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Image of money with a caduceus superimposed on the bills. We're using this image to denote Medicaid managed care.

Federal proposal could change the face of Medicaid in North Carolina

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Federal proposal could change the face of Medicaid in North Carolina - North Carolina Health News

A Trump Administration announcement of lump-sum offer for adult Medicaid coverage draws fire from some quarters.

By Sarah Ovaska and Liora Engel-Smith The Trump Administration announced a proposal Thursday that could potentially transform how Medicaid functions in some areas. The proposal would let states opt into a lump-sum funding system to pay for the health care needs of low-income, working-age adults. The proposal is already drawing fire from critics and Democrats […]

shows the front of the legislative building in Raleigh, general assembly

Bill to extend health insurance benefits to low-income workers finally gets started

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Bill to extend health insurance benefits to low-income workers finally gets started - North Carolina Health News

Six years after the state legislature rejected Medicaid expansion and four years after a Republican plan for adding hundreds of thousands of low income workers to insurance rolls was introduced, a bill finally passes committee.

By Rose Hoban After years of waiting, advocates for extending health insurance to hundreds of thousands of low-income North Carolinians finally saw a bill cross the starting line at the state legislature. House Bill 655 would allow for people who earn too much to qualify for Medicaid and too little to receive subsidies on the […]

shows an empty emergency room trauma bay, with gurneys and equipment ready for patients to arrive, perhaps at a rural hospital

Medicaid work requirement bill faces legislative, legal challenges

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Medicaid work requirement bill faces legislative, legal challenges - North Carolina Health News

Senate Bill 387 would require beneficiaries in the traditional Medicaid program to perform 20 hours of work per week in order to retain their benefits. But it could face challenges in the courts.

By Rose Hoban Members of the North Carolina Senate say they want able-bodied Medicaid recipients to work or do community service in exchange for receiving health care coverage from the state. The request came in a bill that was filed on Thursday afternoon, which would provide exemptions for specific populations, such as children under 19 […]

shows a man in a John Deere hat with a beard and wearing work clothes standing at a podium and speaking about Medicaid while lawmakers dressed in suits look on

Red States May Be Ready to Expand Medicaid — In Exchange for Work

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Red States May Be Ready to Expand Medicaid — In Exchange for Work - North Carolina Health News

The effort to give health care benefits to low-income residents has come with the proviso that able-bodied adults work or volunteer in order to retain the assistance. Might that be the way forward for North Carolina?

By Christine Vestal 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 […]

shows a red cross with the word Medicaid printed on it, in front of a pile of dollar bills. For Medicaid transformation

Trump’s Historic Medicaid Shift Goes Beyond Work Requirements

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Trump’s Historic Medicaid Shift Goes Beyond Work Requirements - North Carolina Health News

The Trump Administration is overturning decades of policy by allowing states to create work requirements for Medicaid, arguing that it will help motivate people to find jobs. But opinions differ as to whether that will be the result of the policy.

By Michael Ollove Stateline Requiring able-bodied adults to work for their Medicaid is just part of the Trump administration’s drive to remake the decades-old health insurance program for the poor. The administration signaled late last year that it welcomes state-based ideas to retool Medicaid and “help individuals live up to their highest potential.” At least […]

Photo courtesy Wikimedia Commons

HHS Acts To Help More Ex-Inmates Get Medicaid

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HHS Acts To Help More Ex-Inmates Get Medicaid - North Carolina Health News

In states that have expanded Medicaid under the Affordable Care Act, prisoners are eligible for the program once they’re released. By Jay Hancock Kaiser Health News Administration officials moved last week to improve low Medicaid enrollment for emerging prisoners, urging states to start signups before release and expanding eligibility to thousands of former inmates in […]

Supreme Court Decision on Insurance Subsidies Means Little Will Change in N.C.

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Supreme Court Decision on Insurance Subsidies Means Little Will Change in N.C. - North Carolina Health News

The Supreme Court upholds tax credits to purchase Obamacare insurance. The decision means little will change in North Carolina.

By Rose Hoban With a decision in favor of the federal government Thursday morning, the Supreme Court will allow hundreds of thousands of North Carolinians to keep the subsidies that allow them to afford health insurance. Health care advocates, insurers and consumers breathed a sigh of relief that a clear majority of justices ruled against […]

shows a red cross with the word Medicaid printed on it, in front of a pile of dollar bills. For Medicaid transformation

‘Milestone’ Rules Would Limit Profits, Score Quality for Medicaid Plans

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‘Milestone’ Rules Would Limit Profits, Score Quality for Medicaid Plans - North Carolina Health News

By Jay Hancock Kaiser Health News Sweeping proposals disclosed Tuesday would create profit guidelines for private Medicaid plans as well as new standards for the plans’ doctor and hospital networks and rules to coordinate Medicaid insurance more closely with other coverage. “We are taking steps to align how these programs work,” said Andy Slavitt, acting […]

Scales of Justice

North Carolinians Get Mixed Bag of News Around Affordable Care Act

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North Carolinians Get Mixed Bag of News Around Affordable Care Act - North Carolina Health News

A decision in the Halbig v Burwell case could remove health insurance subsidies for people in states that have had the federal government run their exchanges under the Affordable Care Act. By Brenda Porter-Rockwell This summer, North Carolinians were left scratching their heads in wonder after two federal appeals courts handed down conflicting rulings around […]

Gov. Pat McCrory announced plans a create the Partnership for a Healthy North Carolina, a statewide Medicaid managed care plan in April, 2013.

Advocates Urge More Government Oversight of Medicaid Managed Care

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Advocates Urge More Government Oversight of Medicaid Managed Care - North Carolina Health News

Gov. Pat McCrory has proposed opening up North Carolina’s Medicaid program to private managed care companies as a way to improve care and provide budget predictability. But the experiences of some other states serve as cautionary tales. By Jenni Bergal Kaiser Health News When the federal government recently gave Florida the green light to vastly […]

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