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Modern Healthcare
Implementing Medicaid work requirements will be administratively cumbersome and costly, cause many people to lose coverage and drive up uncompensated care, according to a think tank report issued Wednesday. The liberal Center on Budget and Policy Priorities said implementing so-called community engagement requirements, premiums and other new conditions will cost states and the federal government tens of millions of dollars for eligibility system changes and increased staff to track compliance and handle appeals.
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Modern Healthcare
South Dakota is joining the line of non-expansion states seeking to impose work requirements on its Medicaid beneficiaries. However, unlike the others, it developed a strategy to avoid the so-called subsidy cliff, which has been a challenge for other waiver proposals. Under the state's draft proposal posted on its website for comment, it would launch a pilot work requirement program for Medicaid recipients living in Minnehaha and Pennington Counties, two of the state's most populous areas.
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The Hill
The Senate Finance Committee released 22 bipartisan bills aimed at curbing the opioid epidemic, with plans to mark up the legislation in the "coming weeks," the panel announced Wednesday. The legislation is aimed at tackling the epidemic through the committee’s jurisdiction, mainly in Medicare, Medicaid and human services.
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The Hill
Three senators are introducing a bill to measure the federal government's progress in ending the opioid epidemic, as the White House and Congress are grappling with how to solve a crisis contributing to thousands of deaths per year. Sens. Ed Markey (D-Massachusetts), Lisa Murkowski (R-Alaska) and Maggie Hassan (D-New Hampshire) said it's important to create national indicators to determine what efforts to solve the opioid crisis have worked, and what hasn't.
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The Hill
Two House Democrats are circulating a letter calling for rolling back a change that shifted costs onto drug companies — a change that was supported by many other Democrats, who called it a rare victory over the pharmaceutical industry. The letter from Reps. Robin Kelly (D-Illinois) and Brad Schneider (D-Illinois) calls for rolling back a change from February's budget deal that shifted more costs onto drug companies as part of closing a gap in Medicare coverage known as the "donut hole."
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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 Washington Post
Virginia senators put off debate Tuesday on the state budget and whether to expand Medicaid, but pledged to settle the issue next week. Senate Republican Majority Leader Tommy Norment said he expects the upper chamber to pass a budget next week, and it is likely to include Medicaid expansion.
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Leading Medicaid plans depend on Medecision's cloud-based Aerial™ platform to deliver personalized, predictive, and prescriptive decision support for their clinicians, physicians, members, and their caregivers. Find out how your organization can expand beyond traditional care management with stronger data integration, insights, and flexibility.
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Bridge Magazine
One in 4 Michigan residents, nearly 2.5 million people, receive healthcare coverage through Medicaid. More than 40 percent of all births in the state are covered by the federal insurance. So it's unsurprising that changing eligibility rules, and requiring recipients to work, would cause controversy. The Republican-led plan has attracted national attention in part because its widespread effects, and potential to unspool a key component of the Affordable Care Act.
Proponents say the requirement would encourage more recipients to work, boost a tight labor market and save taxpayers money by moving people off the Medicaid rolls.
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