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Keyword: medicaid

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  • Hate Paperwork? Medicaid Recipients Will Be Drowning in It

    01/19/2018 7:14:15 AM PST · by spintreebob · 24 replies
    New York Times ^ | 1-18-18 | Margot Sanger-Katz
    Kentucky’s new Medicaid waiver will ask low-income people to jump over hurdles to keep their coverage. Evidence suggests that many will fail. Washington State ..Instead of requiring people to establish eligibility annually, began requiring them to do so twice a year, and added some paperwork. It worked: Enrollment in the health insurance program fell by more than 40,000 children in a year. Louisiana wanted to maximize the number of eligible children who signed up for coverage, so officials simplified the sign-up process. It also worked: Enrollment surged, and the number of administrative cancellations fell by 20 percentage points. In 2006,...
  • Nine states ready to require jobs for Medicaid enrollees

    01/13/2018 10:18:44 AM PST · by Oshkalaboomboom · 16 replies
    Washington Examiner ^ | Jan 13, 2018 | Kimberly Leonard
    Nine states are planning to implement work requirements for their Medicaid enrollees, following Kentucky, which on Friday became the first place in the country to be approved to create such a program. Arizona, Arkansas, Indiana, Kansas, Maine, New Hampshire, North Carolina, Utah, and Wisconsin have submitted their own proposals, though some will have to work with federal officials to make sure their requests fit the guidelines laid out Thursday by the Trump administration. States have varying requests, according to a Washington Examiner review of Medicaid waiver requests filed to the Centers for Medicare and Medicaid Services. For instance, Indiana, which...
  • Trump poised to take action on Medicaid work requirements

    01/05/2018 9:37:43 AM PST · by DFG · 22 replies
    The Hill ^ | 01/05/2018 | Peter Sullivan
    The Trump administration is preparing to release guidelines soon for requiring Medicaid recipients to work, according to sources familiar with the plans, a major shift in the 50-year-old program. The guidelines will set the conditions for allowing states to add work requirements to their Medicaid programs for the first time, putting a conservative twist on the health insurance program for the poor. Democrats are gearing up for a fight, likely including lawsuits, arguing the administration is trying to undermine ObamaCare’s Medicaid expansion on its own after Congress failed to repeal the health-care law.
  • Nearly 9 million people signed up for ObamaCare

    12/21/2017 11:59:49 AM PST · by GIdget2004 · 35 replies
    The Hill ^ | 12/21/2017 | Nathaniel Weixel
    Nearly 9 million people signed up for coverage through the federal ObamaCare exchanges, according to a top administration official. Last year, 9.2 million people signed up for coverage during an open enrollment period that was twice as long. Approximately 8.8 million people enrolled during the six week open enrollment period, Centers for Medicare and Medicaid administrator Seema Verma tweeted Thursday.
  • California lawmakers propose health coverage for immigrants

    12/14/2017 4:04:20 PM PST · by artichokegrower · 28 replies
    Modesto Bee ^ | December 14, 2017 | JONATHAN J. COOPER
    California, flush with cash from an expanding economy, would eventually spend $1 billion a year to provide health care to immigrants living in the state illegally under a proposal announced Wednesday by Democratic lawmakers. The proposal would eliminate legal residency requirements in California's Medicaid program, known as Medi-Cal, as the state has already done for young people up to age 19.
  • California lawmakers propose health coverage for immigrants [illegal aliens]

    12/14/2017 1:31:40 PM PST · by Oldeconomybuyer · 46 replies
    The Spokesman-Review ^ | December 14, 2017 | By Jonathan J. Cooper (AP)
    SACRAMENTO, Calif. – California, flush with cash from an expanding economy, would eventually spend $1 billion a year to provide health care to immigrants living in the state illegally under a proposal announced Wednesday by Democratic lawmakers. The proposal would eliminate legal residency requirements in California’s Medicaid program, known as Medi-Cal, as the state has already done for young people up to age 19. It’s part of $4.3 billion in new spending proposed by Assemblyman Phil Ting, a San Francisco Democrat who leads the budget committee. While federal funds cover at least half – and as much 95 percent –...
  • Professor: Bad Math Led to $100 Million Medicare Fraud Tally

    12/06/2017 10:25:37 PM PST · by nickcarraway · 10 replies
    Attorneys for a prominent Florida eye doctor used a statistician to challenge the government's assertion that he stole $100 million from the federal Medicaid program. The amount Dr. Salomon Melgen stole will help determine the length of his sentence. The government said its estimate is based on a random sample of 310 patients. But University of North Florida math professor Donna Mohr testified Wednesday the sample wasn't random, making the extrapolation faulty. U.S. District Judge Kenneth Marra didn't say whether he will accept Mohr's testimony. Marra had been expected to sentence Melgen on Thursday after both sides make arguments, but...
  • New Mexico Seeks New Payments From Medicaid Patients

    12/06/2017 10:07:48 PM PST · by nickcarraway · 4 replies
    KOB4 ^ | December 06, 2017 | Morgan Lee
    Low-income Medicaid patients in New Mexico may soon have to pay more for certain brand-name drugs or if they visit the emergency room to receive routine medical care, under a reform plan submitted Wednesday to federal regulators. The state Human Services Department applied for federal authorization of new copayments and monthly premiums in an effort to conserve state spending on Medicaid health care for the poor and disabled. Human Service Secretary Brent Earnest said New Mexico's waiver application also would expand services for substance abuse disorders and phase out retroactive health care coverage by 2020 for newly enrolled patients.
  • Hospital-employed physicians drain Medicare

    11/20/2017 5:21:23 PM PST · by spintreebob · 19 replies
    Modern Healthcare ^ | 11-14-2017 | Alex Kacik
    Healthcare costs for four common procedures are rising as hospitals and health systems employ more physicians, according to a new study. A 49% increase in hospital-employed physicians between 2012 and 2015 led to a $3.1 billion increase in Medicare costs related to four specific procedures in cardiology, orthopedics and gastroenterology, according to analysis from consulting firm Avalere Health. Medicare paid $2.7 billion more for diagnostic cardiac catheterizations, echocardiograms, arthrocentesis and colonoscopies delivered in hospital outpatient settings than it would for treatment in independent facilities, while beneficiaries footed a $411 million higher bill. Hospital-employed physicians performed more services in costlier hospital...
  • Maine governor says he won't implement voter-approved Medicaid expansion without full funding

    11/10/2017 2:34:40 PM PST · by buckalfa · 7 replies
    Becker's Hospital Review ^ | November 10, 2017 | Kelly Gooch
    On Tuesday, Maine became the 32nd state to approve Medicaid expansion and the first to do so via referendum. But Republican Gov. Paul LePage is pushing back. In a statement released the day after the vote, the governor referenced costs associated with the initiative, saying taxpayers would be on the hook for "hundreds of millions of dollars." "The last time Maine experimented with Medicaid expansion in 2002 under then-Gov. Angus King, it created a $750 million debt to hospitals, resulted in massive budget shortfalls every year, did not reduce emergency room use, did not reduce the number of uninsured Mainers...
  • Maine Just Jumped On The Medicaid Expansion Bandwagon

    11/08/2017 1:27:27 PM PST · by SeekAndFind · 15 replies
    Hotair ^ | 11/08/2017 | Jazz Shaw
    While everyone else was focused on the drubbing the GOP was taking in the New Jersey and Virginia gubernatorial races, something equally disturbing was taking place up in Maine. Despite Governor Paul LePage’s best efforts in recent years, the voters there overwhelmingly voted to expand Medicaid coverage under Obamacare. Considering the state’s graying population and rising health insurance premiums, it probably wasn’t all that shocking. (Associated Press) Residents in this rural state grappling with a heroin epidemic and an aging population voted Tuesday to deliver a rebuke to Republican Gov. Paul LePage and join 31 other states that have...
  • Wolf Vetoes Medicaid Work Requirements

    10/21/2017 9:18:10 PM PDT · by Extremely Extreme Extremist · 3 replies
    CBS PHILLY ^ | 22 OCTOBER 2017 | TONY ROMEO
    HARRISBURG, Pa. (CBS) — As promised, Governor Wolf has vetoed a bill that intended to impose new requirements on Medicaid recipients. The bill vetoed by Governor Wolf contained provisions that sought to include work or work search requirements in Pennsylvania’s Medicaid program. Prior to the governor’s action, Dan Moul and a group of state House Republicans held a news conference urging Wolf to sign the bill.
  • Pro-Trump states most affected by his health care decision [fakenews]

    10/14/2017 7:15:58 AM PDT · by Olog-hai · 16 replies
    Associated Press ^ | Oct 14, 2017 9:47 AM EDT | Christina A. Cassidy and Meghan Hoyer
    President Donald Trump’s decision to end a provision of the Affordable Care Act that was benefiting roughly 6 million Americans helps fulfill a campaign promise, but it also risks harming some of the very people who helped him win the presidency. Nearly 70 percent of those benefiting from the so-called cost-sharing subsidies live in states Trump won last November, according to an analysis by The Associated Press.The subsidies are paid to insurers by the federal government to help lower consumers’ deductibles and co-pays. People who benefit will continue receiving the discounts because insurers are obligated by law to provide them....
  • navigators aren't getting credit for their Medicaid achievements

    10/10/2017 10:33:01 AM PDT · by spintreebob · 8 replies
    Washington Post ^ | 10/9/2017 | Paige Winfield Cunningham
    Groups charged with enrolling as many people as possible in Obamacare's insurance marketplaces say the Trump administration didn’t give them credit for signing up thousands more people for Medicaid when the administration dramatically slashed their federal funding this year. The groups known as "navigators," created under the Affordable Care Act to help people obtain coverage, are under fire as Republicans and the Trump administration fight the 2010 law that has provided health coverage to more than 20 million Americans. After attempts to roll back the ACA failed in Congress, Trump's Health and Human Services Department is now targeting the navigators,...
  • My Medicaid Expansion Funding Proposal to Enable Broader Health Care Funding Reform

    10/02/2017 11:34:14 AM PDT · by Brian Griffin · 2 replies
    self | 10/02/2017 | Brian Griffin
    Choice 1 - annual deficit method: The PPACA type Medicaid expansion program shall be continued, but with a participating state having to pay a calendar year share after 2021 at a percentage rate of 10 plus 1 for each prior federal fiscal year after 2017 that had a deficit in excess of $400 billion. If fiscal years 2018, 2019, 2020, 2021 had a deficits of $399 billion, $500 billion, $300 billion, and $401 billion, respectively, the state share would go from 10% to 12%. Choice 2 - increase in national debt method: The PPACA type Medicaid expansion program shall be...
  • I Was On Medicaid For Years. It’s Horrible And Should Be Cut, Not Expanded

    09/23/2017 8:05:30 PM PDT · by SeekAndFind · 26 replies
    The Federalist ^ | 09/23/2017 | Bethany Mandel
    Progressives have never met an entitlement program they didn’t like. Americans’ love affair with free things, even when they cost us dearly in increased taxes, regulatory costs, limitations on choice, and more, ensures that once an entitlement program is passed, the only change we will see to it is expansion. That is ultimately why Obamacare will never be repealed and why the only change that has happened in the 52 years since Medicare and Medicaid were signed into law is the growth of the entitlement programs.On its face, Medicaid sounds like a worthy and worthwhile use of American taxpayer...
  • State pursues Medicaid premiums, copays to cover rising costs

    09/21/2017 11:56:26 AM PDT · by Oldeconomybuyer · 6 replies
    Santa Fe New Mexican ^ | September 20, 2017 | By Andrew Oxford
    New Mexico residents enrolled in Medicaid may have to cough up more money for their health care costs by the end of the year or early next year under a proposal that aims to offset state spending on the program. New Mexico’s Medicaid rolls have swollen since Gov. Susana Martinez expanded low- or no-cost health insurance in 2014 to cover adults with incomes slightly above the federal poverty level, up to about $16,600. As of July, more than 250,000 New Mexicans had enrolled in Medicaid under the program expansion. A single patient earning $12,060 a year could end up having...
  • I watched my patients die of poverty for 40 years. It’s time for single-payer.(Barf alert)

    09/13/2017 3:25:05 PM PDT · by Ennis85 · 65 replies
    Washington Post ^ | 13th September 2017 | David A. Ansell
    Sarai was 25 years old when she died of Wilson’s disease, an inherited disorder that causes liver failure. A liver transplant could have cured her, but she was uninsured and was denied an appointment at two prominent Chicago transplant hospitals, including my own. Sarai’s plight was brought to my attention when a local religious group held a hunger strike advocating transplant access for Sarai and other uninsured patients. When she died, her congregation marched seven miles, holding her photograph and lugging coffins emblazoned with her name, to launch a sit-in in front of Northwestern University Hospital. Her death certificate named...
  • The Swamp Is Incoherent on the Rule of Law, Thanks to Pharma

    09/09/2017 5:42:49 AM PDT · by Kaslin · 10 replies
    Townhall.com ^ | September 9, 2017 | Mytheos Holt
    The bipartisan Washington, DC “consensus” has so many blind spots, you’d think its exponents lived in a black box. Recently, it has become clear that one of the biggest of those blind spots is the federal government’s treatment of the pharmaceutical industry.This can be most clearly seen in the troubling continuity between the favored policy of pharma-friendly elements within the Trump administration, and the Obama administration’s own weakness on a critical policy in the battle over drug prices: namely, the 340B drug pricing program.As granular followers of pharmaceutical policy will already know, 340B is a program passed during the first...
  • Why We're Doomed: The point is the present system cannot endure

    09/01/2017 8:44:20 AM PDT · by SeekAndFind · 13 replies
    Of Two Minds ^ | 08/31/2017 | Charles Hugh Smith
    Authored by Charles Hugh Smith via OfTwoMinds blog,The point is the present system cannot endure.Despite all the happy talk about "recovery" and higher growth, wages have gone nowhere since 2000--and for the bottom 20% of workers, they've gone nowhere since the 1970s.Gross domestic product (GDP) has risen smartly since 2000, but the share of GDP going to wages and salaries has plummeted: this is simply an extension of a 47-year downtrend.Last month I posted one reason Why We're Doomed: Our Economy's Toxic Inequality (August 16, 2017). The second half of why we're doomed is stagnant wages. Why do stagnating...