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San Antonio Express-News
In its latest legal challenge to the federal government, the state of Texas filed a lawsuit Thursday challenging a fee that insurers and their customers pay under the Affordable Care Act. Attorney General Ken Paxton, joined by his counterparts in Kansas and Louisiana, asked a federal court to reject the law's health insurance providers fee, which is paid by insurance companies to underwrite subsidies provided to low-income Americans under the healthcare law, known as Obamacare.
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The Times-Picayune
Louisiana has joined Texas and Kansas in a federal lawsuit aimed at blocking a provision of the Affordable Care Act that requires states to pay taxes when Medicaid dollars are used to fund managed care healthcare plans. Louisiana uses Medicaid dollars to fund Bayou Health, which provides healthcare to pregnant women and children through five managed care plans serving 969,000 people. But the Affordable Care Act includes a tax on such managed care plans, which can be passed onto state.
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The Times-Picayune
Senate Finance Committee members met Monday to discuss the cost of the state's Medicaid program have more than the current costs of the program to worry about. The meeting was expected to address the state's options when it comes to controlling costs. But beyond costs, there's also a potentially threatened revenue source that has been hanging over the future of the Medicaid program that could require more urgency. It's known as the Disproportionate Share Hospital payment, which helps hospitals pay for the treatment of uninsured patients.
Hospitals "are right to be concerned that reducing DSH without expansion is the worst of both worlds," said Jeff Myers, the CEO of Medicaid Health Plans of America. "The absolute worst outcome ... is to have cuts in the DSH plan without Medicaid expansion because ultimately you would see your DSH payments drop, but you'd still have the same level or higher level of charity care because you'd still have people uninsured."
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Complex Clinical Reviews. Dependent Audits. And More.
Contact HMS today!
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MHPA
On Oct. 26, MHPA sent its comments to Director Krista Pedley at the Health Resources and Services Administration (HRSA) on the 340B Drug Pricing Program Omnibus Guidance. Also included in the comments is an appendix on concerns regarding 340B hospital profit margins and average wholesale price (AWP) inflation.
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HMS
As healthcare dollars grow tighter, payers must make major technological advancements to contain fraud – a $70 billion a year problem. This presentation addresses two of the latest ways to respond. Join Shannon Maceira, payment integrity shared services leader for HMS' commercial business unit and Geetu Melwani, Ph.D., senior director of clinical analytics at HMS Permedion.
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MHPA
At mhpa2015, we're rolling out the mats for our first-ever attendee morning yoga session. Led by health policy guru and yoga master Gary Jacobs, this session will clear your mind and prepare you for the day ahead of hardcore learning and networking.
Also, we're giving away Fitbit® Tracker prizes at our big trade show evening reception.
Check out details on our updated mhpa2015 agenda at bit.ly/mhpa2015.
WRAL-TV
North Carolina Gov. Pat McCrory's signature on House Bill 372 wasn't the end of North Carolina's effort to change how the state's $14 billion Medicaid system works. While the political wrangling may be over for the moment, the real work of changing how poor and disabled North Carolinians get healthcare is just beginning. Administration officials are only in the nascent stages of building the division that will be responsible for crafting and running the new program.
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WRAL-TV
Secretary of Health and Human Services Rick Brajer has named Dee Jones, the operations director for North Carolina's current Medicaid program, to be operations director of a new division tasked with designing and running a revamped health insurance system for the poor and disabled.
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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 Columbus Dispatch
An injury at age 5 cost Jadon Wade his ability to talk or move his arms and legs, but not his infectious laugh. Jadon delights in "knock-knock" jokes. Now 12, he's happiest swinging in a hammock alongside his grandmother and legal guardian, Nancy Richardson, at their Delaware home. But if the Ohio Department of Medicaid follows through with its plan to stop funding 68 hours of nursing care for Jadon each week at home, Richardson fears that her grandson might have to move to an institution.
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Utah Public Radio
Utah Gov. Gary Herbert used his monthly press conference on Thursday to express his frustration concerning Medicaid expansion. UtahAccess+, the end product of a summer's worth of negotiations between the state's legislative and executive leaders, failed to clear a Republican caucus meeting last week.
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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 Washington Post
An Obama administration proposal aimed at stemming Puerto Rico's spiraling fiscal crisis received a lukewarm reception before a Senate panel Thursday, with some Republicans asking for better data on the problem and some Democrats calling on the administration to show more ingenuity and urgency to solve it. Speaking at a Senate hearing on the growing effect of the commonwealth’s economic crunch, a top Treasury Department official warned that the island’s debt crisis is morphing into a humanitarian one.
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The Hill
The bipartisan duo of Sens. Chris Murphy (D-Conn.) and Bill Cassidy (R-La.) is seeing some momentum in an effort to reform the mental healthcare system, giving hope to House members who have long failed to advance a similar bill. After a series of speeches in recent weeks, the senators will take part in a hearing on the issue Thursday by the Senate Health, Education, Labor and Pensions (HELP) Committee. Witnesses include Kana Enomoto, acting administrator of the Substance Abuse and Mental Health Services Administration (SAMHSA) and National Institute of Mental Health Director Thomas Insel.
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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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