Friday Five - May 5, 2017

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May 05, 2017

This week in our Friday Five series, MAXIMUS is sharing how the American Health Care Act made it through the House and what happens next; why Maine is looking to implement Medicaid work requirements; and, how states’ Medicaid spending stacks up. 

House Passes AHCA: How It Happened, What It Would Do and Its Uncertain Senate Future

The House of Representatives yesterday passed the American Health Care Act by a near party-line vote of 217 to 213. While the AHCA does not repeal the ACA, it does eliminate nearly $900 billion in taxes imposed by the ACA on higher-income taxpayers and health care providers or insurers. It also cut Medicaid by phasing out enhanced funding for the Medicaid expansion and moving Medicaid to a block grant or per capita cap program. Health Affairs Blog breaks down what is and isn’t in the new bill and how it might more forward in the Senate.

Maine Joins the Throng Seeking Medicaid Work Requirements

Earlier this week, Maine posted a waiver stating it will ask the Centers for Medicaid and Medicare Service (CMS) for permission to overhaul its Medicaid program by requiring able-bodied adults to work at least 20 hours a week or prove that they are searching for work. The state would join the ranks of other states seeking to implement work requirements, namely, Kentucky, Arizona, Florida and Ohio. Modern Healthcare details Maine’s proposal and the impact it would have on the Medicaid community.

Payers Offer Ten Ways to Improve Cost, Quality of Long-Term Care

Long-term care – and adequately preparing for loved ones’ aging processes – can help millions of people across the country. According to a recent report by the National Association of Insurance Commissioners (NAIC), the ten federal policy recommendations on this topic for Congress include allowing for the creation of stand-alone long-term care savings accounts and establishing more generous federal tax incentives. Visit HealthPayerIntelligence to learn about the report’s eight other recommendations.

Veterans Affairs Leveraging Health IT to Address Its Five Top Priorities

Veterans Affairs Secretary David Shulkin recently outlined his five priorities for the agency: greater choice, modernizing the health care delivery system, efficiency, timeliness of care and suicide prevention. One of the ways the VA is tackling these priorities is with its new Access and Quality Tool, a “first-of-its-kind” online tool that provides patient wait time and quality of care data to veterans. Health Data Management sheds more light on how the VA is looking to revamp and modernize its service delivery.

State Variation in Medicaid Per Enrollee Spending for Seniors and People with Disabilities

A range of options for Medicaid financing means there is substantial variation among state Medicaid programs in the eligibility pathways and covered services for seniors and people with disabilities. For example, per enrollee spending for children with disabilities averages $6,945 in Tennessee and $53,557 in New Hampshire. Kaiser Family Foundation outlines differences in Medicaid spending at the state level and how that impacts local populations.