Medicaid

Past time to get serious about health care costs

Past time to get serious about health care costs

Legislature must rein in spiraling spending

LAST SEPTEMBER, Pioneer observed that Massachusetts had dodged a federal bullet when the US Senate failed by one vote to repeal the Affordable Care Act. Had they succeeded, the Commonwealth stood to lose billions of federal health care dollars. The near-miss experience should have prodded the Legislature and the governor to bring rampant health care(...)

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Medicaid dental coverage is failing the poor

Medicaid dental coverage is failing the poor

Spotty coverage, low reimbursement rates mean less care for patients now, bigger problems later

WE ARE LOSING a lot of really good teeth. “We” is our community of lower-income adults and children who depend on a broken Medicaid dental care system that short-changes their oral health and by extension, their long-term overall health. “We” also refers to the dental professionals whose responsibility it is to save teeth, but who(...)

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Public health emergency rings hollow

Public health emergency rings hollow

Medicaid cuts would deepen opioid crisis

PRESIDENT TRUMP’S ANNOUNCEMENT that the opioid epidemic is a public health emergency certainly drew attention to the problem, but in reality it is an empty declaration that, at least as of yet, provides no real resources to fight the epidemic. The announcement will give the government more flexibility in the services that are made available(...)

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Alzheimer’s a growing public health crisis

Alzheimer’s a growing public health crisis

Longer lifespans mean higher rates of disease, often undiagnosed

STATE SEN. BARBARA L’ITALIEN‘s mother, Claire, lived with her and her family for 20 years near the end of her life. Claire helped raise Barbara’s four children, enabled Barbara to run her first campaign, and was a great source of support and love for the family. When Claire was diagnosed with Alzheimer’s disease, from which(...)

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Getting to yes on MassHealth

Getting to yes on MassHealth

State leaders need to work together to tackle Medicaid challenge

MASSACHUSETTS HAS A unique culture when it comes to health care.  Over the last quarter century, we have seen the business, provider, payer, consumer, and academic sectors come together to advance reforms aimed at expanding coverage and containing the cost of care. Whether it was repeal of hospital rate-setting and passing insurance reforms in the(...)

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Baker won’t commit to health care assessments

Baker won’t commit to health care assessments

Legislature budget plan includes employer fees, but omits administration Medicaid reforms

STATE HOUSE NEWS SERVICE GOV. CHARLIE BAKER said Monday he has not yet decided whether he will sign off on $200 million in new employer fees he has linked to MassHealth reforms that the Legislature laid aside Friday as part of their budget deal. The budget approved by the House and Senate includes a two-tiered(...)

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Red states dodge a Medicaid bullet

Red states dodge a Medicaid bullet

Under-the-radar attempt to repeal entitlement unlikely to go away

REPUBLICANS IN WASHINGTON couldn’t cobble together enough votes in March from their own party to repeal and replace Obamacare. President Trump learned that health care is more complicated than he thought and quickly put the Affordable Care Act in his rearview mirror. House Republicans, who had symbolically voted dozens of times to repeal the ACA,(...)

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Bending the Medicaid cost curve

Bending the Medicaid cost curve

Massachusetts is betting big on accountable care organizations

IN A WILDLY uncertain national health care environment, something new, audacious, and risky is happening in MassHealth, the Medicaid program that provides health coverage to 1.9 million people who are poor, elderly, and persons with disabilities in Massachusetts. Gov. Charlie Baker’s administration is betting that an emerging health care delivery and payment model, called “accountable(...)

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Voices from Ohio on Medicaid expansion

Voices from Ohio on Medicaid expansion

Experience mirrors that of all states that expanded coverage under ACA

OHIO IS ONE of 31 states that expanded Medicaid as permitted by the Affordable Care Act/Obamacare for nearly all low-income citizens. The state’s Republican governor, former presidential candidate John Kasich, has been among the most vocal proponents of the expansion on the Republican side and has taken a lot of grief for it from ACA(...)

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