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Kaiser Health News
After legal battles and lobbying efforts, tens of thousands of people with hepatitis C are gaining earlier access to expensive drugs that can cure this condition. States that limited access to the medications out of concern over sky-high prices have begun to lift those restrictions — many, under the threat of legal action. And commercial insurers such as Anthem Inc. and United HealthCare are doing the same.
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The Hill
The company that created Sovaldi, the landmark drug to cure hepatitis C, has won approval for a new, slightly cheaper treatment that will be even more effective against the disease. The Food and Drug Administration on Tuesday approved the newest drug from Gilead Sciences called Epclusa, which marks the first combination therapy to treat all six forms of the liver disease hepatitis C.
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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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Kaiser Health News
Louisiana and Georgia have many political similarities. Both states face significant health challenges affecting their populations. And until recently, both states had identical approaches to Medicaid expansion. Georgia Gov. Nathan Deal, a Republican, has rejected expansion since he took office in 2011, and GOP lawmakers have repeatedly backed him up. They point to concerns about the future cost of expansion, saying it would eventually put too much strain on the state budget.
But on Friday, Louisiana will become the 31st state — and only the third Southern state — to expand the government program, which is jointly financed by state and federal governments. Gov. John Bel Edwards, a Democrat elected last fall, on his second day in office reversed the course set by his predecessor, Republican Bobby Jindal, by signing an executive order that began the process. Already, more than 200,000 state residents have been signed up.
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Modern Healthcare
The CMS granted Tennessee a two-month temporary extension on a Medicaid managed-care waiver that expired June 30. TennCare, the state's managed-care Medicaid system, was authorized in 2002 under an 1115 waiver. TennCare members mostly are low-income pregnant women, children and individuals who are elderly or have a disability. The program had 1.5 million people as of May and has an annual budget of $10 billion.
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The Associated Press via ABC News
Bobby Paisley's health insurance covers his vision and dental care. He knows, because he and his wife pay for it. "I don't have to do community service, I don't have to earn points and I don't have to wait," he said.
But that's exactly what some 400,000 Kentuckians would have to do if they need an eye exam or a tooth pulled under Gov. Matt Bevin's proposal to overhaul the state's Medicaid program. Bevin's plan, announced last week, would eliminate dental and vision coverage for able-bodied Medicaid beneficiaries, but they could earn those benefits back by getting a job, volunteering for a charity or taking a class at a community college.
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The Associated Press via The Daily Republic
Opponents of Medicaid expansion in South Dakota say Gov. Dennis Daugaard's chances of broadening eligibility for the program have likely diminished since he announced he won't call a special legislative session to consider it. It's "very possible" the Republican will propose in the 2017 session to open the program to roughly 50,000 more low-income residents, the governor said.
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Alaska Dispatch News
The Alaska Legislative Council voted Wednesday to end its lawsuit challenging the expansion of Medicaid, opting to not pursue an appeal of the decision it lost in Superior Court in Anchorage to Gov. Bill Walker. The vote by the Legislative Council, a House-Senate committee that conducts the Legislature's business, followed another ruling last week that the House could not continue the appeal to the Alaska Supreme Court on its own, as one of the 40 House members, Rep. Craig Johnson, had attempted.
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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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MHPA
We're days away from mhpa2016, the largest Medicaid managed care annual conference.
Register here.
Learn more about mhpa2016 by visiting us at medicaidconference.com.
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