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The Washington Post
Citizen power propelled the biggest expansion of Medicaid in heavily Republican states since the early years of the Affordable Care Act, with hundreds of thousands of poor and vulnerable residents standing to gain health coverage as a result of Tuesday's elections. Voters in Idaho, Nebraska and Utah approved ballot initiatives to include in their Medicaid programs adults with incomes of up to 138 percent of the federal poverty line. The results accomplish a broadening of the safety-net insurance that the states' legislatures had balked at for years.
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FierceHealthcare
Medicaid expansion was on the ballot in several states, but several governors races may wind up being just as important to the future of the Medicaid program in several battleground states.
As Paul LePage so aptly demonstrated in Maine, the governor can have a huge impact on a state's Medicaid future, even in cases where the voters have been crystal clear about their preferences.
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Kaiser Health News
Healthcare proved important but apparently not pivotal in the 2018 midterm elections on Tuesday as voters gave Democrats control of the U.S. House, left Republicans in charge in the Senate and appeared to order an expansion of Medicaid in at least three states long controlled by Republicans.
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Project Transition
Learn how one provider is challenging the status-quo in behavioral healthcare and advocating for society’s most vulnerable members to discover their life worth living by providing a recovery experience like no other. Individuals with serious mental illness (including dual diagnosis) are empowered and able to realize a life in the community, on terms they define with the right treatment and services. In Philadelphia, PA and Nashville, TN, a unique extended behavioral support program has been proven to reduce cost and increase positive outcomes, by combining apartment-style community living with intensive, daily, evidence-based programming. This setting helps minimize stigma and create normalized social expectations and consequences.
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The Hill
The Democratic takeover of the House is giving new life to efforts to fight high drug prices with bipartisan action, a worrying prospect for the pharmaceutical industry.
It's a top priority for House Democrats, who now have powers to press the issue and put the drug industry on the hot seat. It's also an issue where Democrats believe there is potential to reach a deal with President Trump.
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NPR
Montana legislators expanded Medicaid by a very close vote in 2015. The measure passed with the condition that the expansion of Medicaid eligibility in the state would expire in 2019 unless lawmakers voted to reapprove it. And once it expired, people who got Medicaid under the expansion would lose it.
Fearing legislators might not renew funding for Medicaid's expanded rolls, Montana's hospitals and other health advocacy groups have come up with a ballot measure to keep it going — and to pay for it with a tobacco tax.
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Kern Health Systems (Kern) is overcoming numerous care management challenges using Jiva, the industry’s leading PHM platform. Learn how the powerful end-to-end platform is helping Kern consolidate data, streamline workflow, manage compliance, create holistic assessments, improve overall health outcomes, and plan for future expansion into new lines of business.
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The Hill
Frederick Isasi says people are sometimes surprised to learn he is the head of a major liberal advocacy group. Isasi, and his organization, will be in a prime position if Democrats win back the House on Tuesday, as most election-watchers expect they will.
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ZeOmega
Deborah Murr, director of health services at Kern Health Systems, describes why she “LOVES” Jiva, the industry’s leading PHM platform. Learn why seamless integration and single sign-on are improving the way the large organization does business, and how the attentiveness of the Jiva team gave rise to a successful implementation.
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AAP
Expenditures for children with noncomplex chronic diseases (NC-CDs) are related to disease chronicity and resource use. The degree to which specific conditions contribute to high healthcare expenditures among children with NC-CDs is unknown.
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Health Affairs
Policies and practices have proliferated to optimize prescribers' use of their states' prescription drug monitoring programs, which are statewide databases of controlled substances dispensed at retail pharmacies. This study assessed the effectiveness of three such policies: Comprehensive legislative mandates to use the program, laws that allow prescribers to delegate its use to office staff, and state participation in interstate data sharing.
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HFI’s mission is to partner with healthcare clients to improve their fiscal health by advocating for their most vulnerable members. HFI helps members get necessary benefits and income affording them access to important social determinants of health.
We effectively identify and reclassify eligible super-utilizers from TANF/ACA to ABD.
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NPR
Having a baby in the United States can be dangerous. American women are more likely than women in any other developed country to die during childbirth or from pregnancy-related complications. And while other countries' maternal death rates have gone down, U.S. rates have risen since 2000, a fact that has left both doctors and expectant mothers concerned about the state of maternity care in this country.
But many of these problems could be prevented if hospitals would standardize the way they care for women in labor, according to the authors of a recent essay in the New England Journal of Medicine.
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You know you need to be prepared to respond quickly to CMS audit requests – including A&G history, activity, and status. Find out how effective, automated A&G management can protect revenue, improve network quality, ensure regulatory compliance, and lower the cost of disenrollment.
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Relias
Relias, a trusted partner focused on reducing variation in care for more than 10,000 clients around the world and across the continuum of healthcare, has announced its intent to integrate the healthcare division of Wisconsin-based OnCourse Learning. OnCourse operates two online education divisions, one for healthcare professionals and a second for financial services/real estate professionals.
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