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Commentary: Medicaid managed care is the right idea for Oklahoma
The Oklahoman
Craig Kennedy, president and CEO of the Medicaid Health Plans of America, writes: "Recently, Gov. Kevin Stitt and the Oklahoma Health Care Authority invited private-sector Managed Care Organizations (MCOs) to submit proposals for managing the care of most Oklahomans on Medicaid. Transforming SoonerCare into a comprehensive managed care system is a smart idea. This approach will provide greater budget predictability and improve the quality of care for beneficiaries. Especially now, with the COVID-19 pandemic greatly impacting the state’s economic health and the health of Oklahomans, moving to a managed care system is the right idea at the right time.
"Unfortunately, Oklahoma lags national standards for health outcomes in a number of critical areas, including timely postpartum care visits, the rate of breast cancer screenings, and follow-ups after hospitalization for mental illness. The managed care model places a premium on preventive and primary care and can help improve access across Oklahoma."
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Medicaid's future hinges on who wins the White House
NPR
Medicaid provides health care for millions of low-income Americans. But its future depends very much on politics. Over the past four years, the Trump administration has tried to impose conservative principles on the program and shrink it. A Joe Biden presidency would attempt to go the other way.
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CMS gives states tools to boost Medicaid home and community-based services
Fierce Healthcare
The Trump administration released a new toolkit that aims to help states spur greater home health care.
The Centers for Medicare & Medicaid Services (CMS) said Monday that the toolkit includes examples of innovative models and best practices states have used to boost home health and decrease their reliance on nursing homes. The toolkit comes as nursing homes became COVID-19 hot spots at the onset of the pandemic.
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Steady income for your members - direct impact on SDoH Millions of dollars for your health plan's bottom line
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Election may affect whether North Carolina expands Medicaid
Roll Call
Proponents of expanding Medicaid in North Carolina hope to gain traction on Election Day, with Democrats hoping to flip both state chambers and pass Medicaid legislation.
Gov. Roy Cooper, a Democrat, has advocated expansion since winning in 2016, but the Republican-controlled House and Senate blocked attempts to allow more people to qualify for Medicaid, the nation’s health care insurance program for the poor. Some Republicans pitched a scaled-back alternative to expansion, but that also faced setbacks.
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ACA's expansion of Medicaid improved maternal health
New York University via Medical Xpress
The period of time before pregnancy is critically important for the health of a woman and her infant, yet not all women have access to health insurance during this time. New research finds that the expansion of Medicaid for many states under the Affordable Care Act (ACA) had a positive impact on a variety of indicators of maternal health prior to conception.
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Louisiana Medicaid expansion boosts earlier breast cancer diagnoses, study finds
Becker's Hospital Review
Since the July 2016 Medicaid expansion in Louisiana, there's been a 27% increase in early diagnosis of breast cancer, according to an upcoming study set for publication in Cancer.
The study, led by researchers at Louisiana State University's health sciences center, also found a 19% increase in access to breast cancer care and a 16% reduction in care delays.
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Audio: Boonville hospital closing and Medicaid expansion emerge as issues in key Missouri Senate race
Missourinet
Both major parties are pouring money and resources into a mid-Missouri state Senate race, a race that could determine whether Republicans keep a veto-proof majority in that chamber. The race features Senate Majority Leader Caleb Rowden, R-Columbia, and former State Rep. Judy Baker, D-Columbia. The district covers Boone and Cooper counties, along the I-70 corridor. While Columbia and Boonville are the two major cities in the district, there are also numerous small towns and farms across the two counties.
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Nebraska governor appoints new state Medicaid director
U.S. News & World Report
Nebraska Gov. Pete Ricketts announced the appointment Monday of a new director of the state's Medicaid and Long-Term Care program.
Ricketts said Kevin Bagley, a state Medicaid administrator in Utah, will take the Nebraska role on Nov. 30.
Bagley has worked for the Utah Division of Medicaid since 2011 and is currently the director of Long-Term Services and Supports in the division.
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mPulse Mobile has sent over 22 million CV19-related messages and counting across SMS, email, IVR and mobile web. See our full suite of CV19 programs and resources to help you effectively connect your population to services, information, and updates during this crisis.
Access the tool kit
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Virginia personal care attendants face deadline to prove hours for Medicaid hazard pay
Richmond Times-Dispatch
Virginia personal care attendants who work directly for Medicaid clients face a deadline on Friday to show the hours they worked during the early months of the COVID-19 pandemic to qualify for a $1,500 hazardous duty payment.
The attendants have until 5 p.m. on Friday to submit any unlogged time worked from the beginning of the public health emergency on March 12 through June 30 to qualify for hazard pay that Gov. Ralph Northam announced this month, using $73 million in federal aid provided for emergency relief under the CARES Act.
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Amid financial strains caused by the COVID-19 pandemic, Medicaid plan leaders must take action to contain inappropriate medical costs immediately without sacrificing the quality of care their members receive. Cotiviti’s new white paper offers five areas that Medicaid payers should evaluate to protect their business in this environment.
Download the white paper
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'Obamacare' sign-ups begin as millions more are uninsured
The Associated Press
Millions of Americans who have lost health insurance in an economy shaken by the coronavirus can sign up for taxpayer-subsidized coverage starting Sunday.
It's not a new COVID relief program from the government but the return of annual sign-up season under the Affordable Care Act, better known as "Obamacare." Open enrollment lasts through Dec. 15.
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