Medicaid Reform for Patients and Doctors
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Study Finds Health Care Use Rises With Expanded Medicaid

Study Finds Health Care Use Rises With Expanded Medicaid | Medicaid Reform for Patients and Doctors | Scoop.it
New results from an Oregon study found that Medicaid coverage reduced the rate of depression and made low-income adults more financially secure, if not healthier.
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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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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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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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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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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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