Friday Five - September 8, 2017

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September 08, 2017

In this week’s Friday Five, MAXIMUS is reading about what’s next for Congressional healthcare efforts, the impact of states seeking changes to Medicaid, and Oregon’s efforts to catch up on their Medicaid eligibility backlog.

1. Week ahead: Congress returns to take up bipartisan healthcare effort 

Congress has returned from recess and will be holding multiple hearings on bipartisan healthcare bills this month, The Hill reports. The goal of the hearings is to pass a bill that will stabilize the insurance markets for the upcoming year. Also on the table is CHIP reauthorization, currently slated to expire at the end of the month.

2. The battle for mental health coverage isn’t over

This opinion piece in the Tennessean strongly argues against proposed policy changes and budget adjustments that would negatively and disproportionately affect individuals suffering from mental illness or substance abuse. 

3. Iowa seeks to cut Medicaid healthcare benefit to save money

Currently, care facilities can be reimbursed retroactively by Medicaid for costs incurred for up to three months prior to when a patient applied for the program. As reported in the Newton Daily News, Iowa has requested permission to eliminate this provision in order to cut costs, replacing it with a more limited policy. 

4. Most Healthy Indiana plan members would be exempt from state’s proposed work requirement

Indiana has submitted a waiver request to the federal government proposing to enact work requirements for Medicaid recipients. This article from NWI Times states that the requirement would apply to less than 30% of current recipients (approximately 130,000 individuals). Nearly 30% of recipients are already employed, while others meet at least 1 of 13 other exemptions.

5. OHA finds 23K no longer qualified for Medicaid as it works through backlog

The Portland Business Journal reports that the Oregon Health Authority has worked its way through a backlog of eligibility checks caused by a technical issue. Slightly more than 2% of the 1 million overall members were found to no longer qualify for benefits.