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Benefits Unclear as States Rush into Medicaid Managed Care
Over the past few decades, 38 states and the District of Columbia have switched their Medicaid plans to some form of managed care for at least part of their government programs.
Nurie Keqi, of Queens, N.Y., is one of the lucky ones benefiting from Medicaid expansion under the Patient Protection and Affordable Care Act. A year ago, her Medicaid plan dropped her and her husband because of a small increase in their household income. The 63-year-old Albanian native, a U.S. citizen since 2007, lost coverage for the pills that kept her high blood pressure in check and lessened her chronic back pain from years of lifting heavy parcels for a small package carrier. Her husband could no longer afford his asthma medications.
“It was difficult. I had no job at that point and drugs are so expensive, and we weren't sure what we were going to do,” Keqi said.
It wasn't until New York expanded Medicaid for people earning above the poverty line that she was enrolled in Health Plus, an Amerigroup Medicaid managed-care plan. Now, the couple are once again filling their prescriptions. “When Obamacare came around, we thanked God,” she said.
Read the full story here: http://bit.ly/1mbNxFK
Source: Modern Healthcare
Navigating Health Literacy, Social Determinants, and Discrimination in National Health Plans
February 13th 2024On this episode of Managed Care Cast, we're talking with the authors of a study published in the February 2024 issue of The American Journal of Managed Care® about their findings on how health plans can screen for health literacy, social determinants of health, and perceived health care discrimination.
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Drs Raymond Thertulien, Joseph Mikhael on Racial Disparities in Multiple Myeloma Care Access
December 28th 2023In the wake of the 2023 American Society of Hematology Annual Meeting and Exposition, Raymond Thertulien, MD, PhD, of Novant Health, and Joseph Mikhael, MD, MEd, FRCPC, FACP, chief medical officer of the International Myeloma Foundation, discussed health equity research highlights from the meeting and drivers of racial disparities in multiple myeloma outcomes.
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Gene and Cell Therapies Hold Potential—but How Can Payers Manage Their Costs?
April 18th 2024Presenters at the Academy of Managed Care Pharmacy (AMCP) 2024 annual meeting discussed the current promise and future potential of gene and cell therapies, as well as payer management strategies for these costly treatments.
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Commonwealth Fund Report Details Pervasive Racial and Ethnic Disparities in US Health Care, Outcomes
April 18th 2024Using 25 health system performance indicators, the Commonwealth Fund 2024 State Health Disparities Report evaluated racial and ethnic disparities in health care and health outcomes both within and across US states and highlighted the urgent need for equitable health care policies and practices in the US.
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