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Medicaid

On this week’s Prognosis Ohio, Dan Skinner talks with reporter Marty Schladen from the Ohio Capital Journal about Pharmacy Benefit Manager's (PBM) and the “obscure scheme” that has Ohio taxpayers paying much more than they should for Medicaid drugs.

Ohio Public Radio

Using three quarters of a billion dollars in cuts and some reserve cash and federal Medicaid funding, the state has staved off a budget deficit for the fiscal year that ends on June 30.

Dan Skinner talks with Loren Anthes, who is the William C. and Elizabeth M. Troyhaft Chair in Health Planning at the Center for Community Solutions, and leads Community Solutions’ Center for Medicaid Policy. He's also a lecturer at Ohio University's Heritage College of Osteopathic Medicine, located on the Cleveland campus.

Office of Governor

Following a nearly billion dollar drop in the state's economic picture, Ohio Governor Mike DeWine plans to cut $775 in state spending over the next two months.  

Host: Dan Skinner, Associate Professor of Health Policy, Ohio University, Heritage College of Osteopathic Medicine. Follow him on Twitter.

Guest: Mary Jo Kilroy, former U.S. Congresswoman from Ohio (15th district).

 

A federal appeals court has upheld a lower court decision blocking states' requirements that people must work in order to receive Medicaid.

Residents of Kentucky and Arkansas brought the action against Secretary of Health and Human Services Alex Azar, contending that Azar "acted in an arbitrary and capricious manner when he approved Medicaid demonstration requests for Kentucky and Arkansas."

The U.S. Court of Appeals for the District of Columbia Circuit agreed, writing in an opinion posted Friday that the secretary's authorization was indeed unlawful.

wytv.com

The owner of two closed drug treatment centers in Ohio has been sentenced to 7 1/2 years in prison for his role in a Medicaid fraud scheme. 

The Ohio Department of Medicaid director says her agency is dealing with big problems and could face huge fines from the federal government if they’re not fixed. 

Right now, there are dozens of patients — U.S. citizens — in New Zealand hospitals who are fighting the clock. They have only a few weeks to recover and get home to the tiny island of American Samoa, a U.S. territory in the South Pacific.

The state is starting the process that will eventually require thousands of Ohioans to work 20 hours a week or lose their Medicaid benefits, after getting permission from the federal government earlier this year.

ccf.georgetown.edu

A new report from Georgetown University shows the number of uninsured Ohio children rose by 28 percent from 2016 to 2018. 

Nearly half a million more children were uninsured in 2018 than in 2017, according to data out Tuesday from the U.S. Census Bureau. The drop stems primarily from a decline in the number of children covered by public programs such programs as Medicaid and the Children's Health Insurance Program.

The U.S. poverty rate declined slightly last year, but finally fell below the 2007 level, right before the Great Recession pushed millions of Americans out of work and into financial distress.

The improving economy was a key factor in the decline. The U.S. Census Bureau noted in its annual report on income and poverty that there were 2.3 million more full-time, year-round workers last year and that median earnings for all such workers rose by more than three percent.

governor.ohio.gov

Ohio's Medicaid enrollment has dropped by more than 250 thousand in the past two years. It's unclear whether those people now have other health coverage or are no longer insured. 

Karen Kasler

Nearly half of the 25 vetoes that Governor Mike DeWine issued when he signed the two-year state budget deal with health care and Medicaid, which is the state’s largest program.

Updated Aug. 27, 2019, 9:55 a.m. ET

The Trump administration is moving forward with a wave of new rules and regulations that would make it more difficult for low-income Americans — especially those in families that include non-citizens — to get government aid. NPR detailed many of the proposals in June, but there have been several developments since then.

Daniel Konik

A US District Court judge has thrown out Medicaid work requirements in two states, saying they are arbitrary and capricious.  

For a second time in nine months, the same federal judge has struck down the Trump administration's plan to force some Medicaid recipients to work to maintain benefits.

Ohio Public Radio

As of last Friday, the state has federal permission to require 20 hours of work per week for many non-disabled people on Medicaid.

Ohio Public Radio

The state is suing a company that managed prescription benefits for the Ohio Bureau of Workers' Compensation, seeking to recover nearly 16 million dollars in alleged overcharges. 

Karen Kasler

March 15 was the deadline for Governor Mike DeWine to release his two-year budget.

Karen Kasler

The federal government says Ohio can join the eight other states that have been given permission to impose work requirements on people in Medicaid expansion.

twitter.com

A backlog in processing applications for Ohio Medicaid eligibility continues to delay health care and cause financial difficulties for providers. 

Child poverty in the U.S. could be cut in half over the next 10 years with a few simple steps, according to a new report from the National Academies of Sciences, Engineering and Medicine.

Ohio is among 15 states asking the federal government for permission to impose work requirements on Medicaid recipients. 

wytv.com

Federal authorities say six people have been indicted in a 48 million dollar Medicaid fraud scheme. 

Last September, the Trump administration unveiled a controversial proposal — a policy that, if implemented, could jeopardize the legal status of many immigrants who sign up for some government-funded programs, including Medicaid.

Ohio Governor John Kasich leaves office next week. His tone has changed dramatically, as he’s worked to accomplish his goals and create a national profile as a Trump critic and a promoter of bipartisan compromise. 

Updated at 2:42 p.m. ET

The U.S. Supreme Court has declined to hear a case brought by Republican-led states that were seeking to defund Medicaid funding for Planned Parenthood and other organizations that provide women's reproductive health services.

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