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The Hill
The Trump administration is expected to push ahead with a range of controversial health policies next year despite Democrats retaking the House.
Democrats captured the House majority in part on their healthcare message. But despite that there are a slew of actions where the administration is moving ahead on its own agenda.
Here are five controversial moves Trump officials are expected to make on healthcare.
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Modern Healthcare
The surprise announcement by HHS Secretary Alex Azar that the CMS was interested in paying for housing and other social services caught the industry's attention, prompting a slew of opinions on how that would work.
High on the list of suggestions among industry stakeholders is a warning for the CMS to keep in mind community organizations and other federal agencies as it considers any new payment models in which housing and other social services are paid for.
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The Hill
A top Trump administration healthcare official on Tuesday said she is "looking closely" at why thousands of people have lost Medicaid coverage in Arkansas due to the state's new work requirements, but indicated the administration would not slow down in implementing the new rules.
Asked if those people losing coverage is a weakness in the administration's plan, Centers for Medicare and Medicaid Services Administrator Seema Verma told reporters Tuesday that her agency is still trying to understand why those people left the Medicaid program.
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The Washington Post
The Trump administration has reinstated permission for Kentucky to compel many of its low-income residents on Medicaid to work or prepare for a job, after a federal court had blocked the state's ability to begin the requirements.
Federal health officials announced Tuesday night that they had, for a second time, approved Kentucky’s plan to impose "community engagement" requirements as part of Medicaid, saying they could start in April, nine months after they originally were to have taken effect.
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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 Associated Press
Virginia has submitted its proposed work requirement plan for some Medicaid recipients to the federal government for approval.
Department of Medical Assistance Services Director Jennifer Lee told lawmakers Monday that the state submitted its proposal to the federal Centers for Medicare & Medicaid Services last week.
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Richmond Times-Dispatch
With Virginia's Medicaid program poised to expand coverage for hundreds of thousands of people, the state is considering a proposal to increase reimbursement rates for doctors to encourage them to provide care to more patients under the program.
The Department of Medical Assistance Services has asked Gov. Ralph Northam to include $19.1 million in his proposals next month for the two-year budget to boost Medicaid reimbursements for primary care doctors and reduce the gap with the federal Medicare program for the elderly.
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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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The Associated Press
Democratic and moderate Republicans lawmakers worked together last year to try to make Kansas the latest state to expand Medicaid, only to see their bipartisan effort rewarded with a veto from former conservative GOP Gov. Sam Brownback.
The election this month of a governor who supports Medicaid expansion seemed to remove the biggest hurdle for those hoping to bring health coverage to thousands of the state's poor. But it's not that simple.
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The Kansas City Star
Gary Peterson's petition drive to get Medicaid expansion on the ballot in Missouri this year never really got off the ground.
But Peterson is not giving up, for one compelling reason: Pretty much everywhere it gets on the ballot, it passes. Voters in Idaho, Nebraska and Utah approved it this month, bringing the total number of expansion states to 37.
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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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The Hill
A Maine judge on Wednesday ruled that the state must implement an expansion of Medicaid passed by voters last year, despite strong objections from outgoing GOP Gov. Paul LePage.
The ruling follows a long legal battle over the expansion of Medicaid under the Affordable Care Act. Voters passed the expansion last year, but LePage has steadfastly refused to follow that decision.
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StarTribune
Scores of inmates leave Minnesota's prisons every year, and many of them have costly chronic diseases such as diabetes and hepatitis, or mental illness and drug addictions — conditions that can undercut their re-entry into society. The Minnesota Department of Corrections has a Medicaid application program for departing inmates who have a disability, while others are given applications and encouraged to apply.
But it's unclear how many actually have health coverage on their release, and advocates say the state could do more — especially now that most prisoners are eligible for Medicaid under an expansion created by the 2010 Affordable Care Act.
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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
A generic competitor to the EpiPen won't cost any less than the version already on the market, despite the Trump administration touting it as a cheaper alternative. Teva Pharmaceuticals on Tuesday said its drug is now available in limited quantities in the United States, for a wholesale cost of $300. The drug already on the market from original manufacturer Mylan also costs $300.
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Progeny Health
The National Center for Health Statistics reports that the average rate of preterm birth (birth prior to 37 weeks gestation) has increased for the third year in a row. The preterm birth rate has increased from 9.6 percent to 9.93 percent between 2016 and 2017. As a result, the March of Dimes Premature Birth Rate Report Card gives the United States a disappointing grade of "C."
Prematurity is the leading cause of death worldwide in children under five years of age. This vulnerable population is at an increased risk of long-term health problems such as: cerebral palsy, developmental delay, breathing difficulties, blindness and hearing loss.
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