Let the Data Speak for Itself: The Relationship Between Work and Health

Both before and after the Centers for Medicare and Medicaid Services’ (CMS) policy reversal on work requirements, stakeholders have debated whether employment leads to improved health outcomes. CMS and states that have implemented or are trying to implement work requirements argue they do, while others disagree. The recent research of the Kaiser Family Foundation (KFF), a nonpartisan organization, illuminates what the data says on the relationship between work and health. This piece provides a recap of KFF’s findings.

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CMS Continues Mission on Integrity with Affiliations Final Rule

Last week, the owner and CEO of Video Doctor Network pled guilty to a $424 million Medicare kickback scheme. He admitted to receiving kickbacks and bribes from recruiters, pharmacies and brace suppliers in turn for arranging doctors to order medically unnecessary orthotic braces for Medicare beneficiaries. As reported by Healthcare Dive, this is one of the largest schemes to defraud Medicare ever investigated by the Federal Bureau of Investigation (FBI) and the Health and Human Services (HHS) Office of the Inspector General and prosecuted by the Department of Justice.

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HMA Conference Recap

The Health Management Associates (HMA) conference brought together hundreds of industry executives from health plans, governments and community-based organizations serving Medicaid, Medicare and vulnerable populations. Set in Chicago, Illinois, the conference shed a light on the challenges and opportunities for health care entities in the publicly sponsored health care arena.

In case you were not able to attend, here is a recap of the key topics discussed:

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MESC Recap: Day 3 & 4

The Medicaid Enterprises Systems Conference (MESC) ended on a positive note by discussing how analytics has been used by state Medicaid agencies to solve the opioid crisis and how Florida has successfully modernized its member service experience.

In case you were not able to attend, here is our recap of the key topics discussed:

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MESC Recap: Day 2 & 3

The Medicaid Enterprise Systems Conference (MESC) continued day 2 and day 3 by discussing the most pertinent issues facing Medicaid: modularity, user acceptance testing, automation, mobility and enterprise transformation. Attendees are addressing state challenges and keeping the Medicaid modernization at the forefront of proposed solutions.   

In case you were not able to attend, here is our recap of key topics discussed: 

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Converging Social Determinants of Health and Medicaid Managed Care

Policymakers are recognizing the impact that social and economic factors have on a consumer’s approach to healthcare. Access to housing, healthy food, and income must be taken into consideration as a person determines the appropriate health plan coverage. Social determinants of health (SDOH) can control up to 80% of health outcomes according research by the Robert Wood Johnson Foundation (RWJF). This statistic encompasses mainly Medicaid’s low-income enrollees who struggle with covering basic needs.

In this blog we’ll discuss the growing focus around Medicaid Managed Care and how social determinants of health can recover health outcomes.

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CBO Report: A New Framework on Single-Payer Health Care

Earlier this month, the Congressional Budget Office (CBO) released a report outlining options and technicalities lawmakers need to consider to establish a single-payer health care system in the United States. Although a lot to assess, the “single-payer” term generally refers to a system in which health care is paid for by a single public authority, as stated by Kaiser Health News (KHN). While once a pipe dream, this topic is officially mainstream and cultivating questions quickly.  

Here’s what you need to know: 

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