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MHPA
In a letter to key House leaders, Medicaid Health Plans of America President and CEO Jeff Myers notes that H.R. 546, the Advancing Care for Exceptional (ACE) Kids Act of 2015, would "turn back the clock" on the sickest children by placing them in a separate fee-for-service (FFS) system carved out of Medicaid managed care, reversing 20 years of progress in achieving better outcomes through fully integrated, at-risk plans.
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Health Care Daily Report via Bloomberg
Medicaid would face radical changes under House Speaker Paul Ryan's (R-Wisconsin) Affordable Care Act replacement plan, patient advocates told Bloomberg BNA. The 37-page House Republican healthcare plan would repeal all of the ACA's mandates and penalties while embracing some of the law's foundation: Americans should have a chance to buy health insurance regardless of whether they're sick, and the government should have a role in setting some regulations and helping people pay for it.
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USA Today
In Louisiana, the state that imprisons more of its citizens per capita than any other, the long-awaited July 1 launch of expanded Medicaid coverage will give those leaving prison a chance to at least continue what many describe as spotty treatment for the conditions that plagued them while behind bars.
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The Advocate
Perhaps more than in any other state, the expansion of Medicaid to give thousands of Louisiana residents no-cost health insurance stands to have a profound effect on health care — whether it's better or worse than the system already established to cover the needs of the poor. Louisiana on Friday is set to become the 31st state to expand Medicaid under the federal healthcare law. About 375,000 people — mostly the working poor — are expected to get free health insurance coverage through the new program, which is mostly subsidized by the federal government.
But the transition to having so many more people on Medicaid, rather than relying on Louisiana's unique "charity" hospital system when they can't afford health care, is expected to be bumpy — to put it lightly.
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The Fiscal Times
Kentucky Gov. Matt Bevin promised after taking office in January that he would not dismantle his state's highly successful Medicaid expansion program, despite the Tea Party conservative's many reservations. However, that hasn't stopped him from pressing for dramatic changes that would toughen eligibility, reduce benefits, impose new fees and force tens of thousands of low-income adults off the rolls.
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St. Louis Public Radio
At any given time, a half dozen people sit in the waiting room at Affinia Healthcare in south St. Louis. Three years after Missouri's legislature first shut down the option to expand Medicaid through the Affordable Care Act, an estimated 173,000 of adults who could have been covered by the law remain uninsured. Many turn to publicly funded health clinics like Affinia for care, where they can see a doctor for a small fee. It's in these waiting rooms where the effects of Missouri's "coverage gap" come to the forefront.
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Marketplace
New research raises questions about the cost of expanding Medicaid. Some 19 states have yet to expand Medicaid under the Affordable Care Act — often thanks to concerns about the sticker price. But Yale economist Amanda Kowalski said the price tag could be less expensive than what many have assumed.
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MHPA
We're less than 90 days until mhpa2016, the largest Medicaid managed care annual conference. There is only one more week until early-bird registration rates end.
Register here.
Learn more about mhpa2016 by visiting us at medicaidconference.com.
Relias and MHPA
Relias Learning is one of the sponsors of mhpa2016. Relias provides online training courses designed specifically to help address the new challenges of integrated care and successfully managing the care of high-cost members with complex medical, behavioral and social needs. Relias currently serves more than 5,000 health and human services organizations and recently launced a new solution designed exclusively for our payer customers.
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Inside Health Policy (Subscription required)
MHPA's Jeff Myers comments on the Advancing Care for Exceptional (ACE) Kids Act of 2015
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