CSG Midwest
Starting in January, states that chose to expand their Medicaid programs under the Affordable Care Act will have to begin paying part of the associated costs, and three of the Midwest’s expansion states say they will rely at least in part on revenue from their taxes on health care providers.

Seema Verma, a health policy consultant from Indiana, has been picked by President-elect Donald J. Trump to direct the Centers for Medicare and Medicaid within the U.S. Department of Health and Human Services according to Politico.

Health policies and programs in the states face an uncertain future with the election of Donald J. Trump. During his campaign he vowed to repeal the Affordable Care Act.

Currently 73 million Americans are enrolled in the Medicaid program, a federal-state partnership program for which the federal government pays 62 percent of total expenditures. A Medicaid block grant, one proposal under discussion, might provide the states more flexibility but also might transfer more financial responsibility, especially in the long term, to the states. 

Today's Stateline article by Christine Vestal highlights three states--California, Maryland and New York--that are moving to use Medicaid reimbursement policies to facilitate more counseling for substance use addicts who are in medication-assisted treatment. 

More than 20 legislators from 16 states--many of them in key leadership positions on health or budget committees that deal with Medicaid in their home states--attended a CSG policy academy in Washington D.C. on September 21-23, 2016, to learn how states are making reforms in their Medicaid program that pursue the health "triple aim": improving the quality of care for individuals, improving the health of populations, and reducing per capita costs of health care.

Maybe, but not as soon as Gov. Bentley had hoped.

On Tuesday, Aug. 23, the Alabama House failed to allow a committee meeting to move forward in time to get the lottery proposal, as a constitutional amendment, on the Nov. 8 general election ballot, according to media coverage by AL.com.

CSG Midwest
Minnesota was an early adopter of the use of health care homes, and a five-year study of their impact shows promising results for any state looking to reduce health costs and improve patient outcomes.
“Given how much is spent for Medicaid, Medicare and dually eligible enrollees, you can create large savings and bend the cost curve,” says Douglas Wholey, a professor of health policy at the University of Minnesota and the study’s lead evaluator.

Gov. Matt Bevin, elected in November 2015 and who had pledged during his campaign to eliminate Medicaid expansion which brought health coverage to 400,000 previously uninsured individuals, announced yesterday his plan to transform Kentucky’s Medicaid system through an 1115 waiver. The new waiver will cover almost all the Medicaid enrollees eligible under the pre-expansion rules as well as all the newly eligible under the expansion rules.

Bevin said his plan is an opportunity “to come up with what is going to be truly a transformative and sustainable and fantastic program,” according The Courier-Journal coverage of the press conference. He pledged to both save money—$2.2 billion in combined state and federal funding over the next five years—and reduce the number of Medicaid enrollees—86,000 people by 2021 by moving them to private insurance.  

According to two recent studies, states that chose to expand Medicaid coverage under the Affordable Care Act have experienced budget savings, revenue gains, and stronger hospitals as a result.

An informational bulletin was released June 1, 2016,  by federal Medicaid officials to inform states how to use Medicaid funds to help states and territorities to prevent, detect and respond to the Zika virus.

For instance, states could choose to cover the costs of over-the-counter insect repellants if prescribed by a health care professional. Additional family planning counseling can be a tool to prevent the spread of the Zika virus and...

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