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Oliver Wyman
Read the updated report by Oliver Wyman on effect of the health insurance tax (HIT) on the various market segments, including Medicaid, as well as on a state level.
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Inside Health Policy (Subscription only or register for free trial)
The Internal Revenue Service must repay nearly $840 million to six states to compensate them for covering the cost of an Obamacare tax on Medicaid plans, a federal judge ruled on Aug. 21. The so-called Health Insurance Providers Fee is an annual tax that health insurers must pay under the Affordable Care Act. Medicaid managed-care plans are subject to the tax, but since 2015, states have been required to cover the cost through higher capitation rates that states pay to the plans. But the Medicaid Health Plans of America said that it is both appropriate and legally necessary for states to build the cost of the tax into their capitation rates.
Contracts between states and Medicaid plans are supposed to account for the plans' business costs, MHPA said. "Medicaid plans have to pay it, and it is therefore a cost of doing business and has to be built into the rate, because that's what the statute requires," Jeff Myers, the president of MHPA, told Inside Health Policy.
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AJMC
The expansion of Medicaid may mitigate health disparities in cancer diagnosis, according to a recent study that found state variation in reductions in the percentage of uninsured patients aged 18 to 64 years diagnosed with cancer. The researchers said that the results have implications for future disparities in state mortality rates, because health insurance coverage is linked to the ability to have better treatment and survival after diagnosis.
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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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Omaha World-Herald
A judge has tossed out a lawsuit intended to prevent voters from deciding whether more Nebraskans should qualify for Medicaid assistance.
Lancaster County District Judge Darla Ideus on Tuesday rejected arguments that the successful Medicaid petition is "invalid and legally insufficient." The decision removes another potential barrier to putting Medicaid expansion on the November ballot.
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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 Lewiston Tribune
With 10 weeks to go before the November election, the folks at Reclaim Idaho are looking for more volunteers to help pass a Medicaid expansion initiative.
Luke Mayville, who co-founded the nonprofit group, visited five Idaho college and university campuses this week. He spoke at Lewis-Clark State College on Tuesday and at the University of Idaho on Wednesday.
His goal was to sign up people who want to play an active role in helping pass the initiative, which would expand Medicaid eligibility and extend healthcare services to about 62,000 working Idahoans.
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The Associated Press via San Francisco Chronicle
Republican Gov. Matt Bevin's administration could eliminate Kentucky's expanded Medicaid program to avoid a $300 million shortfall.
Former Democratic Gov. Steve Beshear expanded Kentucky's Medicaid program in 2014 under former President Barack Obama's healthcare law. The expanded program now covers more than 400,000 people.
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Louisville Courier-Journal
Some people are profoundly grateful, but others express anger and fear the potential loss of health coverage from Medicaid under changes proposed by Gov. Matt Bevin that include work requirements and monthly premiums for some Kentuckians.
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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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Health Affairs
During last year's rate filing season, good news was in short supply. As many carriers rushed to the exits, one category, relatively speaking, stood its ground: Medicaid managed care organizations (MCOs), insurance companies that sell Medicaid and do not sell group coverage. Some entered new states to fill holes created by departures, while others expanded their footprints in states where they already had a presence.
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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 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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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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