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The Associated Press via San Francisco Chronicle
Arizona quietly suspended plans to require about 120,000 people to work, volunteer or go to school to receive Medicaid benefits, as courts have taken a dim view of similar mandates in other states.
The decision is another setback to efforts by President Donald Trump and his allies in many Republican-led states to put conditions on low-income people seeking taxpayer funded benefits.
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FierceHealthcare
Enrollment in Medicaid in 2019 declined by nearly 2% and is expected to be largely flat, with an increase of 0.8%, next year due in part to the economy and stringent eligibility rules, according to a new survey.
The survey of Medicaid directors in all 50 states and the District of Columbia was released Friday from the Kaiser Family Foundation. States attributed the enrollment decline to a strong economy and administrative changes to the renewal process.
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WBZ-TV
Gov. Charlie Baker introduced legislation aimed at overhauling Massachusetts’ health care system by restricting how hospitals and doctors bill patients and requiring walk-in clinics to treat low-income patients on Medicaid.
Outlining the effort, the Republican governor said it’s designed to lower costs and streamline health care for the future.
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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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Idaho Statesman
State agencies have identified about 70,000 Idaho residents who now are eligible for Medicaid under the upcoming expansion in January.
"We have good information on those folks, because we have an integrated eligibility system in Idaho," said Matt Wimmer, administrator of the Division of Medicaid for the Idaho Department of Health and Welfare.
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WFAE
The North Carolina General Assembly could soon be done wrestling with legislation this year, but that doesn't mean they'll pin down a broad budget law or path forward on Medicaid expansion.
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AJMC
As the Trump administration has implemented a range of policy changes focused on enhancing immigration enforcement, health centers have seen a drop in utilization by immigrant patients, a decrease in immigrant patients enrolling in Medicaid, and other impacts on enrollment and utilization of care, according to a Kaiser Family Foundation (KFF) issue brief.
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Managed Healthcare Executive
Michigan's Medicaid program wants to cut out using pharmacy benefit managers (PBMs) to negotiate prescription drug claims.
Beginning December 21, 2019, Michigan wants to begin to manage drug coverage on its own, according to a notice from the Michigan Department of HHS (MDHHS). Outpatient prescription drugs will no longer be covered as part of the Medicaid Health Plan (MHP) benefit; all pharmacy drug coverage will be transitioned to fee-for-service (FFS) Medicaid, explains Monica R. Chmielewski, partner and healthcare and life sciences lawyer with Foley & Lardner LLP.
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The Atlanta Journal-Constitution
Maternal mortality, rural medical care and other health problems are big priorities for Georgia leaders these days. This week, professionals testified at the state Capitol about how to ramp up state efforts to address them.
At the same time, state funding that could fuel those efforts is on the chopping block.
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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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Mail Tribune
People lodged in the Jackson County Jail while awaiting trial would no longer lose their federally funded health insurance under a bill introduced this week by Sen. Jeff Merkley, D-Oregon.
If approved by Congress, the bill could help ease the financial burden Jackson County takes on when inmates lose Medicare, Medicaid and veterans’ benefits. Under current law, the jail is responsible for the cost of inmates’ medical care, including those who have not been convicted of anything.
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Nashville Tennessean
Despite frequently touting Tennessee's high marks on finance and credit ratings — as he did while speaking to Nashville Rotary — Gov. Bill Lee conceded that the state has much work to do when it comes to improving its ranking on health.
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