Medicaid Reform for Patients and Doctors
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A Costly Catch-22 In States Forgoing Medicaid Expansion : NPR

A Costly Catch-22 In States Forgoing Medicaid Expansion  : NPR | Medicaid Reform for Patients and Doctors | Scoop.it
In states that don't go along with an expansion of Medicaid under the health overhaul law, many low-income adults will be caught in the gap between federal and state standards for eligibility.
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Medicaid Reform for Patients and Doctors
Find a way to provide health care to low-income Texans with realistic payment, less stifling bureaucracy, and no fraud-and-abuse witch hunts
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West Virginia gets OK to expand Medicaid drug treatment

West Virginia gets OK to expand Medicaid drug treatment | Medicaid Reform for Patients and Doctors | Scoop.it
State health officials say they have received federal approval to expand addiction treatment for West Virginians covered by Medicaid.
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State Single Payer And Medicaid Buy-In: A Look At California, New York, And Nevada

State Single Payer And Medicaid Buy-In: A Look At California, New York, And Nevada | Medicaid Reform for Patients and Doctors | Scoop.it
State Single Payer And Medicaid Buy-In: A Look At California, New York, And Nevada | At the intersection of health, health care, and policy.
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Why Does the Medicaid Debate Matter? National Data and Voices of People with Medicaid Highlight Medicaid’s Role

Why Does the Medicaid Debate Matter? National Data and Voices of People with Medicaid Highlight Medicaid’s Role | Medicaid Reform for Patients and Doctors | Scoop.it
President Trump and other GOP leaders have called for far-reaching changes to Medicaid, including caps and reductions in federal funding for the program. This snapshot provides data on the role Med…
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The Effects of Premiums and Cost Sharing on Low-Income Populations

The Effects of Premiums and Cost Sharing on Low-Income Populations | Medicaid Reform for Patients and Doctors | Scoop.it
This brief reviews research from 65 papers published between 2000 and March 2017 on the effects of premiums and cost sharing on low-income populations in Medicaid and CHIP. This research has primar…
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Can States Survive The Per Capita Medicaid Caps In The AHCA?

Can States Survive The Per Capita Medicaid Caps In The AHCA? | Medicaid Reform for Patients and Doctors | Scoop.it
Can States Survive The Per Capita Medicaid Caps In The AHCA? | At the intersection of health, health care, and policy.
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Medicaid Expansion, Reversed by House, Is Back on Table in Senate

Medicaid Expansion, Reversed by House, Is Back on Table in Senate | Medicaid Reform for Patients and Doctors | Scoop.it
Senate negotiators, trying to repeal the Affordable Care Act while avoiding the pitfalls of the House bill, may relax the House’s big Medicaid cuts.
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Indiana's alternative Medicaid program shows tradeoffs of charging recipients for care

Indiana's alternative Medicaid program shows tradeoffs of charging recipients for care | Medicaid Reform for Patients and Doctors | Scoop.it
More than half the low-income people who qualified for Indiana’s alternative Medicaid program failed to make a required monthly payment for the top tier of benefits.
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Evidence from the Private Option: The Arkansas Experience

Evidence from the Private Option: The Arkansas Experience | Medicaid Reform for Patients and Doctors | Scoop.it

Arkansas was the first state to gain federal approval for expanding its Medicaid program to residents using premium assistance, an approach known as “the private option.” This issue brief explores the evidence to date on Arkansas’s 1115 waiver program, which just completed its third year, as other states consider the option and Arkansas policymakers debate the future of the program.
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Wisconsin seeks to mandate drug tests for Medicaid recipients

Wisconsin seeks to mandate drug tests for Medicaid recipients | Medicaid Reform for Patients and Doctors | Scoop.it
If there’s a singular place that typifies the uneasy relationship between America’s poor and their government, it could be Marcia Coggs Human Services Center of Milwaukee.
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Okla Medicaid leader: 'We will be putting people’s lives at stake' when services are eliminated

Okla Medicaid leader: 'We will be putting people’s lives at stake' when services are eliminated | Medicaid Reform for Patients and Doctors | Scoop.it
Low-income Oklahomans will have limited access to a range of health care services if the state Medicaid agency moves forward with a slew of cuts to the publicly funded health care program.
The Oklahoma Health Care Authority, which oversees Oklahoma's Medicaid program, announced Monday that, as the agency prepares for whatever money the Legislature provides, the authority will consider provider rate cuts of up to 25 percent to balance the agency's budget.
Additionally, to balance its budget, the health care authority will consider cutting "optional benefits" for SoonerCare members — services that the federal government does not mandate that Oklahoma provide in its Medicaid program.
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Kansas Governor Vetoes Medicaid Expansion

Kansas Governor Vetoes Medicaid Expansion | Medicaid Reform for Patients and Doctors | Scoop.it
Kansas’ Republican governor vetoed a bill to expand Medicaid, two days after the state’s GOP-led legislature approved extending eligibility for the program under the Affordable Care Act.
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In Health Bill’s Defeat, Medicaid Comes of Age

In Health Bill’s Defeat, Medicaid Comes of Age | Medicaid Reform for Patients and Doctors | Scoop.it
Medicaid now covers more Americans than Medicare, and it played a major role in stopping the Republican drive to repeal and replace the Affordable Care Act.
Texas Medical Association's insight:
"Medicaid now provides medical care to four out of 10 American children. It covers the costs of nearly half of all births in the United States. It pays for the care for two-thirds of people in nursing homes. And it provides for 10 million children and adults with physical or mental disabilities. For states, it accounts for 60 percent of federal funding — meaning that cuts hurt not only poor and middle-class families caring for their children with autism or dying parents, but also bond ratings."
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Redesigning New Jersey’s Medicaid Program: Philanthropy Steps Up

Redesigning New Jersey’s Medicaid Program: Philanthropy Steps Up | Medicaid Reform for Patients and Doctors | Scoop.it
Redesigning New Jersey’s Medicaid Program: Philanthropy Steps Up | At the intersection of health, health care, and policy.
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Maine officially asks feds for MaineCare work requirements

Maine officially asks feds for MaineCare work requirements | Medicaid Reform for Patients and Doctors | Scoop.it
Republican Gov. Paul LePage's administration is officially asking the federal government to impose work and premium requirements on state Medicaid recipients.
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CBO: Impact of Senate Bill’s Medicaid Cuts Would Grow Over Time

Federal spending on Medicaid would decrease by 35 percent over the next two decades under the Senate Republicans’ health care measure, the CBO said.
Texas Medical Association's insight:
"States would need to find different ways to deliver Medicaid services, such as committing more of their own resources to the program, cutting payments to providers and issuers or restricting eligibility for enrollment after the next decade, the report says."
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What's really at stake in the Medicaid spending debate

What's really at stake in the Medicaid spending debate | Medicaid Reform for Patients and Doctors | Scoop.it
The cuts wouldn't just hit Medicaid — all of the other high-priority programs would compete for money.
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State Medicaid directors expect little change under Trump

Despite promises from the Trump administration to restructure Medicaid and reduce funding by hundreds of billions of dollars, state Medicaid directors say it's unlikely there will be major changes to the program due to infighting among federal lawmakers and pushback from states.
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Big health gains in Medicaid expansion states elude Texas' poor

Big health gains in Medicaid expansion states elude Texas' poor | Medicaid Reform for Patients and Doctors | Scoop.it
A report Wednesday in Health Affairs, a health policy journal, examined four years of medical outcomes in Texas, Arkansas and Kentucky and found that health measurements in the latter two states, both of which expanded Medicaid, dramatically improved in nearly all categories. The improvements included steep drops in the uninsured rate among the poor, less reliance on emergency rooms for routine care and fewer people skipping their medication because of cost. There was also a drop in the number of Texans who sought regular care for chronic conditions, which health experts say leads to poorer health and more expensive treatment down the road. [...] as hundreds of thousands of people gained coverage in Arkansas and Kentucky, low-income residents have reported better overall health and are more likely to keep chronic conditions at bay, the study showed. The numbers laid out in the academic study alarmed health advocates in Texas who also worry it could signal what is to come if people lose coverage under the proposed Republican health-care replacement plan. "Numbers don't lie," said George Masi, president and CEO of Harris Health System, one of the largest public health systems in the nation. Two weeks ago, when the measure he has championed passed, he said in a statement "our proven conservative solutions will move us away from the government-centered Obamacare model and toward a patient-, family- and state-drive approach that will lower costs, expand choices and increase access to care."
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Medicaid Waivers: A Matter of Flawed Flexibility?

Medicaid Waivers: A Matter of Flawed Flexibility? | Medicaid Reform for Patients and Doctors | Scoop.it
States' proposals to alter program may do more harm than good
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Medicaid may require work, payments from the poor, as Indiana tried

Medicaid may require work, payments from the poor, as Indiana tried | Medicaid Reform for Patients and Doctors | Scoop.it
Indiana model for Medicaid expansion may provide blueprint for 19 states without it.
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A new wave of opportunity for Medicaid innovation

A new wave of opportunity for Medicaid innovation | Medicaid Reform for Patients and Doctors | Scoop.it
How will states be able to chart their own course for Medicaid under the new administration? Learn more.
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Kansas moves to expand Medicaid as GOP legislatures face pressure after ‘Trumpcare’ failure

Kansas moves to expand Medicaid as GOP legislatures face pressure after ‘Trumpcare’ failure | Medicaid Reform for Patients and Doctors | Scoop.it
Many moderate Republicans joined the vote to expand the health program under existing health law.
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After GOP Health Bill’s Demise, More States Weigh Expanding Medicaid

After GOP Health Bill’s Demise, More States Weigh Expanding Medicaid | Medicaid Reform for Patients and Doctors | Scoop.it
A growing number of states are considering expanding their Medicaid programs under the Affordable Care Act, after last week’s abrupt collapse of the GOP health bill and a development that could make it harder for Republicans to undo the law in the future.
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