State’s Medicaid spending falls off; $22 million drop first in officials’ memory, By Andy Davis, August 6, 2018, Arkansas Democrat-Gazette: “Arkansas’ Medicaid spending fell by $22 million in the fiscal year that ended June 30, the first annual drop in spending for the program state officials could remember. The overall decrease came despite slightly higher spending on Arkansas Works, as the expanded part of the state’s Medicaid program is known…”
Medicaid rule frustrates advocates for homeless, By Ginny Monk, August 9, 2018, Arkansas Democrat-Gazette: “Homelessness service providers said they are confused and frustrated when it comes to filing for exemptions and reporting hours worked to the state so their homeless clients can keep their health insurance. At Wednesday’s monthly meeting of the Arkansas Homeless Coalition, advocates said a difficult-to-maneuver filing system for good-cause exemptions related to homelessness, slow responses to phone calls for help and a website that isn’t always functional made the reporting process challenging…”
States question costs of middlemen that manage Medicaid drug benefits, By Alison Kodjak, August 8, 2018, National Public Radio: “Several states are questioning the cost of using pharmacy middlemen to manage their prescription drug programs in a movement that could shake up the complex system that manages how pharmaceuticals are priced and paid for…”
Red states may be ready to expand Medicaid — in exchange for work, By Christine Vestal, July 30, 2018, Stateline: “Kentucky Republican Gov. Matt Bevin says he doesn’t want more able-bodied poor people to get Medicaid in his state unless a portion of them are required to work. And when Republicans in Virginia agreed to expand Medicaid this year, they also said recipients who are able would have to work. In several states this year, the march to bring health care benefits to more low-income residents came with the insistence that able-bodied adults — who are just a fraction of all Medicaid recipients — put in hours of work or volunteer time each month to retain the assistance…”
Trump spurns Medicaid proposal after furious White House debate, By Robert Pear, July 30, 2018, New York Times: “Hoping to head off a full expansion of Medicaid under the Affordable Care Act, some senior officials in the Trump administration and Republican governors have been pushing hard for a smaller expansion to satisfy a growing political demand in their states. But President Trump decided on Friday to shut down the debate until after the midterm elections, administration officials said…”
Puerto Rico’s wounded Medicaid program faces even deeper cuts, By Sarah Varney and Carmen Heredia Rodriguez, August 1, 2018, National Public Radio: “Blue tarps still dot rooftops, homes lack electricity needed to refrigerate medicines, and clinics chip away at debts incurred from running generators. Yet despite these residual effects from last year’s devastating hurricanes, Puerto Rico is moving ahead with major cuts to its health care safety net that will affect more than a million of its poorest residents…”
Major changes whipsaw Kentucky Medicaid in recent weeks, By Deborah Yetter, July 27, 2018, Louisville Courier Journal: “Kentucky’s Medicaid program has undergone several major changes in recent weeks, confusing health providers and some of the 1.4 million Kentuckians covered by the government health plan. Here’s a look at the major developments…”
As federal Medicaid money fades, how are states funding expansion?, By Mattie Quinn, July 23, 2018, Governing: “In his last few months in office, Maine Gov. Paul LePage is taking his yearslong battle against Medicaid expansion — a central provision of President Obama’s signature health care law — to the state Supreme Court. LePage refuses to grant lawmakers’ and voters’ wishes to make 70,000 more people (adults with incomes at or below 138 percent of the federal poverty level) eligible for Medicaid, the nation’s government-run health insurance program. After he vetoed five expansion bills in five years, Medicaid advocates took the issue to voters, who sided with their state legislators. Still, LePage resists. The reason, he says, is money…”
A vote expanded Medicaid in Maine. The governor is ignoring it., By Abby Goodnough, July 24, 2018, New York Times: “Brandy Staples, a 39-year-old breast cancer survivor, had expected to become eligible for Medicaid coverage this month after Maine voters approved an expansion of the program last fall. Instead, she found herself in a courtroom here on Wednesday, watching the latest chapter unfold in a rancorous, drawn-out battle over whether she and thousands of other poor people in the state will get free government insurance after all. Ignoring the binding vote, Gov. Paul LePage has refused to expand the program, blasting it as a needless, budget-busting form of welfare. He vetoed five expansion bills before the issue made the ballot, plus a spending bill this month that provided about $60 million in funding for the first year…”
