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Morning Briefing

Summaries of health policy coverage from major news organizations

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Monday, Apr 17 2023

Full Issue

Over 14M People Will Lose Dental Coverage Amid Medicaid Unwinding

Data compiled by an oral health think tank highlight another crisis lurking beyond the loss of health care coverage. As NBC News reports, those sounding the alarm about the issue point to numerous studies that link poor dental hygiene with a person鈥檚 overall health. Separately, the Supreme Court will hear arguments Tuesday in a case about Medicaid and Medicare overbilling.

More than 14 million adults across the United States who receive Medicaid are at risk of losing dental health coverage now that the Covid public health emergency is over, according to data exclusively obtained by NBC News.聽The public health emergency ended April 1, allowing states to review Medicaid recipients鈥 eligibility and disenroll them from the program for the first time since the beginning of the pandemic. Around 15.7 million people are expected to lose health coverage as a result. The emergency declaration did not allow states to remove enrollees from the program during the pandemic, which caused programs to expand precipitously over the past three years.聽(McCausland, 4/14)

Though millions of Americans are expected to be kicked off of Medicaid in coming months, they don鈥檛 all have to be left uninsured. But it could take some work to regain health coverage. 鈥淔or a lot of people, this can be a very disruptive period of time,鈥 said Sabrina Corlette, co-director of the Center on Health Insurance Reforms at Georgetown University. 鈥淭here is a significant time and paperwork burden being placed on families 鈥 a lot of them very low income, a lot of them medically vulnerable.鈥 (Luhby, 4/15)

Not-for-profit hospitals will most likely take a hit to their revenue streams due to the Medicaid redetermination process, according to an analysis from Fitch Ratings. Gary Sokolow, a director in Fitch Ratings鈥 public finance healthcare group, told Fierce Healthcare that nonprofit hospitals didn鈥檛 have to worry for the past three years about taking care of patients showing up in their emergency rooms because many of those patients were either Medicaid beneficiaries or could be automatically enrolled in the program while the eligibility determinations were suspended. (Diamond, 4/14)

Last week, a group of House members introduced鈥痑 bill鈥痶o provide Medicaid coverage to people in the last 30 days of their sentence in prison or jail. The Medicaid Reentry Act would give states a powerful tool to reduce the drug overdose deaths ravaging the country.鈥 (Humphreys, 4/17)

The Florida House unanimously approved a bill Thursday that would expand eligibility for the KidCare subsidized health insurance program. Kidcare provides health insurance for families with incomes too high to qualify for Medicaid. Under the program, families who do not qualify can pay $15 or $20 a month in premiums to insure children. Subsidized coverage is available to families with incomes up to 200 percent of the federal poverty level, or about $60,000 for a family of four, according to a House staff analysis. (4/14)

In Medicare news 鈥

The U.S. Supreme Court will hear arguments on Tuesday in a case that could undermine one of the government's most powerful tools for fighting fraud in government contracts and programs. The False Claims Act dates back to the Civil War, when it was enacted to combat rampant fraud by private contractors who were overbilling or simply not delivering goods to the troops. But the law over time was weakened by congressional amendments. Then, in 1986, Congress toughened the law, and then toughened it again. The primary Senate sponsor was 鈥 and still is 鈥 Iowa Republican Charles Grassley. ... He is alarmed by the case before the Supreme Court this week. At issue is whether hundreds of major retail pharmacies across the country knowingly overcharged Medicaid and Medicare by overstating what their usual and customary prices were. If they did, they would be liable for triple damages. (Totenberg, 4/17)

After granting the Holly Springs hospital a special designation aimed at helping small, rural hospitals stay afloat, the federal government is now 鈥渞eviewing鈥 Alliance Healthcare System鈥檚 status as such, the hospital CEO says.聽The hang-up is the hospital鈥檚 proximity to Memphis, Tenn., about 50 miles away from Holly Springs.聽Mississippi Today previously reported that the Centers for Medicaid and Medicare Services rescinded the hospital鈥檚 rural emergency hospital designation after State Health Officer Dr. Dan Edney said at a state board of health meeting that the federal government was 鈥減ulling鈥 the designation mere days after awarding it to the hospital. (Bose, 4/14)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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