MESC 2018 Recap: Day 2

The annual Medicaid Enterprise Systems Conference (MESC) began day 2 with a deep dive into Machine Learning for Medicaid Payers and Providers, followed by sessions on successful modular MMIS implementations and best practices from state reuse initiatives, including that of New Jersey and Pennsylvania.

If you weren’t able to attend, check out our MESC recap of key takeaways.

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Virginia Senate passes Medicaid Expansion

400,000 Virginians will soon benefit, following Wednesday’s decision by state legislature, to expand its Medicaid program.  

Virginia joins 32 states and the District of Columbia in expanding its public health insurance program under the Affordable Care Act. The new health care law, which is slated to take effect on January 1, would introduce changes to Virginia’s Medicaid program, which, according to reports, is one of the most “restrictive” in the nation.  

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CMS cautions non-expansion states about Medicaid work requirements

CMS Administrator Seema Verma is worried about a “subsidy cliff” in states that have not expanded Medicaid but are seeking to implement Medicaid work requirements.

The cliff impacts those who earn too much to qualify for Medicaid, but not enough to receive government subsidies. Verma is worried that if states without expanded Medicaid programs require recipients to get jobs, the added income will push them into this grey zone, leaving them without coverage.

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A unified platform: Healthcare for all

On February 27th, Congressman Ben Ray Luján (D-NM), hosted a Medicaid Buy-In roundtable discussion, with the intent to connect the New Mexico Legislature with national healthcare professionals to collaborate and develop a robust Medicaid Buy-In study. The study tried to find ways to reduce the state’s uninsured rate. This would be achieved by making health insurance more affordable and allow those who earn too much to qualify for Medicaid to pay premiums for a Medicaid-like program.  

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1332 State Innovation Waivers: Current status & potential opportunities

Section 1332 waivers, or state innovation waivers, allow states to apply to the federal government to waive certain provisions of the Affordable Care Act (ACA). This can allow the states to pursue innovative strategies for providing residents with access to quality, affordable insurance, while retaining the law’s basic protections. In this blog we evaluate state’s waiver approval statuses. 

Below is our analysis for states with approved, pending, and withdrawn requests.

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Does the Healthy Indiana Plan 2.0 have national aspirations?

For the last six years, the Healthy Indiana Plan (HIP) has delivered quality care, encouraged the use of preventive services, and received measurable results. By incorporating the essence of a high deductible health plan and health savings account (HSA), the Medicaid expansion project became the first in the nation to adopt – and successfully demonstrate – the linkage of personal responsibility with subsided health protection to low-income individuals.

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Trump Administration releases guidance on Medicaid work requirements

What happened?  

In a major shift that could affect millions of low-income people receiving benefits, The Trump Administration announced Thursday, January 11, that it will open the door for states to require work requirements for Medicaid recipients.  

The guidance was published in a letter from CMS Deputy Administrator Brian Neale to State Medicaid Directors Thursday morning. In the letter, Deputy Administrator Neale stated that the move would help “improve Medicaid enrollee health and well-being through incentivizing work and community engagement.” 

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