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HealthLeaders Media
The hearing, which pertains directly to Kentucky and Arkansas but which could have broader consequences, will take place before a three-judge panel. The dispute over whether the Trump administration overstepped its legal authority in approving Medicaid work requirements for Kentucky and Arkansas will be back in a federal courtroom this week, this time at the appellate level.
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KTVZ-TV
Senate Finance Committee Ranking Member Ron Wyden, D-Oregon, and House Energy and Commerce Committee Chairman Frank Pallone, Jr., D-New Jersey, released a study Thursday they said shows taxpayers are footing the bill for millions in administrative costs for harmful work requirements, with little oversight from the Trump administration.
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KTVZ-TV
Oregon Medicaid enrollees are less likely to make unscheduled trips to the hospital following the implementation of the state's accountable-care model, new research by Oregon State University shows. The study suggests the Oregon system of coordinated care organizations, or CCOs, which have been serving Medicaid enrollees since 2012, can provide lessons to other states regarding the three-pronged pursuit of better health, better care and lower cost.
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Advisory Board
President Trump last month quietly signed into law a bipartisan bill closing a loophole in Medicaid's drug rebate program that critics say allowed drugmakers to underpay rebates to state Medicaid programs. The bill, introduced by Sens. Bill Cassidy (R-Louisiana) and Maggie Hassan (D-New Hampshire) and called the "Fair and Accurate Medicaid Pricing Act," became law as part of a stopgap spending measure (HR 4378) that funds the federal government through Nov. 21.
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- PMPM Increase Per Conversion
- Millions In New Revenue, Risk Free
- Tax-Free Monthly Income for Members
- Directly Impacts SDoH
- Healthier Members, Healthier Bottom Line
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Healthcare Finance
Medicaid expenditures for children and young adults have decreased in Illinois, but a care coordination demonstration project did not further reduce the cost of care for kids participating in the program within its first year, research from the University of Chicago at Illinois has found.
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Adaptation Health
BATON ROUGE, La., Oct. 2, 2019 /PRNewswire/ -- The state of Louisiana has partnered with Adaptation Health on the Louisiana Medicaid Innovation Challenge to support the Medicaid program in identifying market-ready solutions to engage members through the appropriate use of technology, providing superior customer service to the population it serves, and maintaining its status as a high-performing national leader in Medicaid eligibility simplification, streamlining and program integrity
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The Philadelphia Inquirer
Pennsylvania regulators have big change planned for the state's Medicaid program, which provides health and other benefits for 2.8 million people.
Starting Jan. 1, the Department of Human Services will require the eight companies that manage pharmacy benefits under Medicaid in the state to use the same preferred prescription drug list, instead of eight individual lists.
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Modern Healthcare
Michigan's Medicaid program would like to stop using pharmacy benefit managers to oversee prescription drug claims and negotiate prices with drugmakers, according to a notice from the Michigan Department of Health and Human Services.
The state proposed that it would start managing drug coverage on its own beginning Dec. 21. Michigan hopes the move will save Medicaid money by increasing its portion of drug rebates and slashing administrative costs. The department expects the proposal will save the state about $40 million.
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KRCG-TV
The Missouri House of Representatives Subcommittee on Healthcare Reform heard testimony Tuesday surrounding Medicaid expansion.
Under the Affordable Care Act, states have the option to expand Medicaid. Missouri is one of 14 states that has not done this.
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WLOX-TV
Some Mississippi lawmakers are trying to get a head-start on the legislative session, and their focus is on Medicaid expansion. The hearing is the first of two Medicaid expansion hearings being hosted this month by the Mississippi Legislative Democrats.
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A commercial Medicaid plan in Nevada leveraged MCG solutions in its community health program and reduced ER visits by 20% and hospital readmissions by 30%. Click here to learn more about how MCG can support improved member outcomes and cost control.
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KUAF-FM
Proposed changes to the state's Medicaid program, TennCare, will finally get a hearing in the county with the highest number of Medicaid enrollees in the state. After initially not planning a Memphis event, officials will now make a trip here Oct. 15 to field feedback on a controversial plan to alter the way the federal government funds the state's healthcare safety net for low-income Tennesseans. Public hearings were held in Nashville, Knoxville and Jackson last week. Some lawmakers and healthcare advocates questioned why TennCare officials previously decided to sidestep Memphis as Gov. Bill Lee pushes his new block grant proposal.
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