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Forbes
The move away from fee-for-service medicine is moving beyond the experimental stage for private health plans that contract with state Medicaid programs, a new study shows.
The Institute for Medicaid Innovation's 2018 annual Medicaid managed care survey said half of Medicaid managed care plans are "piloting population specific" value-based payment models, and 15 percent are "expanding successful pilots." The report was released during Medicaid Health Plans of America's annual conference, which runs through Tuesday in Washington. MHPA's members include Aetna, Centene, UnitedHealth Group and WellCare Health Plans.
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MHPA
Looking for a visual idea of the first day of MHPA18? Have a glance at these great shots from Day 1.
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MHPA
Medicaid Health Plans of America (MHPA), the leading trade association for managed Medicaid plans, presented the annual Joy Wheeler Leadership Award to Erhardt Preitauer, board chairman of MHPA during the early part of 2018. Then CEO of MHPA member Horizon NJ Health, New Jersey's largest Medicaid plan, Preitauer helped change the governance structure of the organization and, through his leadership and vision, helped guide MHPA to be a leading voice for Medicaid health plans and the beneficiaries they serve.
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The Associated Press via ABC News
With Republicans and Democrats joining forces again in a bipartisan effort to target the U.S. opioid crisis, an Associated Press analysis of the first wave of emergency money from Congress finds that states are taking very different approaches to spending it.
To a large extent, the differences depend on whether states participated in one of the most divisive issues in recent American politics: the health overhaul known as "Obamacare."
The AP analysis found states that expanded Medicaid under President Barack Obama's health overhaul reported spending their allocations more slowly than states that didn't expand the health insurance program to poor, childless adults.
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Becker's Hospital Review
Dr. Ellen Stang, founder, president and CEO of ProgenyHealth, writes: "The hospital patient shows telltale signs of opioid withdrawal — feverish, shaking uncontrollably, crabby and irritated, crying out in anguish. But there is one distinguishing characteristic: The patient is a newborn baby, from a mother addicted to opioids. Mere hours from the womb — and withdrawing from opioids. The opioid crisis is well known."
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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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Bloomberg
For years, elected leaders in conservative states have resisted expanding Medicaid, the government health program for low-income Americans. Now voters in four of those states will decide the question directly.
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The Associated Press
For nearly a decade, opposition to former President Barack Obama's healthcare law has been a winning message for Nebraska Republicans.
It's helped them win every statewide office, control the legislature and hold all the state's congressional seats. So it was something of a surprise for Bob Tatum when he set out to ask his fellow Nebraskans if they would back a ballot initiative to expand Medicaid, one of the pillars of Obama's health overhaul.
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The Associated Press
Virginia is set to start accepting enrollment applications from the roughly 400,000 low-income adults newly eligible for Medicaid.
Gov. Ralph Northam announced Thursday that the state would begin accepting applications on Nov. 1 for new coverage that will begin at the start of 2019.
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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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The New York Times
For the upscale urban audience at a campaign town hall here, it would have been enough for Stacey Abrams to pitch Medicaid expansion as a moral issue — the healthcare-as-human-right argument that appeals to progressives everywhere. Instead, Abrams, the Democrat in the tossup race for Georgia governor, stuck to the pragmatic line of reasoning she has pushed in making Medicaid expansion a top priority of her campaign: It will help save the state's struggling rural towns without busting its budget, since the Affordable Care Act requires the federal government to pay 90 percent of the cost.
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Managing complex populations can be an uphill battle with manual processes. Learn how you can automate authorizations and referrals while driving CMS compliance and reducing costs.
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PBS
Nebraskans will vote in November on whether to expand Medicaid under the Affordable Care Act. The state's Republican legislature and governors have refused to expand Medicaid after states were given that option in 2012 by the Supreme Court. The ballot initiative, modeled after Maine's 2016 ballot measure, would expand coverage for an estimated 90,000 Nebraskans. Hari Sreenivasan reports.
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The Hill
Support for a ballot measure to expand Medicaid in Utah has grown among state voters in recent months, according to a new poll.
The Salt Lake Tribune-Hinckley Institute of Politics poll found 59 percent of voters support the measure, which would extend coverage to about 150,000 people in the state.
A similar survey conducted in June found 54 percent of voters supported the measure.
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