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As 2019 comes to a close, we would like to wish all members, partners and other industry professionals a safe and happy holiday season. As we reflect on the past year for the industry, throughout the holiday season, we would like to provide the readers a look at some of the most accessed articles from the year. Our regular publication will resume Thursday, Jan. 2.
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The Associated Press via Daily Press
From Oct. 24: Skepticism grew on Wednesday, Oct. 23, that a massive change in administering North Carolina Medicaid 's program will start as scheduled early next year as a state budget stalemate continues and doctors and hospitals worry whether details are ready.
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Kaiser Health News
From Oct. 29: Under pressure from the Republican-controlled Pennsylvania legislature to require Medicaid recipients to work as a condition for coverage, state health officials have devised a gentler approach to getting beneficiaries into jobs.
Starting early next year, the Pennsylvania Medicaid agency under Democratic Gov. Tom Wolf will ask people when they enroll if they want job training assistance. It will then require its private Medicaid managed-care organizations to connect those who want help to local employment specialists and follow up to make sure they got it.
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The New York Times
From March 26: The Trump administration broadened its attack on the Affordable Care Act on Monday, telling a federal appeals court that it now believed the entire law should be invalidated. The administration had previously said that the law's protections for people with pre-existing conditions should be struck down, but that the rest of the law, including the expansion of Medicaid, should survive.
If the appeals court accepts the Trump administration's new arguments, millions of people could lose health insurance, including those who gained coverage through the expansion of Medicaid and those who have private coverage subsidized by the federal government.
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Kaiser Health News
From Nov. 14: The difficulties some have faced contribute to the United States' dismal record on maternal and child health. The U.S. is one of only three countries where maternal deaths are on the rise, joining Sudan and Afghanistan, according to the Alliance for Innovation on Maternal Health, a program of the Council on Patient Safety in Women’s Health. And data from the Centers for Disease Control and Prevention indicates that about 700 women die in the U.S. every year from pregnancy complications. Sixty percent of those deaths are deemed preventable.
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- PMPM Increase Per Conversion
- Millions In New Revenue, Risk Free
- Tax-Free Monthly Income for Members
- Directly Impacts SDoH
- Healthier Members, Healthier Bottom Line
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Monroe News Star
From March 5: Louisiana Sen. John Kennedy has asked the federal Centers for Medicare and Medicaid Services to investigate Louisiana's Medicaid program after he publicly blistered the state's health agency and its leader earlier this week.
Kennedy wrote a letter to federal Medicaid Administrator Seema Verma asking the agency to "investigate whether or not the Louisiana Department of Health has violated federal Medicaid regulations."
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The New York Times
From March 28: The Affordable Care Act was already in peril after a federal judge in Texas invalidated the entire law late last year. But the stakes ramped up again this week, when President Trump's Justice Department announced it had changed its position and agreed with the judge that the entire law, not just three pieces of it, should be scrapped.
A coalition of states is appealing the ruling. If it is upheld, tens of millions more people would be affected than those who already rely on the nine-year-old law for health insurance. Also known as Obamacare, the law touches the lives of most Americans, from nursing mothers to people eating at chain restaurants.
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The Associated Press via ABC News
From Aug. 1: The Trump administration's rejection of Utah's plan to partially expand Medicaid could send other states back to the drawing board on covering more low-income people under President Barack Obama's signature health care law.
The decision is disappointing for leaders in conservative-leaning states who considered Utah's plan a compromise approach, said Matt Salo, executive director of the National Association of Medicaid Directors, on Monday.
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A commercial Medicaid plan in Nevada leveraged MCG solutions in its community health program and reduced ER visits by 20% and hospital readmissions by 30%. Click here to learn more about how MCG can support improved member outcomes and cost control.
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MHPA
From Sept. 20: As Congress returns to session, Medicaid Health Plans of America (MHPA), the national association representing Medicaid managed care plans, is urging Congress to fully repeal or delay the Health Insurance Provider Fee due to its serious implications for state Medicaid programs and Medicaid beneficiaries.
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Springfield News-Leader
From Sept. 17: The push to get Medicaid expansion on Missouri ballots in 2020 is still in the early stages, but it's already clear it'll be well-funded.
Less than two weeks after a coalition of advocates went public with plans to make more people eligible for state-funded health care, a campaign committee backing them had taken in roughly $2.2 million in donations.
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Post Register
From July 18: Idaho has submitted its waiver request to let some people who would be covered by Medicaid expansion stay on private insurance.
The "Section 1332 Coverage Choice Waiver" was submitted Monday and, if approved by the Centers for Medicare and Medicaid Services, would give people making between 100 and 138 percent of the poverty level the option of getting federal tax credits to buy insurance on the Your Health Idaho state exchange instead of going on Medicaid when expansion kicks in on Jan. 1, 2020.
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