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Forbes
There is escalating opposition building across the country to an effort by the Trump White House and the Republican-led Congress to give each state a fixed block grant of federal money to pay for Medicaid coverage for poor Americans.
"The less you know about Medicaid, the more block grants make sense," said Jeff Myers, Medicaid Health Plans of America president and CEO. "Given that, I think the feds ultimately will abandon the idea of block grants for Medicaid and turn to other forms of state-capitated payments, which likely will be 'per capita caps.'"
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Morning Consult
A Republican proposal to change how Medicaid is financed could save the federal government up to $150 billion, according to a new report. Block-granting Medicaid — when states receive a set amount of federal money to put towards the program — would result in $150 billion less in federal Medicaid spending over five years, according to an analysis released Monday by Avalere Health, a health care consulting group. Shifting to per capita caps — when states receive a set amount of federal money per beneficiary — would save $110 billion over five years, according to Avalere.
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The Hill
Two of the top Republicans in Congress on Monday said they are pushing ahead with the plan to begin repealing Obamacare this spring, despite any confusion caused by President Donald Trump saying the process could spill into next year. House Ways and Means Committee Chairman Kevin Brady (R-Texas) told reporters that he is working off of Speaker Paul Ryan's (R-Wisconsin) timeline of moving repeal legislation by the end of March.
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The Hill
Congressional Republicans are facing their first big decision on taxes under President Donald Trump: Which ones to scrap in the repeal of Obamacare. Republicans have in the past sought to erase most of the big tax hikes in the healthcare law, and the chairmen of the tax-writing committees have expressed support for eliminating the taxes in a repeal bill.
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Modern Healthcare (Access with free registration)
The CMS is hoping states will continue in a test to better manage benefits and care for low-income and disabled Americans. The agency sent a notice on Jan. 19 to Massachusetts, Minnesota and Washington to see if officials in those states would extend pilot programs that aim to better coordinate care for people eligible for both Medicare and Medicaid. All three states launched their efforts in 2013 and they are all on track to end next year. The agency wants to keep them going through Dec. 31, 2019, so it can better evaluate if their efforts are working. It has given officials until March 1 to respond.
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KCUR-FM
As direct primary care practices grow, patient advocacy groups warn that they're no substitute for comprehensive medical insurance and patients who treat it that way risk large out-of-pocket bills. But doctors say they're filling a customer service niche that patients aren't finding in practices that depend on insurance reimbursement.
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The Atlanta Journal-Constitution
Georgia Gov. Nathan Deal's push to renew a fee on state hospitals to help close a more than $900 million gap in Medicaid funding took a step forward Wednesday, when the state Senate passed legislation to extend the fee another three years. Senate Bill 70, sponsored by state Sen. Butch Miller, would reauthorize collection of what's officially known as a hospital provider fee until 2020. It passed on a 50-3 vote, after the body easily defeated an effort to shorten the extension to only one year.
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Deseret News
Another 3,000 to 5,000 low-income Utah parents will become eligible for Medicaid under what the Utah Department of Health is calling "limited Medicaid expansion." But approximately 6,500 childless adults who are homeless, involved in the criminal justice system, or in need of substance abuse and mental health treatment remain in limbo.
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The Indianapolis Star
Public safety officials are calling upon the state of Indiana's Medicaid program to cease covering an addiction drug in its film form, which they say has become the top contraband item circulating in the state’s correctional facilities. More than 100 people signed a letter to the head of Indiana's Medicaid program requesting that the state remove the film form of Suboxone, or buprenorphine, from its formulary in the hope of preventing its proliferation inside the Indiana's prisons and jails.
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Alaska Public Media
Health leaders in Alaska say a federal repeal of the Affordable Care Act could make it difficult to implement reforms to Medicaid. That could cost the state the tens of millions of dollars that lawmakers are counting on. Many of the reforms the Legislature included in the Medicaid law it passed last year depend on parts of the Affordable Care Act.
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The JAMA Network
Approximately 20 million individuals have gained health insurance under the Affordable Care Act (ACA), including young adults covered under parental insurance, those purchasing private insurance on exchanges and those covered through state Medicaid expansion.
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