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Politico
The Senate is increasingly unlikely to vote on sweeping opioid legislation by Labor Day, potentially depriving Democrats in some hard-hit states of a vote on a bill before going home to voters.
The looming fight over the nomination of Supreme Court nominee Brett Kavanaugh combined with negotiations over what gets into the bill are threatening to delay a vote on the bipartisan response to the crisis, which Senate Majority Leader Mitch McConnell said was among his priorities after scrapping August recess.
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Health Affairs
The nation's opioid crisis is well documented, but the effect on pregnant women and infants has been overlooked. Opioid use disorder in pregnancy has increased along with an increase in neonatal opioid withdrawal, or neonatal abstinence syndrome (NAS). Medicaid covers roughly half of all births, and more than 80 percent of NAS births, so the motivation of those working with the program to help and find solutions is high. This post on the effect of the opioid crisis on pregnant women and babies in Medicaid covers barriers in care delivery, policy obstacles and recommendations to improve outcomes.
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The Hill
The House on Wednesday passed a measure to delay Obamacare's health insurance tax for two years and expand Health Savings Accounts, part of a GOP effort to try to lower premiums.
The bill, which passed, 242-176, is part of a Republican effort to blunt Democratic attacks on the GOP for rising premiums — a key argument in the midterm elections this year.
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The Hill
The Trump administration on Thursday said it would continue approving Medicaid work requirement requests from states, despite a district court ruling last month that blocked such requirements in Kentucky.
Health and Human Services Secretary Alex Azar said the ruling was a "blow" to the administration's efforts to encourage work among "able-bodied" adults in the Medicaid program, but said he is "undeterred" and proceeding forward."
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Project Transition
Learn how one provider is challenging the status-quo in behavioral healthcare and advocating for society’s most vulnerable members to discover their life worth living by providing a recovery experience like no other. Individuals with serious mental illness (including dual diagnosis) are empowered and able to realize a life in the community, on terms they define with the right treatment and services. In Philadelphia, PA and Nashville, TN, a unique extended behavioral support program has been proven to reduce cost and increase positive outcomes, by combining apartment-style community living with intensive, daily, evidence-based programming. This setting helps minimize stigma and create normalized social expectations and consequences.
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Henry J. Kaiser Family Foundation
A central question in the ongoing debate about imposing work requirements in Medicaid is what current work patterns are among Medicaid adults and how many so-called "able bodied" adults are not already working. Answers to these questions rely on various data sources, and characteristics of the underlying data and analytic decisions may lead to different conclusions. This data note examines what different data sources and analytic decisions tell us about Medicaid and work.
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Veyo is a full-service transportation brokerage designed specifically for healthcare. By integrating consumer technology with rideshare fleets, we have decreased costs and increased efficiencies. Operating in eight states with over 6 million completed trips and a 97.1% on-time rate, we're changing NEMT - one trip at a time. Learn More
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Healthcare Finance
People with disabilities are much more likely to be employed in states that have expanded Medicaid coverage as part of the Affordable Care Act, new research from the University of Kansas has found. Similarly, the number of those who report not working because of a disability has greatly declined in expansion states. Neither trend happened in states that chose not to expand Medicaid.
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Washington Examiner
Health and Human Services Secretary Alex Azar took several swipes at Obamacare on Thursday, blasting the healthcare law as an example of government overregulation that resulted in more expensive options for patients and disincentives to grow income.
He singled out the exchange program where people purchase private healthcare coverage with help from the government, as well as the Medicaid expansion, which changed Medicaid from a program that covered certain populations, including people with disabilities and pregnant women, and moved to add coverage for anyone making less than $16,000 in most states.
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The New York Times
Brandy Staples, a 39-year-old breast cancer survivor, had expected to become eligible for Medicaid coverage this month after Maine voters approved an expansion of the program last fall. Instead, she found herself in a courtroom here on Wednesday, watching the latest chapter unfold in a rancorous, drawn-out battle over whether she and thousands of other poor people in the state will get free government insurance after all.
Ignoring the binding vote, Gov. Paul LePage has refused to expand the program, blasting it as a needless, budget-busting form of welfare. He vetoed five expansion bills before the issue made the ballot, plus a spending bill this month that provided about $60 million in funding for the first year.
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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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WLRN-TV
The number of Medicaid patients in Florida could be decreasing like never before. Members of the state's Social Services Estimating Conference on Wednesday agreed to revise downward overall Medicaid enrollment estimates for fiscal year 2018-2019 from 4.02 million people to 3.86 million people.
Moreover, economists on the panel said there were about 500,000 fewer people served by the Medicaid program in fiscal 2017-2018, which ended June 30, than previously projected.
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You know you need to be prepared to respond quickly to CMS audit requests – including A&G history, activity, and status. Find out how effective, automated A&G management can protect revenue, improve network quality, ensure regulatory compliance, and lower the cost of disenrollment.
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MHPA
MHPA's full conference agenda has arrived! Register now for Medicaid: The Great Debate, the largest Medicaid-only conference in the country! Take a look at our full lineup of speakers and presentations set to deliver the latest on the state and future of Medicaid. Join us in Washington, D.C., this fall, along with everyone who has a stake in the success of Medicaid!
Financial Times
The American healthcare landscape is brimming with uncertainty. Pressures and priorities vary among stakeholders but whether it’s pharma, payer, PBM, provider or patient, everyone is looking for value.
The FT Pharma Pricing and Value Summit will discuss the future of pharmaceutical pricing and market access in an evolving healthcare environment. MHPA President and CEO Jeff Myers will be one of the speakers at the Summit.
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