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Modern Healthcare (Subscription required)
The CMS is tightening its financial oversight of state Medicaid waiver demonstrations, the agency announced Wednesday in formal guidance emphasizing that the changes must be budget-neutral.
Federal law requires Medicaid demonstrations to be budget-neutral, and the CMS can't disburse additional funds for the proposals. The CMS said in its guidance that it will run tighter analysis on demonstration costs to make sure states are meeting budget-neutrality. The agency will not approve waivers that predict the federal government will incur additional costs.
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Pharmacy Times
Buprenorphine with naloxone (Suboxone), an established treatment for opioid use disorder, has been increasingly used in states that chose to expand Medicaid eligibility under the Affordable Care Act (ACA), according to the results of a recent study.
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The Associated Press via The Charlotte Observer
Maine's top court Thursday left questions about the constitutionality of voter-approved Medicaid question unsettled as it told the LePage administration to start rolling out voter-approved Medicaid expansion as a legal battle continues. The Thursday opinion dismissed the LePage administration's appeal of court orders requiring Maine to file paperwork to seek federal funding for expansion by June 11. The justices lifted a stay on those orders and said they are in effect, meaning the state must file the Medicaid expansion plan with the federal government.
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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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Boise State Public Radio
The so-called Medicaid Express bus is on a two-week tour of Idaho to promote a "Yes" vote on an initiative to expand Medicaid in the Gem State. The grassroots group Reclaim Idaho gathered more than 56,000 signatures to put Proposition Two on the ballot in November. Now, the group is traveling around the state in an RV to get people to vote "Yes" on the initiative on election day.
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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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The Hill
The Trump administration is facing a key test with Mississippi's Medicaid program as the state seeks permission to be the first ever to impose work requirements without expanding Medicaid under Obamacare. Already one of the poorest states in the nation, advocates say work requirements for "able-bodied" beneficiaries could decimate the health coverage that tens of thousands of residents depend on.
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Reuters
A new front in the battle over the cost of expensive medicines in the United States is opening up in Oklahoma, the first state where the government's Medicaid program is negotiating contracts for prescription drugs based on how well they work. In June, Oklahoma received approval from the U.S. Centers for Medicare and Medicaid Services to factor how effective a prescription medicine is into the price it pays to the manufacturer.
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Forbes
Andy Slavitt was working as an executive at Optum in 2013 when he was called in to be part of the team tasked with repairing Healthcare.gov's disastrous rollout, kicking off a two-year stint as acting administrator of the Centers for Medicare and Medicaid Services. Five years later, Slavitt is back in the private sector and again focused on fixing America's healthcare system, this time from outside the government.
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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 via YouTube
Watch this short recap of MHPA17 to get a feel of the excitement, energy, and content of MHPA's annual conference.
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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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