Medicaid

Katie Meyer / WITF

This week, six Medicaid providers are getting word they're being audited by the state. 

Matt Rourke / AP

After an 18-month investigation into Medicaid fraud in Pennsylvania, a grand jury panel is suggesting state lawmakers make some changes to disrupt what they describe as “systemic” patterns of malfeasance.

Attorney General Josh Shapiro released the report.

He described one instance in which a woman misled caregivers assigned to help her daughter with autism—having them improperly report their work and inappropriately assigning them household chores.

Katie Meyer / 90.5 WESA

One of the first things you notice when you walk into the Case Management Unit in Dauphin County is the boxes, piled up in offices and between rows of cubicles.

As Federal Medicaid Funding Declines, States Mull Costs

Sep 27, 2018
Governor Tom Wolf / Flickr

Maine's Republican governor has said federal regulators want to know how Maine would pay for Medicaid expansion. 

Katie Blackley / 90.5 WESA

A program that works to improve health outcomes by providing stable housing is expanding from Allegheny County to other parts of Pennsylvania.

Keith Srakocic / AP

The insurance mandates of the Affordable Care Act and expansion of Medicaid helped prevent hospitals in Pennsylvania from losing more than $80 million in 2017. 

The findings come via a report on the state's health care finances from the Pennsylvania Health Care Cost Containment Council (PHC4), an independent state agency established in the 1980s by the state legislature to analyze and report information to improve the costs and quality of health care in Pennsylvania. 

Gov. Tom Wolf / Flickr

State House lawmakers voted to create work requirements for able-bodied people to get Medicaid coverage.

Such requirements weren’t federally permitted for Medicaid until the Trump administration changed the policy several months ago.

Gov. Tom Wolf / Flickr

As more states begin creating work requirements for able-bodied Medicaid recipients, calls to do the same in Pennsylvania are building.

Toby Talbot / AP

Democratic Gov. Tom Wolf's administration says it is ending a pre-authorization requirement for Medicaid recipients to receive coverage for medication they are prescribed to help treat opioid addiction.

Damian Devorganes / AP

The rate of early cancer diagnosis was higher in some states that expanded Medicaid compared to other that did not.

Feds Employ Data-Driven Early Warning System In Opioid Fight

Jan 2, 2018
Keith Srakocic / AP

The pain clinic tucked into the corner of a low-slung suburban strip mall was an open secret.

New Medicaid Feature To Reduce Future Nursing Home Enrollees

Dec 11, 2017
Matt Rourke / AP

Years in the making, Democratic Gov. Tom Wolf's administration is rolling out a new Medicaid feature that's designed to reduce the future number of enrollees in nursing homes and, along with it, a fast-growing expense in a state where the elderly population is exploding.

The program takes effect Jan. 1 in 14 southwestern counties. A launch is planned in 2019 for Philadelphia and its four collar suburban counties and in 2020 for the remaining 48 counties across central and northern Pennsylvania.

UW Health/Flickr

When a parent has health insurance through Medicaid, their child is 29 percent more likely to receive an annual physical exam.

That’s according to a new study designed by a University of Pittsburgh Public Health researcher Eric T. Roberts, who calls this correlation between pediatric care and parental health insurance a "spill-over effect."

Matt Rourke / AP

The state House has passed a bill to reauthorize the Children’s Health Insurance Program, which covers kids from families who make too much to qualify for Medicaid, but can’t afford other insurance.

The routine bill became controversial this year, because the Senate included language that would have prohibited CHIP from covering transgender kids’ transition surgeries.

The House axed that provision; now the bill returns to the Senate, where lawmakers will have to decide whether to reauthorize CHIP without banning coverage of gender confirmation surgeries.

Gov. Tom Wolf / Flickr

In the midst of this week’s budget negotiation meltdown, House Republicans have managed to slide a piece of priority legislation through their chamber and on to Democratic Governor Tom Wolf’s desk.

Michael Conroy / AP

Child advocates warn that Senate Republicans’ latest proposal to repeal the Affordable Care Act could threaten child welfare funding. Cuts to Medicaid, advocates said, could force states and counties to divert limited child welfare dollars to cover the cost of health care to children in out-of-home placement.

Gov. Tom Wolf / Flickr

The number of people without health insurance in Pennsylvania continues to decline, reaching what Democratic Gov. Tom Wolf's office says is the lowest uninsured rate on record.

U.S. Census Bureau data released this week shows Pennsylvania's 2016 uninsured rate at 5.6 percent, tied for the 12th lowest rate in the nation.

That's down from 9.7 percent in 2013 and 6.4 percent in 2015. The national uninsured rate was 8.6 percent last year.

The Census Bureau estimates 700,000 Pennsylvanians lacked health insurance last year, about 500,000 fewer than in 2013.

frankieleon / Flickr

A new University of Pittsburgh-led study reveals Pennsylvania Medicaid enrollees prescribed an opioid are still highly likely to continue that prescription after an overdose from a legal opioid or heroin. 

Sarah Kovash / 90.5 WESA

Pennsylvania Gov. Tom Wolf has warned that Republican efforts to cap Medicaid funding would cost the state billions of dollars, and that might impact senior citizens in nursing homes.

J. Scott Applewhite / AP

Senate Republicans on Thursday unveiled their plan to repeal and replace the Affordable Care Act — also known as Obamacare. The long-awaited plan marks a big step toward achieving one of the Republican Party's major goals.

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Gov. Tom Wolf / Flickr

Lawmakers in Washington are still reading through the finer details of the Senate GOP's new healthcare bill, but opponents are already warning it’ll give states an impossible choice—either cut services, or spend billions more on healthcare.

Barney Moss / Flickr

Pennsylvania’s children are faring a bit better than their counterparts nationally in education, according to a new report form the Annie E. Casey Foundation.

The 2017 Kids Count Data Book ranks the commonwealth 18th in the U.S. for overall child well-being.

Bob Casey Says Medicaid Cuts Would Hurt Special Education

May 20, 2017
Ben Allen / WITF

The Republican-backed health care bill that passed the U.S. House would cut $880 billion from the Medicaid program over the next decade.

Pennsylvania's senior U.S. Senator says that move will not only rob people of heath care, but hurt the commonwealth's schools.

Democratic Senator Bob Casey says most people don't realize Medicaid funds help provide special education services, health screenings, and early intervention pre-k programs that benefit children with disabilities.

Charles Krupa / AP

The Wolf administration this week released new rules around prescribing buprenorphine to Medicaid recipients. The drug is often prescribed to people who are addicted to opioids as a part of medication assisted treatment.

Buprenorphine activates the same opioid receptors in the brain as drugs like heroin and oxycodone, but to a much lesser degree, in order to alleviate withdrawal symptoms. It also serves as an opioid blocker much like the life-saving drug naloxone, so users won’t feel euphoric effects from taking other opioids while on buprenorphine.

Law Insuring 1 Million Pennsylvanians Faces Uncertain Future

Dec 12, 2016
Gov. Tom Wolf / Flickr

 

 

About 1 million people in Pennsylvania are receiving government-subsidized health insurance under Democrats' 2010 health care law that is facing an uncertain future as Republican President-elect Donald Trump takes office next month with a pledge to repeal it.

~My aim is true~ / flickr

A coalition of housing and health advocacy groups from across Pennsylvania want Medicaid expanded to include supportive housing services. 

“Even with bricks and mortar dollars and housing subsidies, it’s the supportive services dollars that we are often really struggling with how to find and how to sustain,” said Monica McCurdy of Project HOME in Philadelphia. “We see Medicaid as the missing piece in this equation to solve homelessness.”

Indiana Gov. Mike Pence is in the spotlight this week as the man Donald Trump has picked to be his running mate. Pence's decisions about health and health care in Indiana have drawn attention from within and outside the state. His record could be important in November, because Trump doesn't have a legislative record at all.

Here's a quick look at the governor's history in terms of health policy in Indiana.

Medicaid Expansion

Wellbridge

In a small office at the base of the Birmingham Bridge on Pittsburgh’s South Side, social workers and app developers are coming together to help vulnerable medical patients.

Noah Brode / 90.5 WESA

Patients of all stripes leaned back in rows of dental chairs on the main floor of the David L. Lawrence Convention Center early Friday for free procedures ranging from walk-in cleanings to root canals and extractions.

In a five-year affordable housing strategy announced Monday, state government officials said they’ll invest Medicaid funding into affordable housing programs over the next five years.

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