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MHPA letter outlining priorities for remainder of 116th Congress
MHPA
On Tuesday, MHPA sent a letter to Congressional leadership urging Congress to prioritize Medicaid in any year-end legislation. Specifically, the letter calls for an additional Medicaid FMAP increase, the creation of a state plan option to provide continuous postpartum Medicaid eligibility for one year, and the extension of several Medicaid health extender programs.
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New York: Community health groups oppose Medicaid 'carve-out'
WAMC-FM
More than 35 community health groups have joined the Save New York's Safety Net coalition. The movement is targeting a drug "carve-out" and resulting changes to the 340B drug discount program they say will decimate essential services for the medically underserved and low-income New Yorkers.
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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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Stakeholders fear renewed MFAR — and Medicaid destruction — could still occur before Trump leaves office
McKnight's Long-Term Care News
Recent comments by the top official at the Centers for Medicare & Medicaid Services has some healthcare stakeholders worried that the Trump administration may walk back its decision to withdraw a controversial Medicaid proposal.
CMS Administrator Seema Verma discussed the Medicaid Fiscal Accountability Rule (MFAR) while speaking at the National Medicaid Directors Association meeting this month where she defended the proposal, Inside Health Policy reported Friday.
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Insurance company bids due for Ohio Medicaid overhaul
Dayton Daily News via MSN
Bids were due earlier this week for insurance companies that want to be a part of Ohio Medicaid's overhaul — including CareSource. The state is overhauling how the health insurance program for the poor and disabled operates and picking new insurance companies as contractors manage those insurance claims.
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Medicaid enrollment jumps 16.5% due to economy; Florida experiences big increase
News Service of Florida via WPEC-TV
Florida economists say enrollment in Medicaid will spike by 16.5% this fiscal year, fueled by the economic downturn during the COVID-19 pandemic.
Nationwide, states are seeing substantial growth in the program that serves poor, elderly and disabled people, but a high-ranking Medicaid official conceded that Florida is experiencing some of the biggest increases.
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Medicaid expansion may lead to earlier diagnosis, improved care for colon cancer patients
News Medical
The Affordable Care Act's Medicaid expansion for low-income people appears to lead to earlier diagnosis of colon cancer, enhanced access to care, and improved surgical care for patients with this common cancer, researchers report in a new study. The study is published as an "article in press" on the Journal of the American College of Surgeons website in advance of print.
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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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Fifth Circuit sides with Texas in excluding Planned Parenthood from Medicaid program
The Texan
Five years ago, the pro-life group Centers for Medical Progress released several undercover videos damning to Planned Parenthood that led to a storm of attacks against the well known abortion provider.
Texas, for its part, responded by taking steps to cut Medicaid funding for Planned Parenthood affiliates in the state.
The matter has been caught up in federal courts for years, but now an en banc opinion from the U.S. Fifth Circuit Court of Appeals takes sides with Texas to allow exclusion of Planned Parenthood from its Medicaid program by the state.
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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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