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The Washington Post
This year, the perennial struggle over the future of the healthcare program for low-income Americans became even more pronounced. After an epic political battle, Virginia's government agreed to expand Medicaid under the Affordable Care Act to more low-income residents beginning next year. And three conservative states — Utah, Idaho and Nebraska — are considering it, too. Meanwhile, 11 states have filed applications with the federal government to effectively scale back the program by adding new eligibility requirements.
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The Hill
Bipartisan leaders of the House Energy and Commerce Committee are pressing three drug companies for answers about their role in the opioid crisis.
The panel’s leaders sent letters to three companies that make opioids — Insys Therapeutics, Mallinckrodt Pharmaceuticals and Purdue Pharma — requesting a briefing with the committee and answers to questions about how the companies marketed opioids and whether they looked the other way when they saw evidence of abuse of their products.
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The Hill
The Food and Drug Administration recently took a step to encourage the development of more drugs to treat opioid addiction.
The FDA issued guidance to encourage the development of more drugs that can be used in what is known as Medication Assisted Treatment, a leading way to treat people with opioid addiction, through using certain drugs to reduce dependence on opioids.
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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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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. 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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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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North Carolina Health News
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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The Associated Press
Alabama is accepting comments on its proposal to put a work requirement on 74,000 Medicaid recipients.
The Alabama Medicaid Agency opened a new public comment period on the proposal.
The proposal would require 35 hours of work, job training, education or volunteer service each week. Exceptions would be made for people with young or disabled children
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Marketplace
Arkansas is at the forefront of a national experiment to see whether requiring work for healthcare coverage helps lift people out of poverty. So far, the state’s plan has seen low compliance among beneficiaries who may soon see themselves fall off the Medicaid rolls. Out of the around 10,000 people who were supposed to report their work in the state’s first phase of the work requirements, 7,464 had not reported as of June. If they miss three consecutive months of reporting they will lose insurance for the rest of the year.
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The Associated Press via U.S. News & World Report
Arkansas' Medicaid spending fell by $22 million in the fiscal year that ended in June.
The Arkansas Democrat-Gazette reports that the decrease came despite slightly higher spending on Arkansas Works, the state's expanded Medicaid program.
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Star Tribune
Thousands of immigrant families across Minnesota would be pressured to drop out of government-funded health and social service programs if the Trump administration enacts a proposed change to federal immigration policy, state and local health officials warned.
Under the proposal, a legal immigrant could be denied a temporary visa or permanent residency through a green card if they use Medicaid, food stamps, low-income tax credits and a broad array of other state and federal social service programs.
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The New York Times
Frank Ciaramella has not been in a family photo in years, and he also cannot remember the last time he had good veal scaloppine.
Without any teeth, Ciaramella, a Staten Island resident, faces a host of challenges, but he said his most pressing concern is his inability to chew food. As a result, he said he cannot follow a prescribed diet related to his end-stage renal disease, and he’s at risk of being too overweight for a much-needed kidney transplant.
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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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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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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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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 give his insights at the Pricing pressures and healthcare reform panel on issues such as what could fuel pricing pressures on pharma, healthcare reform and the market access landscape, and overcoming political barriers in healthcare.
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