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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 […]
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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 […]
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The problematic law and policy of Medicaid block grants

https://www.healthaffairs.org/do/10.1377/hblog20190722.62519/full/
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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
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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
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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
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U.S. House Democratic leaders unveil health bill, minus Medicare-for-All

“House leaders are taking several steps to lower costs and shore up Obamacare, even as the landmark law comes under new legal threat from a lawsuit by Republican-led states” https://www.cnn.com/2019/03/26/politics/house-democrats-health-care/index.html
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Managed care stocks slide as investors eye national policy proposals

“Provisions in the Democratic legislation may be most positive for Centene Corp., Molina Healthcare Inc. and, to a lesser degree, Cigna Corp.” https://www.fa-mag.com/news/managed-care-stocks-slide-as-investors-eye-legislative-risk-44008.html
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Centene and WellCare combine to create a premier healthcare enterprise focused on government-sponsored healthcare programs

“Centene and WellCare are two high-performing companies with decades of experience serving a broad range of states and large government programs. Together, the combined company will have meaningful product diversification and the opportunity to better serve members, help them achieve better health outcomes and drive growth” https://centene.gcs-web.com/news-releases/news-release-details/centene-and-wellcare-combine-create-premier-healthcare
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U.S. senators ask CBO to review options for preventing surprise medical bills

“The leaders of the Senate Health Committee are asking the Congressional Budget Office (CBO) to analyze possible options for protecting patients from getting hit with massive, unexpected medical bills” https://thehill.com/policy/healthcare/435177-senators-ask-cbo-to-review-options-for-preventing-surprise-medical-bills
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