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Medicaid enrollment surging and projected to include 4.6 million Floridians next year
South Florida Sun Sentinel
Despite efforts to return to normalcy amid the COVID-19 pandemic, Florida continues to see increasing Medicaid enrollment, with an estimate now that as many as 4.6 million people will rely on the health-care program in the upcoming fiscal year, according to the state’s Medicaid office.
A revised projection of enrollment for the 2021-2022 state fiscal year, which will start July 1, includes about 220,000 more people than economists previously projected.
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Florida's new hospital industry head ran Medicaid in state and fought expansion
Kaiser Health News
With its choice of a new leader, the Florida Hospital Association has signaled that seeking legislative approval to expand Medicaid to nearly 850,000 uninsured adults won't be among its top priorities.
In October, Mary Mayhew became the association's CEO. Mayhew, who led the state's Medicaid agency since 2019, has been a vocal critic of the Affordable Care Act's Medicaid expansion adopted by 38 other states. She has argued that expansion puts states in a difficult position because the federal government is unlikely to keep its financial commitment to pay its share of the costs.
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Report: Walmart, McDonald's among top employers of Medicaid and food stamp beneficiaries
CNBC
Walmart and McDonald's are among the top employers of beneficiaries of federal aid programs like Medicaid and food stamps, according to a study by the nonpartisan Government Accountability Office.
The question of how much taxpayers contribute to maintaining basic living standards for employees at some of the nation's largest low-wage companies has long been a flashpoint in the debate over minimum wage laws and the ongoing effort to unionize these sectors.
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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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Ohio Medicaid system could be losing hundreds of millions of dollars from ineligible claims, state audit says
Cleveland.com
Ohio's Medicaid system may have paid out hundreds of millions of dollars to providers last year on claims for ineligible patients, due to glitches with the state's computerized enrollment system, according to a new state audit.
As part of a review of 27 counties, the Ohio Auditor's Office found 16 out of 324 Medicaid customers, or 4.9%, shouldn't have been eligible to enroll in the program. That translated to only $39,135 in improper payments to providers' Medicaid claims. But extrapolating that number to the state's overall enrollment numbers, it would translate to as much as $455 million, state Auditor Keith Faber said.
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Missouri taking steps to simplify Medicaid application process
News Tribune
The Missouri Department of Social Services is trying to transform its benefits application form before potentially hundreds of thousands of people become eligible for Medicaid in July.
In August, Missouri voters approved Medicaid expansion after a successful petition campaign got the issue placed on the ballot. It is estimated expansion to MO HealthNet, the state's Medicaid program, will increase it by about 230,000 people.
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Medicaid expansion or COVID-19, an Idaho doctor just won't keep his mouth shut
Post Register
Half of Idahoans live in an area where masks are mandatory, according to Republican Gov. Brad Little. But compliance with health guidelines isn’t as high as experts would like. The pandemic once seemed like a far-away issue for some remote communities in the largely rural state. Several times, vocal mask critics and virus skeptics in Idaho have made headlines for defying public health restrictions. A few instances have led to arrests.
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Ohio: Medicaid plans to offer transit
Tribune Chronicle
In an effort to "ensure our most vulnerable citizens maintain reliable access to food resources," Ohio's five Medicaid Managed Care Plans will offer free transportation services to and from food banks, food pantries, food clinics and grocery stores as part of the benefit plan.
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Complex rehab update: Medicaid worries, legislative hopes in
New York
HME News
New York Medicaid programs are keeping a close watch on the severity of the COVID-19 pandemic and the progress of relief-related packages in Congress as they make their budget plans for 2021, says Don Clayback.
That's the takeaway that Clayback, the executive director of NCART, had after attending the virtual meeting of the National Association of Medicaid Directors earlier this month.
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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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CMS: Medicare and Medicaid will cover COVID-19 vaccine costs
MarketWatch
The Centers for Medicare and Medicaid Services (CMS) recently released new rules to ensure that Medicare and Medicaid beneficiaries will receive access to, and full coverage for, the coronavirus vaccine once one becomes available to the public.
In the announcement, CMS said that any vaccine with clearance from the Food and Drug Administration's Emergency Use Authorization or Biologics License Application programs will receive full coverage under Medicare, with no cost-sharing required from beneficiaries.
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