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Modern Healthcare
The Affordable Care Act took a political drubbing Tuesday, with voters rewarding Republican candidates in Kentucky and Virginia who strongly opposed the law's coverage expansions.
In a closely watched election in Kentucky, Republican businessman Matt Bevin bested Democratic Attorney General Jack Conway to become the state's next governor. He will succeed popular two-term Democratic Gov. Steve Beshear, who spearheaded Medicaid expansion and the creation of a state-run insurance exchange, called Kynect.
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Politico (Subscription required)
Matt Bevin won the Kentucky governorship on a vow to dismantle Obamacare, but the obstacles he faces rolling back a law that covers nearly one in 10 Kentuckians offers a preview of the struggles that a Republican president would face living up to a "repeal and replace" pledge in 2017. Even before the votes were cast, Bevin had started hedging his repeal bet, saying he would not take coverage away from people who have it. He can give the health law in his state a more conservative veneer. But he can't scrap it completely.
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MHPA
Now available for download: The mhpa2015 conference app. View the agenda, speaker bios, hotel maps, trade show booth locations and more.
Visit Google Play or the Apple App store and search for "mhpa," then download. You may also scan the QR code to the right.
Haven't registered yet? The conference is one week away so sign up today at http://bit.ly/mhpa2015.
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The Hill
A House panel on Wednesday advanced a sweeping mental health reform bill after a fiery debate where Democrats objected that they had been cut out of the process. The bill, sponsored by Rep. Tim Murphy (R-Pa.), which would overhaul the system for treating seriously mentally ill people, was billed as the Republican response to the 2012 Sandy Hook Elementary school shooting when the measure was first introduced in 2013.
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USA Today
A special congressional committee launched an investigation of pharmaceutical pricing Wednesday, focusing on recent medication cost hikes at four companies. Amid cost complaints from patients and the medical community, the Senate Special Committee on Aging sent letters seeking information from Valeant Pharmaceuticals International, Turing Pharmaceuticals, Retrophin and Rodelis Therapeutics. The companies have been the subject of numerous media reports about drug pricing.
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Complex Clinical Reviews. Dependent Audits. And More.
Contact HMS today!
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The Hill
The Obama administration on Tuesday announced a public forum on drug prices amid intensifying scrutiny of the issue. The forum in Washington on Nov. 20 will bring together drug companies, insurers, consumers and other stakeholders to discuss the issue. In announcing the event, the Department of Health and Human Services pointed to the high cost of specialty drugs that treat complex conditions.
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Modern Healthcare
The Government Accountability Office and the federal advisory panel on Medicaid reiterated their calls Tuesday for states to better document and report the extra payments they make to providers that fall outside the federal disproportionate-share hospital programs. The lack of transparency, the GAO says, limit the federal government's ability to make sure the payments are efficient and actually support Medicaid beneficiaries. In one analysis, the agency found that supplemental payments to about 500 hospitals in 39 states exceeded the costs of caring for Medicaid patients by $2.7 billion.
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Kansas Health Institute
Supporters of expanding Medicaid in Kansas hope the story of how the conservative governor of another "red state" found a way to move forward will motivate Gov. Sam Brownback and Republican legislative leaders to do the same here. They invited a delegation of hospital officials from Indiana to come and talk about how they worked with Republican Gov. Mike Pence and large GOP majorities in the Indiana Legislature to pass a conservative plan that expanded health coverage to more than 350,000 low-income residents of the Hoosier state but required them to share in the costs.
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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 Associated Press via The Kansas City Star
The price tag for providing health care to hundreds of thousands of low-income New Mexicans is rising, and state lawmakers said Tuesday they are concerned future costs will be unsustainable as they work to balance the budget. New Mexico is one of the states that opted to expand Medicaid under the U.S. Affordable Care Act. Enrollments have surged beyond initial projections, and federal aid will soon be scaled back, putting more pressure on states to come up with the difference.
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Modern Healthcare
The CMS has tentatively approved California's multibillion-dollar Medicaid waiver but will substantially curtail its subsidies for uncompensated care. The decision highlights the Obama administration's growing reluctance to pay for healthcare for the uninsured now that most of them have access to coverage. On Saturday, California officials announced an agreement with the Obama administration on a $6.2 billion waiver, known as Medi-Cal 2020, that would sustain the state's efforts to reform its Medicaid program under a massive transformation waiver that expired on Oct. 31.
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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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Governing
In an attempt to cut costs and improve care, some states are merging coverage for patients who qualify for both Medicaid and Medicare. It's a bold experiment that's off to a rocky start.
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MHPA
View and listen to the webinar recording.
View other past webinars here.
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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