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The Hill
Three gubernatorial races could result in new Medicaid coverage for nearly 2 million people, a new study finds. Democratic gubernatorial candidates in Missouri, North Carolina and Utah have all said they support expanding the eligibility for Medicaid under Obamacare.
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The Hill
Speaker Paul Ryan (R-Wisconsin) on Monday agreed with a radio host who said Obamacare would not be repealed, likely ever, if Democratic nominee Hillary Clinton wins the presidency on Tuesday. GOP nominee Donald Trump and congressional Republicans have been vowing to repeal Obamacare. But Clinton would be able to veto any repeal if she wins. Still, it is a striking admission from Ryan that Obamacare could not be repealed, possibly ever, if Clinton wins.
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The Hill
Obamacare isn't generally a favorite topic for Democrats in tight Senate races around the country. Premium hikes announced this fall have made negative headlines, adding to criticism of President Obama’s signature legislative achievement.
The Affordable Care Act has never been that popular in any event, and it was widely blamed for huge Democratic losses in the 2010 midterm elections. Yet in this fall's pitched battle for the Senate, Democrats have found a part of Obamacare that they want to tout — its expansion of Medicaid, the healthcare program for the poor.
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The Hill
Sen. Bernie Sanders (I-Vermont) and Rep. Elijah Cummings (D-Maryland) are calling for a federal investigation of possible price collusion between drug companies on diabetes treatments. The lawmakers wrote a letter to the Department of Justice and the Federal Trade Commission calling on them to investigate whether three drug companies, Novo Nordisk, Sanofi and Eli Lilly, are colluding to raise the price of insulin for people with diabetes.
They note that prices for the three companies' products have often risen closely together.
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New Hampshire Union Leader
Skyrocketing prescription drug prices are the major driver of increased healthcare costs in New Hampshire, according to data for 2015 presented by the state Insurance Department at its annual meeting. More than $1 billion was spent on prescription drugs by patients and insurance companies in the state last year, with 15 scripts per person on average, according to Insurance Commissioner Roger Sevigny, who introduced the presenters at Friday's day-long presentation.
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Modern Healthcare
The CMS is denying a New Hampshire waiver request that would impose a work requirement on the state's Medicaid beneficiaries, create new standards for verifying U.S. citizenship and penalize beneficiaries if they use the ER in nonemergency situations. The state requested that those considered eligible either work, train for a job, be actively searching for work or other work-related activities for at least 30 hours per week.
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The Boston Globe
The federal government on Friday approved a sweeping overhaul of the state of Massachusetts' healthcare program for poor and low-income residents, pushing medical providers to better coordinate the care of nearly 2 million people. The goals are to improve the health and quality of care for a population of patients that tends to have complex medical needs, while also attempting to control spending in the $15 billion-plus Medicaid program — the single largest expense in the state budget.
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Kansas Health Institute
Advocates for Medicaid expansion in Kansas are focusing on a new issue in their final push before Tuesday's election. They're selling expansion as a way to address the state’s mental health crisis and the public safety concerns it's raising among local officials.
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Kansas Health Institute
Kansas healthcare organizations are opening their checkbooks to back legislative candidates who support Medicaid expansion. The Kansas Hospital Association is the biggest player. Its political action committee has contributed more than $112,000 to legislative candidates this year — $38,551 in the primary and $73,692 in the general, according to reports filed this week.
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Politico Pro (Subscription required)
Higher than anticipated Medicaid spending in Louisiana and Iowa could create trouble for governors of both political parties.
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Richmond Times-Dispatch
The cost of Virginia's Medicaid program will grow by $281 million in the current two-year budget, increasing the challenge for Gov. Terry McAuliffe in managing a projected $1.48 billion revenue shortfall. It also will make it harder for the governor to persuade Republican legislators to accept billions of federal dollars to expand health coverage of uninsured Virginians.
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Georgia Health News
Frank Berry, head of the state Department of Behavioral Health and Developmental Disabilities, will replace Clyde Reese as commissioner of the Georgia Department of Community Health. Gov. Nathan Deal, who made the Berry announcement Wednesday, also nominated Judy Fitzgerald, DBHDD's current chief of staff, as its new commissioner. Pending approval by the board, Fitzgerald will take over the role Dec. 1.
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Kaiser Health News
Six years after the passage of the Affordable Care Act, and despite 20 million more Americans gaining health insurance, considerable gaps in healthcare remain. The decision by states like Virginia not to expand Medicaid and the lack of dental and vision coverage even for those with insurance have meant that the demand for RAM's free mobile clinics has stayed strong.
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Kaiser Health News
An Alaska man developed gangrenous toes. A Philadelphia woman froze to death on the street. An Illinois woman died emaciated, covered in excrement. These patients suffered as their government-paid caretakers neglected them, collecting paychecks under a Medicaid program that gives elderly and disabled people non-medical assistance at home. In some cases, the caretakers convicted of neglect were the victims' own family members.
The Personal Care Services program, which exceeded $14.5 billion in fiscal year 2014, is rife with financial scams, some of which threaten patient safety, according to a recent report from the Office of lnspector General at the Department of Health and Human Services.
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