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MHPA
Medicaid was authorized by Title XIX of the Social Security Act which was signed into law on July 30, 1965. Medicaid Health Plans of America wants to take this time to wish Medicaid a happy 53rd anniversary.
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Center on Budget and Policy Priorities
House Republicans and the Trump Administration have sought to justify the House-passed health care bill (the American Health Care Act or AHCA), which would radically restructure Medicaid by converting it to a per capita cap or block grant, by claiming that Medicaid does not work for low-income individuals and families. This claim is false. A wide body of research demonstrates that Medicaid provides critical access to comprehensive, cost-effective care for tens of millions of children and families, seniors, people with disabilities and other adults.
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The New York Times
Hoping to head off a full expansion of Medicaid under the Affordable Care Act, some senior officials in the Trump administration and Republican governors have been pushing hard for a smaller expansion to satisfy a growing political demand in their states. But President Trump decided last Friday to shut down the debate until after the midterm elections, administration officials said.
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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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The Pew Charitable Trusts
Kentucky Republican Gov. Matt Bevin says he doesn't want more able-bodied poor people to get Medicaid in his state unless a portion of them are required to work. And when Republicans in Virginia agreed to expand Medicaid this year, they also said recipients who are able would have to work. In several states this year, the march to bring healthcare benefits to more low-income residents came with the insistence that able-bodied adults — who are just a fraction of all Medicaid recipients — put in hours of work or volunteer time each month to retain the assistance.
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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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WBNS-TV
Ohio's largest Medicaid plan says the amount of opioids prescribed to its members has decreased 40 percent over the past 18 months. CareSource announced Monday it plans to reduce that number by 50 percent by the end of this year. The Dayton-based organization privately manages 1.8 million Medicaid plans. It says it notifies providers who prescribe a large amount of opioids to members and can identify members at risk for substance misuse.
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The Kansas City Star
With the Republican primary race for Kansas governor drawing to a close, Jim Barnett is trying one last time to make Medicaid expansion an issue. Members of the Governor's Task Force to Address Substance Use Disorders, including Mission Hills Republican Sen. Barbara Bollier, said last week they were frustrated that the chairman of the task force formed by Gov. Jeff Colyer has discouraged them from discussing expansion and kept any mention of it out of meeting minutes.
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NPR
In response to a joint investigation by the Center for Public Integrity and NPR into the influence of the drug industry on Medicaid, Arizona Gov. Doug Ducey made changes to the state's Medicaid program Friday, including adding new transparency rules and kicking a doctor off a state committee.
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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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The Hill
House Energy and Commerce Committee Chairman Greg Walden (R-Oregon) on Friday requested a review of mergers by drug price negotiators, questioning whether the moves had driven up costs for patients. Walden wrote to the Federal Trade Commission requesting a review looking at recent mergers of companies known as pharmacy benefit managers (PBMs), which negotiate prices with drug manufacturers.
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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
Did you know? MHPA's Annual Conference is CME accredited! Register here for the chance to earn up to 10 CME credits.
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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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