique and powerful data source that has the potential to revolutionize the way Pharmacy & Medical OHI (Other Health Information) is discovered. Cost avoidance is more attainable than ever before. Capture savings by having the latest active insurance coverage information available to you, in real time.
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Philadelphia Asthma Summit set for June 26
U.S. Housing and Urban Development
The Philadelphia Asthma Summit will take place from 8 a.m. to 4 p.m. on Friday, Jun 26, at the Children's Hospital of Philadelphia. This is the fifth asthma summit that the U.S. Housing and Urban Development has hosted in collaboration with federal, state and local partners.

While each meeting is unique, the overall intent is to advance the conversation locally (state or region) around securing sustainable financing for in-home services targeting children disproportionately impacted by asthma. This Philadelphia Asthma Summit is designed to meet this intent with a specific focus on promoting the value of home-based interventions for children with poorly controlled asthma and reimbursement mechanisms for these services by healthcare insurers for children in low-income households.

Health plans participating in the meeting will hear perspectives and experiences from other health plans serving Medicaid populations. The meeting agenda includes a "Payers' Perspectives Panel" featuring Family Health Network (Barbara Hay, Retired COO), Keystone First (Dr. Lily Higgins, Medical Director) and Aetna Better Health (Dr. Guerra-Garcia, Chief Medical Officer).

RSVP here.

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Job opportunity: Senior Medicaid Strategist | Raleigh-Durham, NC
North Carolina Dept of Health and Human Services
The Senior Medicaid Strategist has responsibility for the execution of the day to day activities in all efforts related to implementing Medicaid Reform for DMA. This position acts a project manager by directing internal and external resources to successfully operationalize reform policy. This individual will report directly to the DHHS Deputy Secretary for DMA.

For more details and to apply: click here.

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Job opportunity: RN, manager, Clinical Health Services,
pre-authorization | Detroit

Aetna
Aetna seeks an experienced RN with managed care, leadership and prior authorization expertise. Reinforces clinical philosophy, programs, policies and procedures. Ensures implementation of tactics to meet strategic direction for cost and quality outcomes. Creates direction and communicates a business case for change by focusing on and addressing key priorities to achieve business results. Identifies opportunities to implement best practice approaches and introduce innovations to better improve outcomes.

Visit here and search for requisition #24937BR to learn more and apply.

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