Author: Addie Thompson

 

SCDHHS COVID-19 Medicaid Policy Changes

As a part of the state’s preparation and response to COVID-19, the South Carolina Department of Health and Human Services (SCDHHS) announced several policy changes to protect the health and well-being of South Carolina Healthy Connections Medicaid members by ensuring ongoing access to care. The temporary policy changes outlined below will give providers needed flexibility to help […]

Medicaid Alert: SCDHHS to Replace its Medicaid Management Information System

The South Carolina Department of Health and Human Services (SCDHHS) is replacing its Medicaid Management Information System (MMIS) with a more efficient, modern system that will reduce administrative burden on providers. SCDHHS is using a step-by-step, modular process to transition from the MMIS to the Replacement Medicaid Management Information System (RMMIS). This includes the implementation […]
Posted in News

Study: 1 In 5 Patients Gets A Surprise Medical Bill After Surgery

Two bills up for debate and revision in the House this week aim to stop surprise medical billing — when patients are billed for services their insurance won’t cover. New research reveals just how common surprise billing is after an elective surgery, like a knee replacement or hysterectomy. Tracking data from almost 350,000 patients with […]
Posted in Blog

90% of Americans Have Health Coverage, Government Figures Show

Government figures show that about 90% of Americans have health insurance coverage, many of them benefiting from the Affordable Care Act, while independent experts estimate that over 50% of the roughly 30 million uninsured people are eligible for coverage through existing programs. Kaiser Family Foundation President Drew Altman said instead of crafting plans for universal […]
Posted in News

The problematic law and policy of Medicaid block grants

https://www.healthaffairs.org/do/10.1377/hblog20190722.62519/full/
Posted in News

With Trump’s blessing, some states aim to cap Medicaid rolls

https://www.pewtrusts.org/en/research-and-analysis/blogs/stateline/2019/07/24/with-trumps-blessing-some-states-aim-to-cap-medicaid-rolls
Posted in News

U.S. Senate leaders announce bipartisan proposal to lower drug prices

“The top Republican and Democrat on the U.S. Senate Finance Committee announced a proposal to lower prescription drug prices on Tuesday that could save $100 billion in costs to government healthcare programs, and said the committee would vote on the legislation on Thursday” https://www.reuters.com/article/us-usa-drugpricing/senators-announce-bipartisan-proposal-to-lower-drug-prices-idUSKCN1UI1WS
Posted in News

Healthcare reform: Lessons learned from the past

“Since the early 1900s, health insurance has been a pre-payment plan rather than true insurance. Insurance companies pay providers directly. Patients and providers have little incentive to control costs” https://www.riverbender.com/articles/details/health-care-reform-lessons-learned-from-the-past-36389.cfm
Posted in News

Federal judge upholds a Trump short-term health insurance alternative to ACA

“A federal judge is upholding the Trump administration’s expansion of cheaper short-term health insurance plans as an alternative to the Affordable Care Act’s costlier comprehensive insurance” https://www.businessinsider.com/judge-upholds-a-trump-health-insurance-alternative-to-obamacare-2019-7
Posted in Uncategorized

Pharmacy industry just keeps winning

“The industry has managed to dilute, deflect or defeat almost every legislative, regulatory or judicial effort to rein in its influence in Washington, D.C., and the country at large” https://www.managedcaremag.com/dailynews/20190716/pharma-industry-just-keeps-winning
Posted in Uncategorized