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HealthPayerIntelligence
North Carolina's legislature has decided to put off Medicaid expansion for another year, but passed a Medicaid transformation bill to continue the transition from fee-for-service to privatized managed care organizations, local news outlets explained.
North Carolina's Senate Bill 808 sets up the funds for the Medicaid transformation project. It also established that the Department of Health and Human Services (DHHS) will need to be ready for Medicaid transformation starting July 1, 2021.
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Lincoln Journal Star
Supporters of Medicaid expansion Tuesday hailed the approach of long-delayed implementation of health care coverage for 90,000 Nebraskans while noting that earlier coverage could have been of assistance to another estimated 50,000 who lost their jobs during the coronavirus pandemic.
Expansion of coverage to a large pool of low-income, working Nebraska adults was approved by voters in November 2018, but it has been delayed by the state until Oct. 1 while it built a new administrative program.
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Bozeman Daily Chronicle
Montana Gov. Steve Bullock and local healthcare leaders spoke about the importance of Medicaid expansion on Tuesday, saying the COVID-19 public health crisis has only reinforced the need for the program.
The government program that offers health coverage to low-income adults was reauthorized by the 2019 Montana Legislature and had been a major priority for Bullock. The program was tweaked by Republican lawmakers to include work and "community engagement" requirements, which are still awaiting approval by the federal government and have not yet gone into place.
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• Steady income for members - direct impact on SDoH
• Millions of dollars for your health plan’s bottom-line
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Moultrie News
The South Carolina Department of Health and Human Services (SCDHHS) announced it will immediately begin accepting applications for a new limited-benefit Medicaid coverage group to provide reimbursement for coronavirus disease 2019 (COVID-19) testing for those without healthcare coverage. SCDHHS' COVID-19 Limited Benefit Program was authorized by the Families First Coronavirus Response Act (FFCRA) and will provide additional financial support to increase access to testing, a critical component of the state's response to addressing the pandemic, for South Carolinians without other sources of healthcare coverage.
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CAQH
Improper Medicaid payments, such as for ineligible patients or for services not provided, were
estimated to be $36.2 billion in fiscal 2018, accounting for 9.8% of Medicaid spending. There is growing pressure on MCO payers to prevent inaccurate payments before they happen to avoid loss of federal funds.
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WICS-TV
Good news for Medicaid beneficiaries looking to take part in cancer trials: Illinois Gov. JB Pritzker signed Senate Bill 1864 into law on Tuesday. The law makes Illinoisans on Medicaid now eligible for life-saving clinical trials to treat cancer and other serious diseases.
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844.688.8005.
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Lexington Herald Leader
After slowly falling for two years, the number of Kentuckians enrolled in Medicaid shot up by 10% to 1.45 million as tens of thousands of people lost their jobs — and typically, their employer-provided health insurance — following the shutdown of the state's economy in March.
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The Examiner
The Independence Chamber of Commerce has added its voice to those in favor expanding Medicaid under the program known in Missouri as MO HealthNet. The Blue Springs Chamber of Commerce has supported the concept for several years.
The Missouri Chamber of Commerce and Industry also has come out in support of the proposal going to the voters Aug. 4. Health associations and first-responders organizations also have endorsed the ballot initiative.
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Healthcare Finance
The likelihood of being diagnosed with advanced cancer decreased among individuals with low income after expansion of Medicaid coverage, new research has found. The findings were published early online in CANCER, a peer-reviewed journal of the American Cancer Society.
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Skilled Nursing News
Occupancy at the nation's skilled nursing facilities slid to 78.9% during the first peak of the COVID-19 pandemic in April, according to the most recent set of data from the National Investment Center for Seniors Housing & Care (NIC).
That figure compares to 84.4% occupancy in April 2019, and 84.7% in February, before the novel coronavirus spread nationwide.
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mPulse Mobile has sent over 22 million CV19-related messages and counting across SMS, email, IVR and mobile web. See our full suite of CV19 programs and resources to help you effectively connect your population to services, information, and updates during this crisis. Access the tool kit
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Clarion Ledger
Mississippi authorized the use of telehealth for one or more chronic conditions, as defined by the Centers for Medicare and Medicaid Services, including mental health. It also requires health insurance or employee benefit plan to charge the same deductible, copayment, or coinsurance for a health care service provided through telemedicine as it does for in-person consultation.
But the main block to Mississippi mental health centers using telehealth regularly before this time was that Medicaid did not reimburse centers for much of the care delivered over telehealth, insisting that the patient be seen in person by a clinician.
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