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The Hill
Two top Republicans are urging the White House to complete a thorough economic analysis before releasing a new policy that could completely upend the way prescription drugs are purchased.
In a letter to Office of Management and Budget Director Mick Mulvaney, House Energy and Commerce Committee Chairman Greg Walden and Senate Finance Committee Chairman Orrin Hatch said they want a full analysis of a pending proposed rule regarding prescription drug rebates.
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The Washington Post
Last month, there was a flurry of headlines when the Centers for Medicare and Medicaid Services reopened Kentucky's Medicaid work requirements waiver for public comment after a federal judge sent the state's proposal back to the agency for further review.
What didn't get any attention is that, on the same day, it also quietly reopened comments on Mississippi's waiver.
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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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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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Modern Healthcare
North Carolina's managed-care organizations will be required to screen every Medicaid beneficiary for access to food, stable housing and transportation once the state transitions its fee-for-service Medicaid program to managed care in 2019, depending on regulatory approval.
The requirement is just one of the ways the state is transforming its Medicaid program to focus on patients' social determinants as the main drivers of health 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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Idaho Statesman
The chairman of Idaho Legislature’s House Health and Welfare Committee is backing a ballot initiative to expand Medicaid in Idaho.
Rep. Fred Wood, a Republican from Burley, announced his endorsement recently.
“The Legislature’s been struggling with this problem for years,” Wood told the Times-News. “And I think that Medicaid expansion under the current program is the best way to address the issue of the gap population not having insurance.”
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Cleveland.com
If elected governor, Mike DeWine said he will start a wellness program aimed at trying to drive down the state government's long-term healthcare costs.
DeWine, the Republican state attorney general, said he would start off by rolling out the voluntary wellness program, modeled after a similar plan used by the Cleveland Clinic, for state employees and retirees. But eventually, he said, he'd like it to apply it to the roughly 700,000 poor, working Ohioans covered under Medicaid expansion.
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The Hill
A new study finds that immigrants have lower healthcare costs than people born in the United States, meaning they are likely helping support public health insurance programs like Medicare.
The report from researchers at Harvard Medical School and Tufts University examined all peer-reviewed studies since 2000 on immigrants’ healthcare costs in the United States. It found that immigrants’ healthcare expenditures were one-half to two-thirds those of people born in the U.S.
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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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Leading Medicaid plans are constantly evolving their care management programs and IT solutions. Download this white paper to understand the 4 ways that your program should expand beyond traditional care management with stronger data integration, insights, and flexibility.
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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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