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Facing a $168 million price tag for new hepatitis C drugs, Oregon Health Plan balks
The Oregonian
Eyeing a $168 million annual price tag for two costly new hepatitis C drugs, state officials hope to limit access to a small fraction of the 20,000 Oregon Health Plan members afflicted by the liver disease. The new drugs, Sovaldi and Olyssio, offer a cure that lacks the side effects of current treatment. But at $1,000 a pill, the cost adds up quickly — to $84,000 for a three-month treatment.
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The Sovaldi tax: Gilead can't justify the price it's asking Americans to pay
Forbes
A cure for hepatitis C is within reach for 170 million people around the world — thanks to the charitable efforts of poor and sick Americans who are picking up the tab by paying outrageous prices for their own treatment. It's like Robin Hood in reverse. This is what happens when a pill is priced at $1,000 a day in the U.S., and an entire treatment regimen of 84 of those pills costs just $900 in Egypt. Exact same medicine, completely different pricing.
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June 18 Webinar Wednesday: 'Behavior change and ROI through Member Engagement & Incentives' by InComm and Finity Communications
InComm and Finity Communications
Structuring member engagement and incentive programs to produce measurable outcomes is an essential component of wellness and disease management plan design. Attend this session to learn how health plans are adopting closed-loop technology platforms to track program success and how new incentive strategies are used to encourage healthy behavior change.
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Report: Vitter open to Medicaid expansion
The Hill
Republican Sen. David Vitter, who is running for governor of Louisiana, expressed support for Obamacare's Medicaid expansion under certain circumstances. Vitter, an outspoken critic of the healthcare law, reportedly said he would support extending free healthcare to low-income adults as long as it didn't draw resources away from other priorities.
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Virginia passes budget with Medicaid restriction
The Associated Press via The Washington Post
The General Assembly passed a new Virginia state budget after adopting a Republican-backed amendment to ensure that Democratic Gov. Terry McAuliffe cannot expand Medicaid without legislative approval.
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As MACPAC seeks 2-year extension, advocates laud Rockefeller bill funding CHIP through 2019
Inside Health Policy
Congressional CHIP advisors urged Congress to fund the expiring Children's Health Insurance Program for an additional two years, a move viewed as too little by children's health advocates who prefer legislation introduced days earlier by West Virginia Sen. Jay Rockefeller that would fund the program through 2019.
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A look at CBO projections for Medicaid and CHIP
The Henry J. Kaiser Family Foundation
Medicaid is the nation's primary health insurance program for low-income and high-need Americans. States administer Medicaid within broad federal rules and have a lot of flexibility to design their programs. Medicaid is jointly financed by the states and the federal government. The Affordable Care Act expands Medicaid to a national eligibility floor of 138 percent of the federal poverty level and provides significant federal funding for this new coverage.
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Kansas sees significant increase in Medicaid-CHIP enrollment
Kansas Health Institute
Unlike its neighboring states of Missouri and Nebraska, where significant decreases have been reported, Kansas has seen a significant jump in the number of people enrolled in its Medicaid-CHIP programs, even without loosening its relatively tight eligibility standards.
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Illinois governor signs Medicaid cuts restoration
St. Louis Post-Dispatch
Illinois Gov. Pat Quinn has signed legislation to restore Medicaid cuts made two years ago along with other changes. The Chicago Democrat signed the bill at a Chicago hospital. In 2012, funding for adult dental and podiatry services was cut to save money. Quinn says the law was the result of a long negotiation and will modernize Medicaid.
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Adult dental, podiatric care in Illinois will be covered by Medicaid
Chicago Sun-Times
Gov. Pat Quinn signed a bill to make a few key changes to Medicaid, including restoring two types of Medicaid coverage that were cut two years ago to save money. Adult dental care and podiatric care will again be covered by Medicaid, starting on or after Oct. 1.
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Legislator: Missouri lawmakers nearly reached Medicaid expansion deal
Kansas Health Institute
A last-minute deal to expand Medicaid eligibility in Missouri almost materialized in the waning days of this year's legislative session, briefly breathing life into an issue that had seemed all but doomed. Missouri State Sen. Ryan Silvey, a Kansas City Republican, provided a behind-the-scenes look at high-level negotiations that occurred just before the session ended without an agreement.
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Missouri budget can't count on tobacco proceeds
The Associated Press via KFVS-TV
Attorney General Chris Koster's office says the state of Missouri cannot count on receiving $50 million of tobacco settlement proceeds in time to be used during the 2015 budget year that starts July 1. The state legislature had assumed the money would be available to help pay pharmaceutical costs in the state's Medicaid program.
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Seizure of assets from Medicaid recipients becomes heated issue in California
San Jose Mercury News via St. Louis Post-Dispatch
California politicians and federal bureaucrats are scrambling to iron out an unexpected wrinkle in the nation's healthcare law that is forcing many Americans to choose between health coverage and depriving heirs of much of their inheritance.
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Most people satisfied with healthcare system
The Hill
A new Gallup poll finds 66 percent are satisfied with how the healthcare system is working for them. The poll finds a correlation between whether a person is insured, and whether a person is satisfied. A higher percentage of people with insurance are satisfied with the healthcare system compared to those who are unsatisfied.
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MHPA welcomes Trusted Health Plan as newest member
MHPA
MHPA welcomes Trusted Health Plan as its newest member. A local plan, THP serves the people of Washington D.C., by helping them get the healthcare services they need to lead a long and healthy life. Staffed by many D.C. employees committed to serving the community, their headquarters in D.C. ensures convenient access to needy members in the city.

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More than 1.7 million consumers still wait for Medicaid decisions
Kaiser Health News and
The Washington Post

While an unprecedented 6 million people have gained Medicaid coverage since September, mostly as a result of the Affordable Care Act, more than 1.7 million more are still waiting for their applications to be processed — with some stuck in limbo for as long as eight months — according to officials in 15 large states.

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AHIP: PhRMA wants to talk about anything but drug prices
The Hill
The top health insurance lobby group says drugmakers are trying to distract people from the rising price of drugs. A blog post headline by America's Health Insurance Plans says it all: "Wow, this drug is really expens — Look! A squirrel!!"

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June 25 Webinar Wednesday: 'A Profile of the Concept of Medication Adherence and Strategies to Identify Non-Adherent Patients' by Merck
Merck
Merck cordially invites you to a medical education program for healthcare professionals and healthcare business professionals only. Merck is sponsoring this program, and the speaker is presenting on behalf of Merck.

The program is a non-CME event. The information presented in this program will be consistent with FDA guidelines.
  • Define medication non-adherence and understand its prevalence among patients with chronic disease
  • Recognize the drivers of non-adherence and understand the importance of appropriate communication
  • Use the 10 Tenets model of medication adherence and the Adherence Estimator® screening tool
Click here to register for this event.

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TRENDING ARTICLES
Missed our previous issues? See which articles your colleagues read most.

    MHPA asks OMB for separate Sovaldi analysis in Mid-Session Review (MHPA)
North Carolina governor draws line on Medicaid reform; MHPA's Myers weighs in (Carolina Journal)
Bidding on Georgia Medicaid contract strapped (Georgia Health News)
Michigan to reward Medicaid enrollees for 'personal responsibility' (Kaiser Health News and USA Today)
WellCare eliminates most copays, offers no-cost GED testing, coursework for Kentucky Medicaid members (PRWeb via Pharmacy Choice)

Don't be left behind. Click here to see what else you missed.


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