Medicaid Reform for Patients and Doctors
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Florida rejects Medicaid expansion, leaves 1 million uninsured

Florida rejects Medicaid expansion, leaves 1 million uninsured | Medicaid Reform for Patients and Doctors | Scoop.it
Republican Gov. Rick Scott threw his weight behind Obamacare's Medicaid expansion—but couldn't get his state legislature to go along with him.
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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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Government Report Finds That Obamacare Medicaid Enrollees Much More Expensive Than Expected

The Department of Health and Human Services’ (HHS) annual report on Medicaid’s finances contains a stunning update: the average cost of the Affordable Care Act’s Medicaid expansion enrollees was nearly 50% higher in fiscal year (FY) 2015 than HHS had projected just one year prior. The rates are much higher than rates for previously eligible Medicaid adult enrollees and suggest that states are inappropriately funneling federal taxpayer money to insurers, hospitals, and other health care interests through the ACA Medicaid expansion.
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Winners and losers in the state war over ACA Medicaid expansion

Winners and losers in the state war over ACA Medicaid expansion | Medicaid Reform for Patients and Doctors | Scoop.it
Thirty-one states have expanded Medicaid and seen bigger reductions in uninsured rates and uncompensated-care costs than non-expansion states.
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Medicaid Boom Turns to Bust for Tennessee Docs

Medicaid Boom Turns to Bust for Tennessee Docs | Medicaid Reform for Patients and Doctors | Scoop.it
Lack of certification triggers payback requirement
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The Effects of Medicaid Expansion under the ACA: Findings from a Literature Review

The Effects of Medicaid Expansion under the ACA: Findings from a Literature Review | Medicaid Reform for Patients and Doctors | Scoop.it
Research on the effects of Medicaid expansions under the Affordable Care Act (ACA) can help increase understanding of how the ACA has impacted coverage; access to care, utilization, and health outcomes; and various economic outcomes, including...
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Texas Gets 15-Month Medicaid Reprieve, But Health Care Crunch Looms

Texas Gets 15-Month Medicaid Reprieve, But Health Care Crunch Looms | Medicaid Reform for Patients and Doctors | Scoop.it
Texas has a Medicaid problem that is easily solved. That won't happen, and some of the states' most indigent residents are going to get screwed.
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Commonwealth Fund Throws Barbs At Texas Lawmakers Over Lack Of Medicaid Expansion

Commonwealth Fund Throws Barbs At Texas Lawmakers Over Lack Of Medicaid Expansion | Medicaid Reform for Patients and Doctors | Scoop.it
The Dallas-Fort Worth Hospital Council is an outspoken supporter of a Medicaid expansion alternative, as is the Texas Hospital Association and the Texas Medical Association, the nation’s largest physician trade group.
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How a Renewed Medicaid Expansion Fight Could Play Out in Texas

How a Renewed Medicaid Expansion Fight Could Play Out in Texas | Medicaid Reform for Patients and Doctors | Scoop.it
Starting this morning, Texas lawmakers will spend two days discussing the state’s Medicaid program. On the docket is a look at services and ways to cut
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Texas' Aversion to Obamacare Could Leave Hospitals in a Budgetary Bind

Texas' Aversion to Obamacare Could Leave Hospitals in a Budgetary Bind | Medicaid Reform for Patients and Doctors | Scoop.it
Hospitals around the state are in a serious time crunch. Administrators are currently drafting their budgets for the next fiscal year, but a big chunk of
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Texas Lawmakers Look for the Cure to Fewer Doctors Taking Medicaid Patients

Texas Lawmakers Look for the Cure to Fewer Doctors Taking Medicaid Patients | Medicaid Reform for Patients and Doctors | Scoop.it
Pretty much everyone on Medicaid here in Texas receives care through a Medicaid Managed Care Program. It’s a big program serving the state’s most
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President Proposes New Incentive for States to Expand Medicaid

President Proposes New Incentive for States to Expand Medicaid | Medicaid Reform for Patients and Doctors | Scoop.it

President Obama is proposing an extra incentive to states that have not yet expanded their Medicaid programs. Specifically, his Fiscal Year 2017 Budget will include a legislative proposal to provide any state that takes up the Medicaid option the same three years of full Federal support and gradual phase down that those states that expanded in 2014 received, no matter when the state takes up the option.

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Edwards sets July 1 date for planned Louisiana Medicaid expansion

Edwards sets July 1 date for planned Louisiana Medicaid expansion | Medicaid Reform for Patients and Doctors | Scoop.it
Louisiana Gov.-elect John Bel Edwards has set an ambitious timeline for a Medicaid expansion, saying he wants to have government-funded health insurance cards in thousands more people's hands by July 1.
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The ACA and Medicaid Expansion Waivers

The ACA and Medicaid Expansion Waivers | Medicaid Reform for Patients and Doctors | Scoop.it
This brief focuses on Section 1115 Medicaid demonstration waivers related to implementation of the ACA Medicaid expansion (eligible for ACA enhanced matching funds) or other coverage (not eligible for ACA enhanced matching funds).

 

To date, six states are currently implementing or planning to implement the Medicaid expansion through an approved Section 1115 Waiver (Arkansas, Iowa, Michigan, Indiana, New Hampshire, and Montana). New Hampshire and Montana will be effective in January 2016. Pennsylvania received waiver approval, but transitioned to a state plan amendment in mid-2015, so Pennsylvania is not included in the discussion of current and pending waivers.


In addition, two states currently have waiver proposals pending with CMS: Arizona and Michigan. Arizona implemented the expansion, but is now seeking changes based on state law. Michigan has a pending waiver amendment seeking changes required by state law to continue its expansion after April 2016.

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Kentucky And Feds Near Possible Collision On Altering Medicaid Expansion

Kentucky And Feds Near Possible Collision On Altering Medicaid Expansion | Medicaid Reform for Patients and Doctors | Scoop.it
By Aug. 1, Republican Gov. Matt Bevin is expected to ask the Obama administration to approve significant changes on many Medicaid enrollees, including monthly premiums and a work requirement.
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Medicaid Per Capita Cap Proposals

Medicaid Per Capita Cap Proposals | Medicaid Reform for Patients and Doctors | Scoop.it
The House Republican Plan (“A Better Way”) released on June 22, 2016, includes a proposal to convert federal Medicaid financing from an open-ended entitlement to a per capita allotment or a block grant (based on a state choice). This proposal is part of a larger package designed to replace the Affordable Care Act (ACA) and reduce federal spending for health care. Often tied to deficit reduction, proposals to convert Medicaid’s financing structure to a per capita cap or block grant have been proposed before. Such changes represent a fundamental change in the financing structure of the program with major implications for beneficiaries, providers, states and localities. Key things to understand about a per capita cap include the following: how a per capita cap works, key design challenges, and implications of a per capita cap.
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In surprising turnabout, Oklahoma eyes Medicaid expansion

In surprising turnabout, Oklahoma eyes Medicaid expansion | Medicaid Reform for Patients and Doctors | Scoop.it
OKLAHOMA CITY (AP) — Despite bitter resistance in Oklahoma for years to President Barack Obama's health care overhaul, Republican leaders in this conservative state are now confronting something that alarms them even more: a huge $1.3 billion hole...
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Suicide rates – and how Medicaid can help

Suicide rates – and how Medicaid can help | Medicaid Reform for Patients and Doctors | Scoop.it
Obamacare's Medicaid expansion probably wouldn't dramatically reduce the incidence of suicide in the United States. But it would help.
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Medicaid Expansion Sparks Savings, Revenue

Medicaid Expansion Sparks Savings, Revenue | Medicaid Reform for Patients and Doctors | Scoop.it
More data confirms it: States that have expanded Medicaid are experiencing increased savings. And states that have in place taxes on hospitals and health plans are seeing additional revenue.
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In conservative Indiana, Medicaid expansion makes poorest pay

In conservative Indiana, Medicaid expansion makes poorest pay | Medicaid Reform for Patients and Doctors | Scoop.it
Experimental approach is testing how far a state can go under the Affordable Care Act to make low-income people share responsibility for their health-care costs.
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Copays, work referrals, other measures eyed for Louisiana Medicaid expansion

Copays, work referrals, other measures eyed for Louisiana Medicaid expansion | Medicaid Reform for Patients and Doctors | Scoop.it
After making Medicaid expansion central to his campaign in the fall, Gov.
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Medicaid and CHIP Eligibility, Enrollment, Renewal, and Cost-Sharing Policies as of January 2016: Findings from a 50-State Survey

Medicaid and CHIP Eligibility, Enrollment, Renewal, and Cost-Sharing Policies as of January 2016: Findings from a 50-State Survey | Medicaid Reform for Patients and Doctors | Scoop.it
This 14th annual 50-state survey of Medicaid and CHIP eligibility, enrollment, renewal, and cost-sharing policies as of January 2016 provides a snapshot of state Medicaid and CHIP policies in place two years into the post-ACA era.
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CMS Approves California Medicaid Waiver. How Does It Differ From Texas’ Expiring 1115?

CMS Approves California Medicaid Waiver. How Does It Differ From Texas’ Expiring 1115? | Medicaid Reform for Patients and Doctors | Scoop.it
California is the latest state to receive federal approval for the renewal of a waiver meant to pay for reforming the Medicaid program by instituting new care delivery strategies and platforms.
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Iowa’s radical privatization of Medicaid is already struggling

Iowa’s radical privatization of Medicaid is already struggling | Medicaid Reform for Patients and Doctors | Scoop.it
The rollout of Republican Gov. Terry Branstad’s plan has gone even worse than HealthCare.gov.
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