Medicaid Reform for Patients and Doctors
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Long overdue

Long overdue | Medicaid Reform for Patients and Doctors | Scoop.it
The first-term congressman urged the Texas governor to "negotiate in earnest with the Obama administration" on expanding Medicaid.
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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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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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Arkansas governor seeks new restrictions on Medicaid plan

Arkansas governor seeks new restrictions on Medicaid plan | Medicaid Reform for Patients and Doctors | Scoop.it
Gov. Asa Hutchinson wants to add a work requirement to Arkansas' hybrid Medicaid expansion and to lower its eligibility cap, which would add new restrictions to the program even as the future of the federal health overhaul remains unclear.
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Republicans’ Changes to Medicaid Could Have Larger Impact Than Their Changes to Obamacare

Republicans’ Changes to Medicaid Could Have Larger Impact Than Their Changes to Obamacare | Medicaid Reform for Patients and Doctors | Scoop.it
Exploring the long-term impact on states.
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Texas could radically streamline its Medicaid administration

Texas could radically streamline its Medicaid administration | Medicaid Reform for Patients and Doctors | Scoop.it
OPINION | Without federal micromanagement and liberated from Washington’s oppressive process for control, oversight and compliance review, Texas Medicaid can be successful.
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Report: Privatized Medicaid program serves fewer people, costs more

Report: Privatized Medicaid program serves fewer people, costs more | Medicaid Reform for Patients and Doctors | Scoop.it
AUSTIN – The privatization of a state program that transports poor Texans to medical appointments has cost the state hundreds of millions of dollars more while serving fewer than half as many people, according to a Legislative Budget Board report that some officials tried to withhold from the public. In the five years since Texas began privatizing the management of the Medical Transportation Program, the number of Medicaid recipients using the program has dropped from 350,000 to 150,000, the number of substantiated complaints has doubled, administrative costs have quadruped and the overall per-ride cost to the public has nearly tripled, the report authors found. Despite the problems, and in spite of a promise to put the program out for bid again, the Texas Health and Human Services Commission recently renewed all of the contracts until 2018, the budget board report noted. The Health and Human Services Commission solicited applications from companies to manage different regions of the state, but it picked several firms that its own evaluators had determined were not the best options, according to the report's authors. "Cost and quality issues have been due in part to procurement and contract management failures," the budget board wrote in the report, which urged the state to re-do the procurement and enact safeguards to save money. "The lieutenant governor directed the LBB to focus on their principle mission, which is developing the budget, and to leave policy-making to elected officials," said the spokesman, Alejandro Garcia, who declined to answer questions on the Medical Transportation Program. In the past, when the state used a fee-for-service model that paid transportation entities directly for each person transported, there were concerns the program did not serve enough Medicaid recipients and that there was fraud. According to the budget board, the commission also promised last April to re-procureall of the Medical Transportation Program contracts using a more competitive system as soon as possible.
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How Would ACA Repeal Affect Medicaid?

How Would ACA Repeal Affect Medicaid? | Medicaid Reform for Patients and Doctors | Scoop.it
This fact sheet provides insight into how a repeal of the Affordable Care Act (ACA) and changes in the financing structure would affect Medicaid, including the Medicaid expansion, and how a Trump administration could change Medicaid through administrative actions.
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Millions Could Lose Medicaid Coverage Under Trump Plan

Millions Could Lose Medicaid Coverage Under Trump Plan | Medicaid Reform for Patients and Doctors | Scoop.it
But block grants face likely resistance from states, poised to lose many millions.
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As Medicaid loses stigma, its fate rides on stormy election

As Medicaid loses stigma, its fate rides on stormy election | Medicaid Reform for Patients and Doctors | Scoop.it
WASHINGTON (AP) — Medicaid has long been the stepchild of government health care programs. Now it's finally coming into its own, even as the 2016 presidential election could change its fate.
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On Medicaid Money, GOP Has Win-Or-Lose Proposition For States

On Medicaid Money, GOP Has Win-Or-Lose Proposition For States | Medicaid Reform for Patients and Doctors | Scoop.it
The House Republicans’ bill to repeal Obamacare would change how the federal government allocates matching funds to state Medicaid programs — and could cost some states billions of dollars a year in federal aid.
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White House privately backing earlier rollback of Medicaid expansion

White House privately backing earlier rollback of Medicaid expansion | Medicaid Reform for Patients and Doctors | Scoop.it
The White House is privately lining up behind conservative calls to roll back Obamacare's Medicaid expansion sooner than the health care reform bill currently calls for, two senior administration officials and a senior House conservative aide told CNN on Thursday.
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Trump chooses Pence ally to lead Medicaid

Trump chooses Pence ally to lead Medicaid | Medicaid Reform for Patients and Doctors | Scoop.it
Brian Neale has been tapped by the Trump administration as the new director for the Center for Medicaid and CHIP Services, according to the agency's former director Cindy Mann and others familiar with the selection.
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Trump health pick says Medicaid needs a major overhaul

Trump health pick says Medicaid needs a major overhaul | Medicaid Reform for Patients and Doctors | Scoop.it
WASHINGTON (AP) — President Donald Trump's pick to run the government's major health insurance programs said Thursday that Medicaid needs a full overhaul but she doesn't support turning Medicare into a "voucher" plan.
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The Republican health care plan the country isn’t debating

The Republican health care plan the country isn’t debating | Medicaid Reform for Patients and Doctors | Scoop.it
Medicaid already spends about 25 percent less than private insurance on a per-person basis, and generally reimburses providers much less than Medicare and private insurers do. So while proponents of block grants argue that the shift will give states greater flexibility to spend Medicaid dollars wisely, critics of the approach say that the only realistic way for states to cope with less federal money would be to cut coverage and benefits for low-income people.
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An Early Look at Medicaid Expansion Waiver Implementation in Michigan and Indiana

An Early Look at Medicaid Expansion Waiver Implementation in Michigan and Indiana | Medicaid Reform for Patients and Doctors | Scoop.it
This brief explains key components of Michigan and Indiana's Medicaid expansions under Section 1115 demonstration waivers and presents insights from stakeholder interviews and focus groups about early implementation experience.
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Oregon’s High-Risk, High-Reward Gamble On Medicaid Expansion

Oregon’s High-Risk, High-Reward Gamble On Medicaid Expansion | Medicaid Reform for Patients and Doctors | Scoop.it
Oregon’s High-Risk, High-Reward Gamble On Medicaid Expansion | At the intersection of health, health care, and policy.
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What Might a Trump Administration Mean for Medicaid?

What Might a Trump Administration Mean for Medicaid? | Medicaid Reform for Patients and Doctors | Scoop.it
This new fact sheet examines key questions around the potential changes President-elect Donald Trump and the next Congress may seek to make in Medicaid, a program that covers 73 million people nationally.
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In Depressed Rural Kentucky, Worries Grow Over Medicaid

In Depressed Rural Kentucky, Worries Grow Over Medicaid | Medicaid Reform for Patients and Doctors | Scoop.it
Low-income residents in poverty-stricken Clay County worry what will happen to their health care if Gov. Matt Bevin’s ambitions to overhaul the state’s Medicaid program go forward.
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Trump Medicaid plan could hit states hard

Trump Medicaid plan could hit states hard | Medicaid Reform for Patients and Doctors | Scoop.it
President-elect Donald Trump's proposal to overhaul Medicaid funding could force states to raise taxes or cut spending.
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Elections could bring 1.2 million new Medicaid beneficiaries

Elections could bring 1.2 million new Medicaid beneficiaries | Medicaid Reform for Patients and Doctors | Scoop.it
More than one million Americans could become eligible for Medicaid in 2017, depending on the outcomes of governors' races next week, according to a new analysis released Wednesday by Avalere.
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