Medicaid News

How Geographic Data Can Help Address Social Determinants of Health

An individual’s zip code is more predictive of her health than her genetic code, but it’s not just zip code data that can help tackle social determinants of health.

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How California could pave the way for text messages in Medicaid

The California Department of Health Care Services (DHCS) has recently issued a policy sketching out how the state’s Medicaid plans can safely use the text messaging technology to connect with members.

Digital health innovators have begun leveraging telehealth tools as well as chatbots and other forms of artificial intelligence to engage Medicaid beneficiaries with behavioral health conditions — a group that accounts for a disproportionate share of spending.

Taking a Personalized, Digital Approach to Wellness Programs

Blue Shield California is taking a new approach to wellness programs to cater to healthcare consumerism and digital innovation in healthcare.

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Income fluctuations, changes in family circumstances, and data inconsistencies can trigger coverage disruptions among Medicaid beneficiaries.

Under the Affordable Care Act (ACA), states can pursue “innovation waivers,” sometimes known as 1332 waivers, as of 2017. These waivers allow states to modify key parts of the law, so long as they stay true to its goals and consumer protections.


Tool Informs Medicaid’s Business Case for Investing in Prevention

State Medicaid agencies and managed care organizations will now be able to estimate the health impact and health care cost savings of investing in childhood obesity prevention initiatives.

2019 Scorecard on State Health System Performance

A state-by-state report measuring access to care, quality of care, health outcomes, and health disparities across the United States.

Mothers in the US Are Dying: What Are We Doing to Save Them?

The maternal mortality rate in the United States is the highest of any developed country – and the rate is rising. The US is currently the most dangerous place to give birth in the developed world.

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Three Rock Health case studies in navigating the startup-enterprise relationship

Wildflower, Omada and Welkin Health have lessons to share about working with large enterprises.

Operate with integrity, humanity: How health-tech startups can avoid scandal

Many healthcare-technology startups are following Mark Zuckerberg and Silicon Valley's pressure to move fast. However, as many have also seen, these tech companies have found themselves in scandal.

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Study: Fewer Heart Deaths Tied To ACA's Medicaid Expansion

The expansion of Medicaid benefits has been linked to “lower cardiovascular mortality in middle-aged adults” in states that expanded such health insurance coverage under the Affordable Care Act, new research indicates.

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Territories Warn Congress of Medicaid Cliff

Witnesses from a handful of U.S. territories urged Congress to avert a Medicaid "cliff" that has the potential to jeopardize medical care for U.S. citizens in already hurting island territories, during a subcommittee hearing of the House Committee on Natural Resources last week.

Medicaid and CHIP Enrollment Decline Suggests the Child Uninsured Rate May Rise Again

There is no debate over the fact that children are losing Medicaid and Children’s Health Insurance Program (CHIP) coverage.

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Five trends shaping the future of Medicaid

The Medicaid program has experienced significant changes since 2010, when the Affordable Care Act was passed. Five trends are likely to affect how the program will change over the next five to ten years.

Medicaid Expansion Fills Gaps in Maternal Health Coverage Leading to Healthier Mothers and Babies

Disruptions in health coverage are associated with adverse health consequences. This is especially true for women in their childbearing years, when a pregnancy means having health coverage is even more important.

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Programs of All-Inclusive Care for the Elderly (PACE) Final Rule (CMS-4168-F)

On May 28, 2019, the Centers for Medicare & Medicaid Services (CMS) is finalizing a rule to update and modernize the PACE program.
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Digital Health – Is It Worth It? How to Calculate ROI in Digital Health

The results are in. A 2019 PEGA survey asked 2,000 U.S. consumers how they felt about recent trends in healthcare, and the response was overwhelming — they want a personal touch, and they want it digital.
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Medicaid Expansion and Birth Outcomes

One of the great successes of the Affordable Care Act has been the expansion of Medicaid. In large part due to this expansion, the number of individuals in the United States with health care coverage has increased by about 25 to 30 million since 2011; following midterm elections, it is likely that additional Medicaid expansion will occur.

Numerof Report: Population Health Is Inevitable, but Initiatives Have Stalled

While population health management continues to gain momentum as a model for cutting healthcare costs and delivering better care, progress towards adoption of risk-based financial models has stalled, according to the fourth annual Numerof Survey Report.
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Study in Journal of Medical Economics Reveals Reduced Medical Spending with the Livongo for Diabetes Program

Livongo, the leading Applied Health Signals company empowering people with chronic conditions to live better and healthier lives, today announced the study findings published in the latest edition of the Journal of Medical Economics.
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Digital Health – Is It Worth It? How to Calculate ROI in Digital Health

The results are in. A 2019 PEGA survey asked 2,000 U.S. consumers how they felt about recent trends in healthcare, and the response was overwhelming — they want a personal touch, and they want it digital.
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Want to Innovate? Dignity's Rich Roth Tells You How

In a HealthLeaders interview with chief strategic innovation officer Rich Roth, he shares how to innovate 'within and outside of healthcare in a way that challenges the status quo.'
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Vida Health unveils machine learning behavior tool, Sleep Health coaching program

Each new offering was designed to support consumers and members managing chronic disease, CEO Stephanie Tilenius said.
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Unite Us Raises $35 Million to Bridge the Gap Between Health and Social Care

Unite Us, the leading care coordination and outcome tracking platform connecting healthcare and social service providers, today announced $35 million in Series B funding led by Oak HC/FT, with participation from Town Hall Ventures and Define Ventures.
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Blue Shield of California Promise Health Plan Helps Medi-Cal Members Receive Quality Care with Timely Culturally Relevant Text Messages

Text messaging in 22 languages helps thousands of Medi-Cal families in Southern California receive improved access to health services.
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Solera Health Welcomes Esteemed Health Plan Executives to Rapidly Growing Leadership Team

Solera Health, an integrated benefits network, today announced that four health plan executives have joined the senior leadership team in support of the company’s strategy to guide people to better health in their communities.



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Got Trust? We Are Ignoring A Vital Predictor Of Engagement In Care

A few years ago, after multiple attempts to convince a patient to keep his clinic appointments, I decided to meet him at a cafe of his choosing.

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10 Things to Know about Medicaid: Setting the Facts Straight

Medicaid is the nation’s public health insurance program for people with low income.

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Thousands lose coverage from Medicaid work requirements

In January 2018, federal officials released guidance on instituting Medicaid work requirements — an unprecedented move for the low-income health program.

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Tight Budgets Slow Medicaid Plans' Pursuit Of Social Determinants Of Health

Health plans that contract with state Medicaid programs are moving to address social determinants of health by paying for affordable housing, food vouchers to purchase fresh vegetables and education screenings at the doctor’s office.

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The Time Is Now: The Case for Digital Health Innovation for the Poor and Underserved

This year venture capitalists and health systems will invest more than $7 billion in digital health solutions including wearables and biosensors like Fitbits, precision medicine and genomics, mobile diagnostics, and clinical decision support via telemedicine.

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What Does the Outcome of the Midterm Elections Mean for Medicaid Expansion?

While not typically an election issue, Medicaid — particularly the Medicaid expansion created under the Affordable Care Act (ACA) — was an important issue in the 2018 midterm elections in a number of campaigns throughout the country.

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Medicaid Enrollment & Spending Growth: FY 2018 & 2019

A stronger economy was a primary factor driving lower Medicaid enrollment growth and relatively steady spending growth as states finished state fiscal year (FY) 2018 and adopted budgets for FY 2019.