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Health Affairs
On May 24, the Office for Civil Rights (OCR) of the Department of Health and Human Services (HHS) issued a new proposed rule to dramatically revise the agency's prior interpretation of Section 1557 of the Affordable Care Act (ACA), the ACA's primary anti-discrimination provision. The latest proposal from OCR rewrites an Obama-era regulation that was issued in 2016 that has been the source of ongoing litigation.
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The Wichita Eagle
Police arrested nine protesters who brought the Kansas Senate to a halt Wednesday, singing and shouting at lawmakers for not expanding Medicaid.
The extraordinary disruption came as the Legislature convened for the final day of the 2019 session after a final push to expand Medicaid failed weeks ago.
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Milwaukee Journal Sentinel
Following on action by local leaders in Milwaukee to help expectant mothers in a distressed city neighborhood deliver healthy babies, U.S. Rep. Gwen Moore, D-Wisconsin, is seeking to take these efforts nationwide with her Mamas First Act.
Introduced May 15, the act proposes an expansion of Medicaid coverage to expectant mothers who seek services provided by doulas and midwives. These health care workers provide mothers with key support throughout pregnancy that mitigates birth complications and other adverse outcomes.
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NPR Illinois
"About 850,000 children will experience mental health conditions across Illinois and its access to care can be extremely challenging. We have a psychiatrist workforce shortage, which is a national, as well as local shortage. And oftentimes, treatment is simply out of reach," said Heather O'Donnell, who is senior vice president of advocacy and public policy for Thresholds, a statewide mental health service provider.
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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 Center Square
The state Senate Health and Welfare Committee on Wednesday voted down an effort to bring another layer of oversight to the Medicaid program, which comprises about 40 percent of the state budget and serves about 35 percent of state residents.
Rep. Rick Edmonds, the Baton Rouge Republican who sponsored House Concurrent Resolution 22, said the committee would bring more focused and thorough regulation to the complex, "mammoth" program. The new committee would have been made up of members from four existing committees in the House and Senate that are focused on health and financial issues.
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Winston-Salem Journal
The Republican leadership in the North Carolina Senate in Raleigh unveiled their proposed 2019-21 state budget Tuesday that — as expected — does not expand the state's Medicaid program.
The possibility of expanding Medicaid to add between 450,000 and 650,000 North Carolinians is arguably the most contentious legislative issue at present. Expansion would allow many of those residents to be covered by health insurance, giving them access to affordable primary physician care and reduce the dependency on hospital emergency-department services.
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Unicameral Update
A bill that delays the transition of long-term care facilities to Nebraska' Medicaid managed care program passed May 24. LB468, as introduced by Fremont Sen. Lynne Walz, prohibits long-term care and supports—including skilled nursing facilities, nursing facilities, assisted living facilities and home and community-based services—from being added to the Medicaid managed care program before July 1, 2021.
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Crain's Chicago Business
The Illinois House has unanimously passed a bipartisan reform package that aims to improve a number of healthcare programs in the state, including its often griped about Medicaid managed care program.
Under the program, the state pays private insurers a set amount per member per month rather than paying for each medical service provided. It aims to improve people's health and control costs by ensuring all care is appropriate and high quality. But hospitals say it's costing them money, as medical claims denied for administrative reasons cause significant reimbursement delays.
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The Register-Herald via The Montgomery Herald
West Virginia plans to expand healthcare services for children with mental health problems and their families, following a United States Department of Justice investigation. In 2015, the Department of Justice sent then-Gov. Earl Ray Tomblin a letter, stating that West Virginia was keeping too many children with serious mental health problems far from their homes, in residential facilities and psychiatric hospitals, often out of state.
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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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KWGS-FM
Oklahoma’s maternal and infant mortality rates are 34th and 43rd in the U.S.
Researchers report Medicaid expansion could make a difference.
Reviews found Medicaid expansion states saw infant mortality rates fall 50 percent more than states that did not expand Medicaid and saw maternal mortality rate declines of 1.6 deaths per 100,000 women.
Georgetown University Center for Children and Families' Adam Searing said part of that is more women having access to care.
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WOFL-TV
Transportation options for Medicaid patients could be just an app away. Lawmakers this week gave final approval to a bill that would allow ride-share companies, such as Uber or Lyft, to provide non-emergency medical transportation to Medicaid patients.
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