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The Henry J. Kaiser Family Foundation
Medicaid has long-played an important role in the U.S. healthcare system, accounting for one in every six dollars of all U.S. health care spending while providing health and long-term services and supports coverage to over 66 million low-income Americans. However, the years 2014 and 2015 will stand out as a time of significant change and transformation.
With the economy improving from the lingering effects of the Great Recession, Medicaid programs across the country were focused primarily on: implementing a myriad of changes included in the Affordable Care Act (ACA); pursuing innovative delivery and payment system reforms to help assure access, improve quality and achieve budget certainty and continuing to administer this increasingly complex program.
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The New York Times
Spending on Medicaid rose nearly 14 percent on average in the last fiscal year, a report has found, largely because of a tide of newly eligible enrollees in the 29 states that had expanded the program by then to cover millions more low-income adults.
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MHPA
Last year, we kicked off our wildly successful annual conference with UPMC for You's John Lovelace, Erin Lindenmuth from Golden Rays of Hope and health care academic/entrepreneur/author JD Kleinke.
View this #tbt pic and others at MHPA's Twitter page. To see what's in store for mhpa2015, visit here.
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The Hill
After years of trying, Republicans are coalescing around the outlines of a plan to repeal and replace Obamacare. Jeb Bush unveiled an Obamacare alternative on Tuesday that is similar to the proposals from Sen. Marco Rubio, his presidential rival, and former 2016 hopeful Gov. Scott Walker. The Bush plan overlaps significantly with proposals from congressional Republicans.
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Complex Clinical Reviews. Dependent Audits. And More.
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Becker's Hospital CFO
Utah's Medicaid expansion proposal, Utah Access Plus, didn't pass among House Republicans, according to Desert News. The plan would make $450 million available to the state and provide healthcare to nearly 100,000 low-income Utahns. Here are five things to know about plan and its failure to pass in Utah.
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KSTU-TV
One day after House Republicans killed a Medicaid expansion plan, Utah state leaders met to discuss an alternative. Senate President Wayne Niederhauser sat down with Gov. Gary Herbert and House Speaker Greg Hughes Wednesday afternoon. The meeting lasted approximately hour, during which the three agreed they would revisit the issue during the 2016 legislative session.
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Health News Florida
Florida still has nearly 2.8 million residents who lack health insurance, according to a new report, and 80 percent of them are uninsured for reasons that have nothing to do with Medicaid politics. Many qualify for subsidized plans under the Affordable Care Act but haven't signed up, according to the report released by the Kaiser Family Foundation. Others have enough income to buy it on their own or through their employer, but don't.
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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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The Plain Dealer
More than 565,000 Ohioans — 68 percent of the state's uninsured residents — are eligible to receive subsidized insurance or Medicaid coverage but have not signed up, according to a new study. The data from the nonprofit Kaiser Family Foundation revealed that large numbers of eligible citizens are failing to obtain coverage because of a lack of awareness of financial assistance, concerns about affordability or misperceptions about eligibility rules.
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Richmond Times-Dispatch
Virginia's hard-to-qualify-for Medicaid program is even stingier when it comes to treatment for substance abuse disorders — strictly limiting who can get services and what kinds of services the program covers. The rising problem of prescription, heroin and other opioid overdose deaths in Virginia has state officials looking at how to enhance or expand those services.
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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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The Associated Press via The Washington Post
A new report shows that growing Medicaid spending is responsible for much of the growth in the Virginia state budget. A report by the Joint Legislative Audit and Review Commission issued Tuesday showed that Medicaid spending rose by 75 percent from fiscal 2006 to 2016. That accounted for 25 percent of the state budget's total growth from $32 billion to $47 billion during that time. Enrollment in Medicaid and a similar children's program grew from 76,000 in 2006 to 113,000 in 2015.
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As industry experts in Managed Care eligibility and payment reconciliation software, our innovative and user-friendly solutions are designed specifically to improve efficiencies and increase profitability. MORE
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MHPA
Today, more than a third of the adult population is affected by obesity. The number of adults who are affected by severe obesity continues to increase. It's time for a change in obesity care. With severe obesity on the rise, our nation, led by the healthcare community, must attack this disease from multiple angles and unite to overhaul the treatment of obesity. At MHPA, we recognize this challenge and the important role we can play.
The first-ever National Obesity Care Week (NOCW), Nov. 1-7, seeks to ignite a national movement to ensure anyone affected by obesity receives respectful and comprehensive care. MHPA is proud to join the campaign, which was founded by The Obesity Society, the Obesity Action Coalition, Strategies to Overcome and Prevent Obesity Alliance and the American Society for Metabolic and Bariatric Surgery.
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Syrtis Solutions
Learn how improper payments due to third party liability (TPL) identification issues make up the majority of all fraud, waste, and abuse spending. There is constant talk of rampant fraud and abuse within Medicaid programs. This webinar will examine data from an OIG report that gives perspective on the true cost of Medicaid waste in relation to fraud and abuse.
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