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WRAL-TV
North Carolina will remake the system that provides healthcare for the poor and disabled under a compromise bill filed with the Senate clerk's office Thursday afternoon. Both the House and the Senate plan to take votes putting the $14 billion state-run program in the hands of private health insurers next Tuesday. Gov. Pat McCrory says he supports the bill.
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The Associated Press via The Baltimore Sun
Legislation designed to change how North Carolina government bills Medicaid patient treatment is close to becoming law. The Senate voted Tuesday for on an agreed-to compromise between both chambers that also creates a new state agency that remains within the Cabinet-level Department of Health and Human Services. The House was debating the measure Tuesday afternoon.
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MHPA
Unfortunately his papal visit to Washington, D.C., will be over, and he'll be back in the Vatican by time mhpa2015 kicks off. However, you, Medicaid managed care professional, should be but a short plane, train and automobile ride away from the premier educational event for the managed Medicaid industry.
Don't miss it, and register today!
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The Hill
A total of 17.6 million people have gained coverage under Obamacare, according to a revised government estimate released Tuesday. The newest figure, which is based on national survey data, shows that 1.2 million more people had signed up for healthcare over the last five years than previously thought.
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The New York Times
Specialists in infectious disease are protesting a gigantic overnight increase in the price of a 62-year-old drug that is the standard of care for treating a life-threatening parasitic infection. The drug, called Daraprim, was acquired in August by Turing Pharmaceuticals, a start-up run by a former hedge fund manager. Turing immediately raised the price to $750 a tablet from $13.50, bringing the annual cost of treatment for some patients to hundreds of thousands of dollars.
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The New York Times
A huge overnight price increase for an important tuberculosis drug has been rescinded after the company that acquired the drug gave it back to its previous owner under pressure, it was announced on Monday. However, outrage over a gigantic price increase for another drug spread into the political sphere on Monday, causing biotechnology stocks to fall broadly as investors worried about possible government action to control pharmaceutical prices. The Nasdaq Biotechnology Index fell more than 4 percent.
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USA Today
Hillary Clinton will roll out a plan to rein in prescription drug costs by forcing pharmaceutical companies to reinvest their profits into research and allowing for more generic and imported drugs. The proposal also would allow Medicare to negotiate lower drug costs and cap out-of-pocket expenses, according to details of the plan sent out by the campaign.
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The Philadelphia Inquirer
The Pennsylvania Department of Human Services on Wednesday took steps to put $17 billion worth of Medicaid business out for bid to private companies. At a time when the insurance industry considers government programs a growth sector, the moves are expected to attract new national competitors to Pennsylvania, where home-grown firms, such as AmeriHealth Caritas, have dominated for years.
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Complex Clinical Reviews. Dependent Audits. And More.
Contact HMS today!
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The Associated Press via Great Falls Tribune
Federal health officials are taking public comment on Montana's proposal to expand Medicaid coverage to approximately 70,000 low-income residents. The Centers for Medicare and Medicaid's comment period on the compromise legislation signed by Gov. Steve Bullock earlier this year lasts until Oct. 15.
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Alaska Dispatch News
The Alaska state health department says it enrolled more than 1,000 Alaskans in healthcare coverage in the first two weeks of the newly expanded Medicaid program. The federal government will pay the full cost of coverage for the newly enrolled individuals this year and next year under provisions of President Barack Obama's healthcare law. The state will ultimately have to pay 10 percent of the costs of the expanded program by 2020.
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The Wichita Eagle
Kansas Gov. Sam Brownback hasn't joined the chorus of people calling for Medicaid expansion after the announcement that Kansas will lose its first hospital in nine years. The Mercy Hospital system plans to close its hospital in Independence next month in part because of the state’s reluctance to expand Medicaid, which provides health coverage to poor and disabled Kansans.
Kansas is one of 20 states that has resisted expanding Medicaid under the federal Affordable Care Act. Supporters of expansion say they hope news of the closure will spur the legislature to act and extend Medicaid to 150,000 Kansans who now have no health insurance.
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Modern Healthcare (Login required)
In the Nov. 3 state legislative elections, Virginia voters will have the opportunity to express their views on Medicaid expansion. Most of the Republican candidates for House of Delegates and Senate seats oppose Gov. Terry McAuliffe's expansion proposal, while Democrats support it. All 140 seats in both chambers of the Virginia General Assembly are up for election. Currently, Republicans control both the House and Senate. Democrats need to pick up only one Senate seat to gain effective control of that chamber, though Medicaid expansion would still face an uphill fight in the House, where the GOP holds a two-thirds majority.
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With an emphasis on innovative initiatives and data-driven solutions, DentaQuest is partnering with health plans to fundamentally change the way oral health is delivered in America. Integrating preventive oral health programs not only offers members a wider portfolio of choice - it is also a proven driver of cost control.
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Health Affairs
Twenty-five years after the passage of the Americans with Disabilities Act (ADA), the Medicaid program is also marking an important milestone in system transformation in 2015. The national profile of Medicaid long-term services and supports (LTSS) expenditures has shifted away from primary dependence on institutional care.
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Health Affairs
Black and Hispanic adults have long experienced higher uninsurance rates than white adults. Under the Affordable Care Act, differences in uninsurance rates have narrowed for both black and Hispanic adults compared to their white counterparts, but Hispanics continue to face large gaps in coverage.
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Managed Medicaid regulatory changes carry significant information technology implications. What will you need to comply? Where will you find it? Download today to learn more!
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MHPA
Market Access World and Evidence Congress held an interview with keynote speaker MHPA CEO Jeff Myers, the keynote speaker of Market Access World USA 2015, which is scheduled for Sept. 30 and Oct. 1 in Philadelphia. Listen to Myers discuss the future of patient access, current challenges the sector is facing and why he will be attending this year's congress.
Join the congress to examine:
- Innovative pricing strategies for high-value drugs
- How to overcome barriers to patient access
- How to adapt to the changing models of the payers globally
- How you can meet payers' expectations
- Securing reimbursement for personalized medicines
Book now using code BR01.
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Inovalon
As an MHPA member, Inovalon invites you to attend the 7th annual Client Congress 2015, where MHPA President and CEO Jeff Myers will be an expert speaker among others. Be a part of this special event in which healthcare leaders from the United States converge for two and a half days to gain insights on innovating with big data analytics at the point of care, analyzing and improving clinical and quality outcomes and succeeding in healthcare payment reform.
Download the brochure for the full agenda. Register today for the early-bird rate of $499 with a two-for-one discount. (Regular individual rate is $699.) Use priority code: MHPA. The offer expires at 4 p.m. ET, Sept. 17.
For questions, contact Inovalon at 301-809-4000, Ext. 1309 or via email.
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