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CMS unveils CHIP, Medicaid final rule
HealthLeaders
The Centers for Medicare & Medicaid Services on Monday released the 2020 Medicaid and Children's Health Insurance Program Managed Care final rule.
CMS Administrator Seema Verma said the final rule cuts red tape and lowers federal regulatory barriers, which allows state Medicaid and CHIP agencies to customize managed care programs for the 55 million beneficiaries — including 79% of CHIP children in 32 states — who are enrolled in Medicaid managed care programs.
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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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Opposition mounts against New York's change in Medicaid funding for prescription drugs
Daily News
A growing coalition of health care groups and providers are outraged over an impending change to Medicaid funding for prescription drugs in the Empire State.
The groups are pleading with the Department of Health to not follow through on changes to the 340B drug discount program, which allows safety net hospitals catering to underserved and low-income communities to purchase deeply discounted prescription drugs.
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Medicaid expansion improves key prenatal, postpartum indicators
HealthPayerIntelligence
Poor maternal and infant care access can have deadly implications for new mothers and their babies, but Medicaid expansion efforts can improve three key prenatal and postpartum health indicators, a recent study published in Health Affairs found.
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Medicaid help for ex-inmates at risk in Obamacare case
The Crime Report
Parole and probation systems in the U.S. do not effectively serve people with chronic health conditions, and building on Medicaid on the state level, rather than taking it away, would improve the health of people leaving prison and jail and would help reduce mass incarceration, says a new report from the Square One Project of Columbia University.
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More than $335 million was spent to cut Medicaid costs in western New York; did it work?
Buffalo Business First
It's been five years since state health officials announced New York would pump $335 million into western New York to help area hospitals and health care providers cut Medicaid costs. The goals were clear: reduce unnecessary emergency department visits and the number of readmissions within 30 days of discharge. Groups of providers had no choice but to work together if they wanted to reap the financial benefits of the Delivery System Reform Incentive Payment (DSRIP) program.
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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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Texas representative's initial legislation priorities include Medicaid expansion, voting rights
Community Impact Newspaper
Texas Rep. John H. Bucy III, D-Austin filed three pieces of legislation Nov. 9: House Bill 398 and House Joint Resolution 24, to expand Medicaid in Texas, and House Bill 400, to allow any eligible voter to vote by mail.
Bucy is the state representative for Texas House District 136, serving Northwest Austin, Cedar Park, Leander and the Brushy Creek area. This is the first legislation he has filed for the upcoming 87th Legislative session.
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7701 Las Colinas Ridge, Ste. 800, Irving, TX 75063
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