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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 […]

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
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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
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Rising health insurance deductibles fuel middle-class anger and resentment

“Health insurance — never a standard protection in the U.S. as it is in other wealthy countries — has long divided Americans, providing generous benefits to some and slim-to-no protections to others.  But a steep run-up in deductibles, which have more than tripled in the last decade, has worsened inequality, fueling anger and resentment and adding to the […]
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Unsubsidized household ACA premiums top $1,400 per month

“Meanwhile, deductibles for families and individuals dropped by more than 6%” https://www.healthleadersmedia.com/finance/unsubsidized-household-aca-premiums-top-1400-month
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Public Option kills private insurance

“Government insurance options mainly erode, or ‘crowd out,’ private insurance, rather than provide coverage to the uninsured.  When government insurance expands, six people go off private insurance for every 10 people who go on public insurance” https://www.wsj.com/articles/public-option-kills-private-insurance-11563309118
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How to get a cheaper prescription before leaving the doctor’s office

“Consumers abandon hundreds of thousands of prescriptions each year at the pharmacy, often because of high prices, jeopardizing their health and often leading to higher costs down the road”
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CMS proposes to relax Medicaid patient care access measures

“The rule could leave states to develop their own network adequacy and patient care access standards in Medicaid” https://patientengagementhit.com/news/cms-proposes-to-relax-medicaid-patient-care-access-measures
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CMS hospital penalties not lowering infection, readmission rates

“A penalty program established to reduce infections and other complications in U.S. hospitals hasn’t made these events less likely or reduced fatalities or repeat hospitalizations, a large study suggests” https://www.reuters.com/article/us-health-hospitals-infections/penalties-not-lowering-hospital-acquired-infection-rates-idUSKCN1U528P
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Trump administration pushes U.S. at-home kidney care, transplant availability

“The Trump administration on Wednesday set goals to move more kidney disease treatment into patients’ homes and increase transplants while reducing the U.S. reliance on more costly dialysis clinics” https://www.reuters.com/article/us-usa-healthcare-dialysis/trump-administration-pushes-u-s-at-home-kidney-care-transplant-availability-idUSKCN1U51QD
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