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Oregon voters to decide Medicaid funding as costs rise
Oregon voters will decide Tuesday whether to fund the state's expansion of Medicaid with taxes on hospitals and health insurers (Source: ABC News: Health)
Source: ABC News: Health - January 22, 2018 Category: Consumer Health News Tags: Health Source Type: news

State names providers selected to manage Medicaid program
Now we know who is replacing Molina Healthcare of New Mexico in administering the state's Medicaid managed care program. On Friday, the Human Services Department announced Blue Cross and Blue Shield of New Mexico, Presbyterian Health Plan and Western Sky Community Care as New Mexico’s Centennial Care 2.0 Managed Care Organizations. Last week, Business First broke the news that the state rejected Molina's Centenn ial Care 2.0 bid. Also not selected to continue its Centennial Care 2.0 contract… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - January 20, 2018 Category: Biotechnology Authors: Christopher Ortiz Source Type: news

State names providers selected to manage Medicaid program
Now we know who is replacing Molina Healthcare of New Mexico in administering the state's Medicaid managed care program. On Friday, the Human Services Department announced Blue Cross and Blue Shield of New Mexico, Presbyterian Health Plan and Western Sky Community Care as New Mexico’s Centennial Care 2.0 Managed Care Organizations. Last week, Business First broke the news that the state rejected Molina's Centenn ial Care 2.0 bid. Also not selected to continue its Centennial Care 2.0 contract… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - January 20, 2018 Category: Pharmaceuticals Authors: Christopher Ortiz Source Type: news

HHS Proposes Rule to Shore Up Conscience Protections
(MedPage Today) -- Also eases way for states to bar Planned Parenthood from Medicaid (Source: MedPage Today OB/GYN)
Source: MedPage Today OB/GYN - January 19, 2018 Category: OBGYN Source Type: news

Medicaid Adult Dental Benefits: An Overview (January 2018)
Brief outlines Medicaid dental coverage with the ACA Medicaid expansion. (Source: PHPartners.org)
Source: PHPartners.org - January 19, 2018 Category: International Medicine & Public Health Source Type: news

: Hate Paperwork? Medicaid Recipients Will Be Drowning in It
Kentucky ’ s new Medicaid waiver will ask low-income people to jump over hurdles to keep their coverage. Evidence suggests that many will fail. (Source: NYT Health)
Source: NYT Health - January 19, 2018 Category: Consumer Health News Authors: MARGOT SANGER-KATZ Tags: Medicaid Kentucky Health Insurance and Managed Care States (US) Patient Protection and Affordable Care Act (2010) United States Politics and Government Source Type: news

Medicaid Home and Community-Based Services: Results From a 50-State Survey of Enrollment, Spending, and Program Policies
This report presents the latest survey findings, including 2014 data for the three programs that comprise the majority of HCBS enrollment and spending: the mandatory home health services state plan benefit, the optional personal care services state plan benefit, and optional Section 1915 (c) HCBS waivers. (Source: HSR Information Central)
Source: HSR Information Central - January 19, 2018 Category: International Medicine & Public Health Source Type: news

Taking Stock: Policy Opportunities for Advancing Rural Health (2018)
Paper lays out clear policy trajectories in seven major subject areas that can enhance access and affordability of high quality services in rural America into the future. Subject areas include Medicare, Medicaid and CHIP, Insurance Coverage and Affordability, Quality, Health Care Finance and System Transformation, Workforce, and Population Health. (Source: HSR Information Central)
Source: HSR Information Central - January 19, 2018 Category: International Medicine & Public Health Source Type: news

Linking Medical Homes to Social Service Systems for Medicaid Populations
February 21, 2018 12:00-1:00pm ET. (Source: HSR Information Central)
Source: HSR Information Central - January 19, 2018 Category: International Medicine & Public Health Source Type: news

Medicaid Accountable Care Organizations Version 2.0 Underway in Minnesota and Colorado
Post outlines changes to Minnesota and Colorado's Accountable Care Programs. (Source: HSR Information Central)
Source: HSR Information Central - January 19, 2018 Category: International Medicine & Public Health Source Type: news

By the Numbers: Did Medicaid Expansion Save Hospitals?
(MedPage Today) -- Study suggests it's been a lifeline for struggling hospitals (Source: MedPage Today Public Health)
Source: MedPage Today Public Health - January 18, 2018 Category: American Health Source Type: news

: When States Add Paperwork, Even Eligible People Lose Medicaid
Kentucky ’ s new Medicaid waiver will ask low-income people to jump over hurdles to keep their coverage. Evidence suggests that many will fail. (Source: NYT Health)
Source: NYT Health - January 18, 2018 Category: Consumer Health News Authors: MARGOT SANGER-KATZ Tags: Medicaid Kentucky Health Insurance and Managed Care States (US) Patient Protection and Affordable Care Act (2010) United States Politics and Government Source Type: news

Request for Medicaid and CHIP Payment and Access Commission Nominations
GAO is requesting nominations for MACPAC. The Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA) established the Medicaid and CHIP Payment and Access Commission (MACPAC) to review Medicaid and CHIP access and payment policies and to advise Congress on issues affecting Medicaid and CHIP. Letters of nomination and resumes should be submitted no later than February 5, 2018. (Source: HSR Information Central)
Source: HSR Information Central - January 18, 2018 Category: International Medicine & Public Health Source Type: news

Beneficiaries Dually Eligible for Medicare and Medicaid Data Book (January 2018)
This data book is part of an ongoing effort by MedPAC and MACPAC to create a common understanding of dually eligible beneficiaries, a group that accounts for a disproportionate share of both Medicare and Medicaid spending. This is the fifth edition of this book, updated with 2013 data and 2009-2013 trends in the dually eligible population's composition, service use, and spending. (Source: HSR Information Central)
Source: HSR Information Central - January 18, 2018 Category: International Medicine & Public Health Source Type: news

\: When States Make It Harder to Enroll, Even Eligible People Drop Medicaid
Kentucky ’ s new Medicaid waiver will ask low-income people to jump over hurdles to keep their coverage. Evidence suggests that many will fail. (Source: NYT Health)
Source: NYT Health - January 18, 2018 Category: Consumer Health News Authors: MARGOT SANGER-KATZ Tags: Medicaid Kentucky Health Insurance and Managed Care States (US) Patient Protection and Affordable Care Act (2010) United States Politics and Government Source Type: news

Dramatic Gains in Insurance Coverage for Women of Reproductive Age Are Now in Jeopardy
The proportion of women of reproductive age (15 –44) who were uninsured dropped by 41% between 2013 and 2016, over the first three years of the Affordable Care Act’s (ACA) major expansions to Medicaid and private insurance coverage. This considerable decline in the uninsured rate, calculated by the Guttmacher Institute using data from the U.S . (Source: The Guttmacher Institute)
Source: The Guttmacher Institute - January 18, 2018 Category: International Medicine & Public Health Authors: Guttmacher Source Type: news

109 groups urge Congress to reverse CMS rule linking MIPS adjustments to Part B drug costs
(American College of Rheumatology) More than 100 of the nation's leading patient and provider organizations -- including the American College of Rheumatology -- are urging Congressional leaders to immediately reverse a new Centers for Medicare& Medicaid Services (CMS) policy that will create enormous financial uncertainty for specialty providers and jeopardize patient access to vital Part B drug therapies. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - January 18, 2018 Category: International Medicine & Public Health Source Type: news

Buehler files bills to reform Oregon Health Authority, CCOs
Rep. Knute Buehler, who is seeking the Republican nomination for governor, introduced two bills that he says will correct mismanagement at the Oregon Health Plan, the state ’s Medicaid program, and take the coordinated care organizations to the next level. House Bill 4125 would require the Oregon Health Authority to recover an estimated $70 million improperly paid to some health care providers and require the governor to order an independent investigation into the m ismanagement of funds. “I’m… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - January 17, 2018 Category: American Health Authors: Elizabeth Hayes Source Type: news

Buehler files bills to reform Oregon Health Authority, CCOs
Rep. Knute Buehler, who is seeking the Republican nomination for governor, introduced two bills that he says will correct mismanagement at the Oregon Health Plan, the state ’s Medicaid program, and take the coordinated care organizations to the next level. House Bill 4125 would require the Oregon Health Authority to recover an estimated $70 million improperly paid to some health care providers and require the governor to order an independent investigation into the m ismanagement of funds. “I’m… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - January 17, 2018 Category: Biotechnology Authors: Elizabeth Hayes Source Type: news

Trump's Work-for-Medicaid Rule Puts Work on States ’ Shoulders Trump's Work-for-Medicaid Rule Puts Work on States ’ Shoulders
States that opt to change their Medicaid program must figure out how to delineate who is covered by the new mandate, how to enforce the rules and how to handle the people seeking exemptions.Kaiser Health News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - January 17, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Gov. Walker reacts to hospital association's concerns about changes to Medicaid
Now that President Donald Trump ’s administration signed off on states like Wisconsin imposing co-payments, drug-testing and work or job-training requirements on some Medicaid recipients, the Wisconsin Hospital Association is asking Gov. Scott Walker to alter the plan. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - January 17, 2018 Category: Biotechnology Authors: Rich Kirchen Source Type: news

Medical device tax: Shutdown-averting stopgap would delay tax, Senate bill would kill it outright
House Republicans last night presented their plan for funding the government ahead of an end-of-week shutdown deadline that would press the pause button again on the medical device tax, but it’s unclear whether the fractious GOP can unite in the face of Democrats’ opposition. The 2.3% excise tax on U.S. medical device revenues was in effect for two years before a two-year moratorium went into effect for 2016 and 2017. It went back into effect at the beginning of this year. In the Upper Chamber, the text of a bill to outright repeal the tax from Sens. Ed Markey (D-Mass.) and Elizabeth Warren (D-Mass.) ...
Source: Mass Device - January 17, 2018 Category: Medical Devices Authors: Brad Perriello Tags: Wall Street Beat medicaldevicetax U.S. Congress Source Type: news

Do You Agree With the Idea of Medicaid Work Requirements? Do You Agree With the Idea of Medicaid Work Requirements?
New guidelines would require some Medicaid recipients to work or volunteer in order to be eligible for Medicaid benefits.Medscape Reader Polls (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - January 17, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

PhRMA urges CMS to share the savings with seniors
Yesterday, PhRMA submittedcomments in response to the Centers for Medicare& Medicaid Services (CMS) Request for Information (RFI) on sharing a portion of manufacturer rebates directly with beneficiaries at the point of sale.   (Source: The Catalyst)
Source: The Catalyst - January 17, 2018 Category: Pharmaceuticals Authors: Juliet Johnson Tags: Part D Medicare out of pocket costs Source Type: news

Approved Changes to Medicaid in Kentucky
On January 12, 2018, the Centers for Medicare and Medicaid Services (CMS) approved a Section 1115 demonstration waiver in Kentucky, entitled " Kentucky Helping to Engage and Achieve Long Term Health " or KY HEALTH. This fact sheet summarizes key provisions of Kentucky's approved waiver. (Source: HSR Information Central)
Source: HSR Information Central - January 17, 2018 Category: International Medicine & Public Health Source Type: news

Guidance on Medicaid Work and Community Engagement Requirements Raises Many Important Questions
Brief outlines important questions that need to be considered by CMS and states with the new work and community engagement requirements for Medicaid eligibility. (Source: HSR Information Central)
Source: HSR Information Central - January 17, 2018 Category: International Medicine & Public Health Source Type: news

Kentucky governor readies for Medicaid legal challenge
Kentucky's Republican governor says he will shut down the state's expanded Medicaid program if the courts stop his plan for some people to work to keep their health benefits (Source: ABC News: Health)
Source: ABC News: Health - January 16, 2018 Category: Consumer Health News Tags: Health Source Type: news

Economic Scene: Making Medicaid a Tool for Moral Education May Let Some Die
There is a precedent for letting states impose work requirements on the poor for medical coverage. It bodes ill for public health. (Source: NYT Health)
Source: NYT Health - January 16, 2018 Category: Consumer Health News Authors: EDUARDO PORTER Tags: Health Insurance and Managed Care States (US) Poverty Medicaid United States Politics and Government Kentucky Source Type: news

Cooper gets $982K to combat disparities in heart care
The Bristol-Myers Squibb Foundation is providing a $982,000 grant to support a project by Cooper University Health Care ’s Urban Health Institute to address disparities in heart care. The initiative, called "Reducing Disparities in Cardiovascular Care through Optimization of Risk Factors in Vulnerable Populations," will: The project will target Medicaid patients from Camden and the surrounding region with a his tory of atrial fibrillation, heart attack or stroke, who are failing medical treatment… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - January 16, 2018 Category: Biotechnology Authors: John George Source Type: news

Medicaid Strategies for Promoting Provider Capacity for Physical and Mental Health Integration
February 6, 2018 3:00-4:30pm ET. (Source: HSR Information Central)
Source: HSR Information Central - January 16, 2018 Category: International Medicine & Public Health Source Type: news

CMS mulls expanded MRI coverage for CRM patients
The Centers for Medicare & Medicaid Services is thinking about extending coverage for magnetic resonance imaging scans to patients with cardiac rhythm management devices after reviewing studies showing that MRI scans are safe. If finalized the decision would allow Medicare patients with implanted MR-conditional devices such as pacemakers or defibrillators to have their MRI scans covered by the national healthcare program. “We propose that the evidence is sufficient to conclude that magnetic resonance imaging (MRI) for Medicare beneficiaries with an implanted pacemaker (PM), implantable cardioverter defibrillator ...
Source: Mass Device - January 16, 2018 Category: Medical Devices Authors: Brad Perriello Tags: Wall Street Beat Cardiac Rhythm Management Centers for Medicare and Medicaid Services (CMS) Source Type: news

See the top-rated hospitals in Greater Washington — and how the others stack up
The Washington region can finally boast its first five-star-rated hospitals — or, to be exact, its first three — in Inova Fairfax, Inova Mount Vernon and Inova Fair Oaks hospitals, according to the federal Hospital Compare website. The Centers for Medicare and Medicaid Services-run website, designed to help consumers compare hospital quality based on measures including patient satisfaction, readmission rates and mortality rates, was updated in late December. That update came after a five-month… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - January 16, 2018 Category: American Health Authors: Tina Reed Source Type: news

Medicaid and Work Requirements: New Guidance, State Waiver Details and Key Issues
An examination of the January 11, 2018 guidance that place work requirements on Medicaid recipients. (Source: HSR Information Central)
Source: HSR Information Central - January 16, 2018 Category: International Medicine & Public Health Source Type: news

GAO: Request for Medicaid and CHIP Payment and Access Commission Nominations
The Government Accountability Office (GAO) is requesting nominations for new members to the Medicaid and CHIP Payment and Access Commission (MACPAC). MACPAC reviews Medicaid and CHIP access and payment policies, and advises Congress on issues affecting Medicaid and CHIP. Nominations are due by February 5, 2018, and appointments take effect May 1, 2018. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - January 16, 2018 Category: Rural Health Source Type: news

Medicaid Work Mandate Will Create Uncertainty in Some States
Republicans this past week began to realize their long-held goal of requiring certain adults to work, get job training or perform community service in exchange for getting health coverage through Medicaid. (Source: Arkansas Business - Health Care)
Source: Arkansas Business - Health Care - January 15, 2018 Category: American Health Source Type: news

How Trump's Medicaid Work Requirements Add To Health Costs
Medicaid work requirements will add a layer of costs and a bureaucracy to the healthcare system in the form of vetting and related paperwork, insurers say. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - January 14, 2018 Category: Pharmaceuticals Authors: Bruce Japsen, Contributor Tags: NYSE:UNH NYSE:CNC NYSE:CI NYSE:AET NYSE:WCG Source Type: news

Medicaid Recipients Now Required to Work by States
by David Frank, AARP, January 12, 2018|Comments: 0. Medicaid work requirements. Hoxton/Tom Merton/Getty Images. Ten states have already applied to take advantage of the policy change and institute work requirements. Federal officials gave states the green light Thursday to impose work requirements on Medicaid  ... (Source: AARP.org News)
Source: AARP.org News - January 14, 2018 Category: American Health Source Type: news

D.C. Week: CMS Outlines Path for Medicaid Work Mandate
(MedPage Today) -- Also, senators grill nominee for HHS Secretary (Source: MedPage Today Public Health)
Source: MedPage Today Public Health - January 13, 2018 Category: American Health Source Type: news

Illinois nursing homes sue state over low Medicaid rates
CHICAGO (Reuters) - A handful of Illinois-based nursing homes sued the state's Department of Healthcare and Family Services on Friday, saying low Medicaid rates are jeopardizing their ability to provide adequate quality of care. (Source: Reuters: Health)
Source: Reuters: Health - January 13, 2018 Category: Consumer Health News Tags: healthNews Source Type: news

To Get Medicaid in Kentucky, Many Will Have to Work. Advocates for the Poor Are Horrified.
Led by the state ’ s Republican governor, the plan calls for many Medicaid recipients ages 19-64 to work at least 20 hours a week, beginning in July. (Source: NYT Health)
Source: NYT Health - January 12, 2018 Category: Consumer Health News Authors: ABBY GOODNOUGH Tags: Health Insurance and Managed Care Medicaid Labor and Jobs Patient Protection and Affordable Care Act (2010) United States Politics and Government Bevin, Matthew Source Type: news

To Get Medicaid in Kentucky, Many Will Have to Work. Advocates for the Poor Say They Will Sue.
Led by the state ’ s Republican governor, the plan calls for many Medicaid recipients ages 19-64 to work at least 20 hours a week, beginning in July. (Source: NYT Health)
Source: NYT Health - January 12, 2018 Category: Consumer Health News Authors: ABBY GOODNOUGH Tags: Health Insurance and Managed Care Medicaid Labor and Jobs Patient Protection and Affordable Care Act (2010) United States Politics and Government Bevin, Matthew Source Type: news

The Medicaid work requirement was just approved in this state
The change will require adults between the ages of 19 and 64 to complete 80 hours per month of "community engagement" to keep their coverage (Source: Health News: CBSNews.com)
Source: Health News: CBSNews.com - January 12, 2018 Category: Consumer Health News Source Type: news

Kentucky becomes first U.S. state to impose Medicaid work provisions
WASHINGTON (Reuters) - Kentucky on Friday became the first U.S. state to require that Medicaid recipients work or get jobs training, after gaining federal approval for the fundamental change to the 50-year-old health insurance program for the poor. (Source: Reuters: Health)
Source: Reuters: Health - January 12, 2018 Category: Consumer Health News Tags: healthNews Source Type: news

Medicaid payment increases tied to greater pediatrician participation
(Reuters Health) - - When state Medicaid programs increased physician payment rates, more pediatricians agreed to treat low-income kids covered by the health insurance program for the poor, a U.S. study suggests (Source: Reuters: Health)
Source: Reuters: Health - January 12, 2018 Category: Consumer Health News Tags: healthNews Source Type: news

Oregon not jumping on the Medicaid work requirement bandwagon
The Trump administration Thursday announced a major policy shift for the Medicaid program by encouraging states to impose work requirements on able-bodied adults on Medicaid. Ten states so far have requested waivers to run demonstration projects. Oregon isn’t among them and has no plans to submit a waiver any time soon. “Oregon’s priority is to continue to expand health coverage and reduce the uninsured rate in our state,” Oregon Health Authority spokesman Rob b Cowie said in a statement.… (Source: bizjournals.com Health Care News Headlines)
Source: bizjournals.com Health Care News Headlines - January 12, 2018 Category: Health Management Authors: Elizabeth Hayes Source Type: news

Oregon not jumping on the Medicaid work requirement bandwagon
The Trump administration Thursday announced a major policy shift for the Medicaid program by encouraging states to impose work requirements on able-bodied adults on Medicaid. Ten states so far have requested waivers to run demonstration projects. Oregon isn’t among them and has no plans to submit a waiver any time soon. “Oregon’s priority is to continue to expand health coverage and reduce the uninsured rate in our state,” Oregon Health Authority spokesman Rob b Cowie said in a statement.… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - January 12, 2018 Category: Biotechnology Authors: Elizabeth Hayes Source Type: news

UCLA School of Dentistry receives $1.5 million for community-based education
The UCLA School of Dentistry has received a $1.5 million grant from the state ’s largest dental benefits provider, Delta Dental of California, to support launching a community-based clinical education program. The award, which will support UCLA student dentists to care for some of the most vulnerable patients in California, is the largest that Delta Dental has ever given a dental school.Many Californians face inadequate access to oral health care services for many reasons. The biggest challenges are the uneven distribution of providers, underfunded public health programs, lack of understanding of the importance of or...
Source: UCLA Newsroom: Health Sciences - January 12, 2018 Category: Universities & Medical Training Source Type: news

Kentucky becomes first U.S. state to impose Medicaid work provisos
WASHINGTON (Reuters) - Kentucky on Friday became the first U.S. state to require that Medicaid recipients work or get jobs training, after gaining federal approval for the fundamental change to the 50-year-old health insurance program for the poor. (Source: Reuters: Health)
Source: Reuters: Health - January 12, 2018 Category: Consumer Health News Tags: healthNews Source Type: news

Bevin celebrates Medicaid waiver approval
Kentucky Gov. Matt Bevin's plan to reform the state's Medicaid program got the green light from the federal government, ending a drawn-out and controversial chapter of the state's health care and welfare policy. In June 2016, Bevin and his administration submitted a waiver to reform the state's Medicare program — specifically, who would qualify to receive it. The governor's office was notified today that the waiver had been approved by the Centers for Medicare and Medicaid Service (CMS), the… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - January 12, 2018 Category: Pharmaceuticals Authors: Chris Larson Source Type: news