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Oklahoma: Voters reject tapping of TSET for Medicaid expansion
Woodward News
Voters decided Tuesday that they don't want lawmakers to pay for Medicaid expansion by tapping the state’s constitutionally protected tobacco settlement funds.
Nearly 60% voted against the ballot measure.
The resounding rejection of State Question 814 dealt a blow to legislators. Lawmakers had proposed reducing the amount of the annual payment that flows into the Tobacco Settlement Endowment Trust (TSET) by 50% to offset some of the expense of the upcoming Medicaid expansion approved by voters earlier this year.
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Change in North Carolina Medicaid expansion unlikely after election
WFAE-FM
Election results in North Carolina did little to resolve the stalemate over Medicaid expansion that's prevented the governor and state legislators from agreeing on a budget.
Gov. Roy Cooper won reelection after campaigning on the need to expand Medicaid for an estimated 500,000-600,000 poor North Carolinians. But it looks like Republicans will retain control of both the state Senate and House, although without veto-proof majorities. As of Wednesday morning, there were roughly 117,000 absentee mail ballots that were requested but not returned. Some may still be in the mail, but some of those voters may have voted in person instead.
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Rule denying green cards to immigrants who get public benefits takes effect again
The Associated Press via KVUE-TV
A federal appeals court has allowed a Trump administration rule that would deny green cards to immigrants who use public benefits like food stamps to go back into effect while it considers the case.
The Election Day development was the latest dizzying twist in a legal battle over the controversial rule that the Trump administration argues helps ensure those who are self-sufficient come to the country.
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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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As COVID-19 leaves Texans jobless and lacking health insurance, lawmakers mull expanding Medicaid
The Dallas Morning News
Before the COVID-19 pandemic hit, Texas already had the highest number of people in the country without health insurance. Since then, thousands of Texans have lost their jobs — and their health insurance — raising concerns about how many people will have coverage by next year.
There's an option on the table to get at least 1 million more people covered, mostly at the federal government's expense.
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Ohio: New Medicaid program to help high-needs children stay with families
Dayton Daily News via MSN
Ohio is carving off a separate Medicaid program that will coordinate care for an estimated 60,000 children and young adults with the most complex behavioral health needs. Some parents have reported that they have surrendered their child to the state because they can't afford to pay for their complex needs, so they gave up custody because their child’s care would be covered in state custody.
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Lessons from Medicaid on social determinants of health innovation
HealthPayerIntelligence
The coronavirus pandemic has forced social determinants of health even further into the spotlight and Medicaid programs have responded to the increasing demands with innovative solutions, a Manatt Health report recently found. The report analyzed Medicaid managed care contracts and section 1115 demonstration waivers between October 2019 and June 2020.
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Differences in Medicaid expansion, nonexpansion program policies
HealthPayerIntelligence
Differences between Medicaid expansion and nonexpansion states go beyond whether states opted into the Affordable Care Act allowance, a Health Affairs study found. Researchers have discovered Medicaid expansion states also have certain policies in place that nonexpansion states do not. The study observes differences between Medicaid programs from 2000 to 2016.
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Home visitation program reduces infant mortality in Medicaid recipients
Eye on Ohio via The Business Journal
Miracle M. wrapped her arms around herself and rocked back and forth as she retold the story of her premature daughter's death. Her daughter was born at 22 weeks, weighed nearly four pounds, and died in 12 hours. A crisis, sad but common, occurred in the fifth month of Miracle's pregnancy. The 2018 Ohio Fetal Mortality Brief states half of all reportable fetal deaths occurred between 20 and 27 weeks of gestation.
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Apollo delivers evidence-based guidelines in an easy to use format, available 24/7 from any internet-connected device. No software download required. Streamline utilization reviews and lower your costs today. Click here to begin your risk-free trial, or call to learn more! 888.276.5563
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Medicaid expansion linked to lower mortality rates for three major types of cancer
Dana-Farber Cancer Institute via Medical Xpress
In states that have expanded Medicaid availability as part of the Affordable Care Act (ACA), mortality rates for three major forms of cancer are significantly lower than in states that have not expanded their Medicaid, a new study by researchers at Dana-Farber Cancer Institute, Brigham and Women's Hospital, and Harvard University shows.
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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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