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Medicaid

September 20, 2019 | Daily News

Several high-profile health experts were upset by CMS Administrator Seema Verma’s recent blog in which she denied the increase in uninsured Americans was due to a decline in Medicaid enrollees and instead blamed it on the Affordable Care Act, including Families USA Eliot Fishman who told Inside Health Policy he has been frustrated by the GOP’s narrow focus on the unsubsidized population even as affordability remains a challenge for lower-income people.

September 19, 2019 | Daily News

The House on Thursday (Sept. 19) passed a short-term continuing resolution to fund the government through Nov. 21 and avert a government shutdown Oct. 1, and the Senate reportedly will take up the CR next week.

September 19, 2019 | Daily News

Fifty-nine percent of Medicaid beneficiaries under the age of 21 received a well-child screening in fiscal 2017 -- a decrease of five percentage points from fiscal 2010 and well short of CMS’ target ratio of 80%, according to a new report from the Government Accountability Office.

September 18, 2019 | Daily News

A package of so-called health extenders was tucked into the continuing resolution introduced in the House late Wednesday (Sept. 18) to avert a government shutdown Oct. 1.

September 18, 2019 | Daily News

Senate Appropriations health subcommittee Chair Roy Blunt (R-MO) released a fiscal 2020 HHS funding bill on Wednesday (Sept. 18) that would extend some health programs set to expire on Sept. 30 for an additional year, despite work done by the House Energy & Commerce Committee and the Senate health committee this summer to extend these programs for a longer period of time.

September 17, 2019 | Daily News

Tennessee on Tuesday (Sept. 17) unveiled its proposal to receive much of its federal Medicaid money in the form of a block grant -- a plan that includes requests for a closed drug formulary and significant new freedom from federal regulatory requirements on managed care contracts, optional benefits and how Medicaid funds can be used.

September 17, 2019 | Daily News

Mental health and substance use treatment advocates are calling on Congress to reauthorize funding for mental health clinics, remove barriers to medication-assisted treatment and allow mental health counselors to bill Medicare.

September 16, 2019 | Daily News

The Certified Community Behavioral Health Clinic demonstration program lost its funding Friday (Sept. 13) for the second time this year after a short-term extension lapsed, threatening access to medication-assisted treatment and the jobs of those who work at these clinics, according to patient advocates.

September 16, 2019 | Daily News

State efforts to manage the costs of care for high-expenditure Medicaid beneficiaries have had mixed results, and the most significant barriers to better care management are difficulties dealing with social determinants of health, shortages of providers in rural areas and an inability to contact some beneficiaries, the Government Accountability Office says in a new report.

September 13, 2019 | Daily News

CMS on Friday (Sept. 13) warned states that it will use “deferrals, disallowances or compliance actions” to enforce a new regulatory policy that prevents states from automatically deducting union dues from Medicaid payments made to independent home health workers.

September 13, 2019 | Daily News

Plans say prior authorization for medication-assisted treatment (MAT) for individuals with substance use disorders helps the treatment be used safely and effectively, but providers are worried that prior authorization is a barrier to treatment in the middle of an opioid crisis.

September 12, 2019 | Daily News

The Certified Community Behavioral Health Clinic demonstration program will lose its funding on Friday (Sept. 13) if the Senate does not act to pass another extension, and, despite reassurances by senators that funding is a priority, nothing appears to be moving forward ahead of that deadline.

September 12, 2019 | Daily News

The Nebraska Supreme Court has declined to hear a lawsuit -- at least for now -- that seeks to force state officials to speed up their implementation of the state’s voter-approved Medicaid expansion.

September 11, 2019 | Daily News

A panel of two liberal judges and one conservative judge will decide the Trump administration’s appeal of rulings that blocked Medicaid work requirements in Arkansas and Kentucky.

September 11, 2019 | Daily News

The Center for American Progress is pushing a number of policy options to help struggling rural hospitals stay open, some of which echo policy platforms from Democratic presidential hopefuls, and the left-leaning group is also imploring the Trump administration to stop allowing states to waive non-emergency medical transportation benefits in Medicaid.

September 10, 2019 | Daily News

A drop-off in Medicaid enrollment was the primary driver of the nation’s uninsured rate climbing to 8.5% in 2018 -- the first year since 2009 that the rate increased, according to national census data released Tuesday (Sept. 10).

September 10, 2019 | Daily News

House Republicans at a hearing Tuesday (Sept. 10) worried that passing federal legislation to ensure Medicaid coverage for beneficiaries up to one year after giving birth would prevent states from deciding how long new mothers should be covered by the program.

September 10, 2019 | Daily News

Democratic advocates and lawmakers on Tuesday (Sept. 10) blasted the Trump administration’s health policy agenda after the U.S. Census found nearly 2 million people more were uninsured in 2018 than in 2017, and they warned that the Department of Justice’s stance against Obamacare in the Texas lawsuit could further destroy the health care system.

September 09, 2019 | Daily News

Maternal health advocates applauded a CMS issue brief on improving rural maternal health, but some advocates say the agency can still go further to extend Medicaid for postpartum women, and one researcher added that the report’s lack of a discussion on Medicaid expansion is a glaring omission.

September 09, 2019 | Daily News

The American Medical Association (AMA) said Medicaid is leading the way in combating the opioid crisis and outlined opportunities for the program to further expand treatment for opioid-use disorders, including by removing barriers to medication-assisted treatment (MAT), providing more non-opioid pain management options and expanding access to providers who treat substance-use disorders.

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