Podcasts about medicaid work requirements

A new House bill would require many Medicaid recipients to log 80 hours of work each month or risk losing coverage. Supporters say it promotes self-sufficiency, but critics warn the paperwork alone could drop thousands from the rolls. Experts say that even expansion states like New York, where about one in three residents depends on Medicaid, could see enrollment slip. To help unpack it all, I spoke to Sarah Miller. Sarah is an associate professor of Business Economics and Public Policy at the University of Michigan’s Ross School of Business. Her studies have traced Medicaid’s ripple effects from reduced medical debt all the way to measurable drops in mortality, offering clear evidence that coverage saves both wallets and lives. Today, we talk about what happens when states expand (or slash) Medicaid, why seemingly small paperwork burdens can shut out eligible patients, and how work-requirement rules could reverberate across other safety-net programs. See omnystudio.com/listener for privacy information.

Fascist Alert! Qatar is now trying to make clear that they didn't try to bribe Trump, but he shook them down with some kind of a blackmail or extortion scheme to get the airplane. Is Trump about to mess up the potential bird flu response, just like he did with COVID? Also 6 Truths About Medicaid Work Requirements the GOP Doesn't Want You to Share.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

As Congressional Republicans try to pass President Donald Trump's 'big, beautiful bill' through the House and Senate, Medicaid is one of the big programs in the party's legislative crosshairs. GOP lawmakers are eyeing upwards of $800 billion in cuts to the safety net health care program over the next decade, in part by imposing new work and eligibility requirements for recipients. But while the president keeps insisting 'no cuts to Medicaid,' the government's calculations suggest the party's plan could cost 10 million Americans their health care coverage. Matt Bruenig, founder of the People's Policy Project, explains why work requirements don't work.And in headlines: Secretary of Homeland Security Kristi Noem got her constitutional rights all mixed up during a Senate hearing, Trump's FDA looks to limit access to Covid booster shots, and New Jersey U.S. Congresswoman LaMonica McIver is charged with assault.Show Notes:Check out Matt's column –www.nytimes.com/2025/05/16/opinion/medicaid-work-requirements-pointless.htmlSubscribe to the What A Day Newsletter – https://tinyurl.com/3kk4nyz8What A Day – YouTube – https://www.youtube.com/@whatadaypodcastFollow us on Instagram – https://www.instagram.com/crookedmedia/For a transcript of this episode, please visit crooked.com/whataday

Wednesday, May 21st, 2025Today, Trump prosecutors have dropped the charges against Newark Mayor Ras Baraka, but have arrested and charged Congresswoman LaMonica McIver; Trump's Gestapo Czar doesn't know what habeas corpus is; the Supreme Court allows Maine Rep Libby to vote again despite her censure by the legislature for transphobic comments; USAID cuts leaves food for millions rotting in storage; a federal appeals court leaves in place an order requiring the Trump administration to return Daniel Lozano-Camargo to the US after having sent him there in violation of a legal settlement; Republicans in Congress have decided to phase out Biden's clean energy tax credits to make more room for billionaire tax cuts; the Senate has confirmed convicted felon Charles Kushner to be the ambassador of France; and Allison and Dana deliver your Good News.Thank You, Helix27% Off Sitewide plus Free Bedding Bundle with any Luxe or Elite Mattress Order, when you go to HelixSleep.com/dailybeansMSW Media, Blue Wave California Victory Fund | ActBlueStories:The Head of Trump's Gestapo Thinks Habeas Corpus is a Presidential Power | muellershewrote.comRep. LaMonica McIver charged after skirmish at ICE facility; Newark Mayor Baraka's charges dropped | ABC7 New YorkExclusive: US aid cuts leave food for millions mouldering in storage | ReutersTrump admin must seek return of wrongly deported man to El Salvador, appeals court rules | POLITICOUS Senate confirms Trump nominee Kushner to be ambassador to France | ReutersRepublicans tweak megabill's SNAP, Medicaid provisions - Live Updates | POLITICOA Jan. 6 rioter tried to recoup $63K he made filming the mob. A judge said no. | POLITICOGood Trouble: Your good trouble today is to contact the Attorney General of New Jersey, Matt Platkin, and have him look into code 3.12 Malicious Prosecution (Prior Criminal Proceeding) in the case of Mayor Ras Baraka. You can use the email dcjtipline@njdcj.org. Let him know you think Alina Habba has violated 3.12 by arresting and then dropping the case against Mayor Baraka, and that her actions satisfy the elements of malicious prosecution action based upon a prior criminal proceeding.Find Upcoming Demonstrations And Actions:50501 MovementJune 14th Nationwide Demonstrations - NoKings.orgIndivisible.orgFederal workers - feel free to email me at fedoath@pm.me and let me know what you're going to do, or just vent. I'm always here to listen. Share your Good News or Good Trouble:dailybeanspod.com/goodFrom The Good NewsAdd or Manage a Security Freeze | InnovisThe Man Who Calculated Deaththreads.com/@indivisiblebuckscoDogs i pet (@dogs__i__pet) • InstagramReminder - you can see the pod pics if you become a Patron. The good news pics are at the bottom of the show notes of each Patreon episode! That's just one of the perks of subscribing! patreon.com/muellershewrote Mega Happy Hour Zoom Call - you can interact with not just me and Harry Dunn, Andy McCabe, and Dana Goldberg. They'll all be there this Friday 5/23/2025 at 7 PM ET 4 PM PT. Plus, you'll get these episodes ad free and early, and get pre-sale tickets and VIP access to our live events. You can join at patreon.com/muellershewrote for as little as $3 a month. Federal workers - feel free to email me at fedoath@pm.me and let me know what you're going to do, or just vent. I'm always here to listen.Share your Good News or Good Trouble:https://www.dailybeanspod.com/good/ Check out other MSW Media podcastshttps://mswmedia.com/shows/Subscribe for free to MuellerSheWrote on Substackhttps://muellershewrote.substack.comFollow AG and Dana on Social MediaDr. Allison Gill Substack|Muellershewrote, BlueSky|@muellershewrote , Threads|@muellershewrote, TikTok|@muellershewrote, IG|muellershewrote, Twitter|@MuellerSheWrote,Dana GoldbergTwitter|@DGComedy, IG|dgcomedy, facebook|dgcomedy, IG|dgcomedy, danagoldberg.com, BlueSky|@dgcomedyHave some good news; a confession; or a correction to share?Good News & Confessions - The Daily Beanshttps://www.dailybeanspod.com/confessional/ Listener Survey:http://survey.podtrac.com/start-survey.aspx?pubid=BffJOlI7qQcF&ver=shortFollow the Podcast on Apple:The Daily Beans on Apple PodcastsWant to support the show and get it ad-free and early?Supercasthttps://dailybeans.supercast.com/Patreon https://patreon.com/thedailybeansOr subscribe on Apple Podcasts with our affiliate linkThe Daily Beans on Apple Podcasts

Work requirements led to thousands in Arkansas losing their Medicaid during the first Trump administration. Policymakers say they've learned lessons to avoid mistakes this time.Guests:Trevor Hawkins, former Staff Attorney at Legal Aid of ArkansasAngela Rachidi, Senior Fellow, American Enterprise InstituteRay Hanley, former CEO of the Arkansas Foundation for Medical CareBarbara Sears Roshon, Ohio Medicaid Director (2016-2019)Ben Sommers, Huntley Quelch Professor of Health Care Economics, Harvard T.H. Chan School of Public Health; Professor of Medicine, Harvard Medical SchoolMaureen Corcoran, Ohio Medicaid DirectorRyan Levi, Reporter/Producer, TradeoffsLearn more and read a full transcript on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

  What could the tragic 19th Century Irish potato famine have to do with modern Medicaid work requirements promoted by North Carolina Republicans? As author Padraic Scanlan documents in a powerful new book, the parallels between what the men running the British Empire did to the peasants of Ireland nearly two centuries ago and the […]

Today’s Peoples Bank Let’s Talk Indianola features State Senator Julian Garrett about Iowa Senate passing a bill regarding Medicaid work requirements.

In part 1 of this two part episode, Stacey Richter speaks with James Gelfand, President and CEO of the ERISA Industry Committee (ERIC), about the potential effects of proposed Medicaid cuts on plan sponsors and their members.  They explore ways plan sponsors can prepare for the changes, including Medicaid's four major areas of possible cuts: reducing waste, fraud, and abuse; implementing work requirements; reeling in provider taxes; and addressing the 'Cornhusker Kickback' from the ACA.  The conversation also delves into how state governments and hospitals might respond to these cuts and suggests actions for plan sponsors to mitigate potential impacts. The episode is part one of a two-part series, with the second episode covering Medicare site neutral payments and HSA reforms. === LINKS ===

00000195-d26c-df6f-ab95-d37d3e430000https://www.wvik.org/podcast/good-morning-from-wvik-news/2025-03-26/iowa-senate-republicans-approve-medicaid-work-requirementsJoseph LeahyIowa Senate Republicans approve Medicaid work requirements

Tuesday, November 19th, 2024Today, two women testified to the House Ethics Committee that they were paid by Matt Gaetz for sex; Elon Musk is reportedly butting heads with Boris Epshteyn; Republicans are targeting Medicaid and food stamps in draft legislation; and the hosts of Morning Joe travel to Mar a Lago to kiss the ring; and Allison delivers your Good News.Thank You, Beam DreamIf you want to try Beam's best-selling Dream Powder, get up to 50% off for a limited time with their Black Friday Sale when you go to ShopBeam.com/DAILYBEANS and use code DAILYBEANS at checkout.Guest:Stories:Two women testified that Matt Gaetz paid them for sex, lawyer says (Jacqueline Alemany, Liz Goodwin, Perry Stein | Washington Post)Musk, top Trump adviser clash over Cabinet picks (Sophia Cal | Axios)Trump allies eye overhauling Medicaid, food stamps in tax legislation (Jacob Bogage, Jeff Stein, Dan Diamond | Washington Post)‘Kissing the ring?' MSNBC ‘Morning Joe' hosts meet with Trump to reopen lines of communication (David Bauder | AP News) Check out other MSW Media podcastshttps://mswmedia.com/shows/Subscribe for free to MuellerSheWrote on Substackhttps://muellershewrote.substack.comCheck out all 11 episodes of Trump's Project 2025https://trumpsproject2025pod.com/Follow AG and Dana on Social MediaDr. Allison Gill substack|Muellershewrote, twitter|@MuellerSheWrote, threads|@muellershewrote, TikTok|@muellershewrote, IG|muellershewroteDana Goldbergtwitter|@DGComedy, IG|dgcomedy, facebook|dgcomedy, IG|dgcomedy, danagoldberg.com Easily Migrate Your Daily Beans Patreon Support To SupercastThe Daily Beans on SupercastHave some good news; a confession; or a correction to share?Good News & Confessions - The Daily Beanshttps://www.dailybeanspod.com/confessional/From The Good NewsNazi flag flying in Philadelphia suburb sparks outrage from community (CBS News)Queer as Folk Streaming (Paramount Plus)#DailyBeans #Leguminati by ‪@colinbaines15.bsky.social‬Museo Yancuic (Mexico City, Mexico) Check out other MSW Media podcastshttps://mswmedia.com/shows/Subscribe for free to MuellerSheWrote on Substackhttps://muellershewrote.substack.comFollow AG and Dana on Social MediaDr. Allison Gill substack|Muellershewrote, twitter|@MuellerSheWrote, threads|@muellershewrote, TikTok|@muellershewrote, IG|muellershewroteDana Goldbergtwitter|@DGComedy, IG|dgcomedy, facebook|dgcomedy, IG|dgcomedy, danagoldberg.comHave some good news; a confession; or a correction to share?Good News & Confessions - The Daily Beanshttps://www.dailybeanspod.com/confessional/ Listener Survey:http://survey.podtrac.com/start-survey.aspx?pubid=BffJOlI7qQcF&ver=shortFollow the Podcast on Apple:The Daily Beans on Apple PodcastsWant to support the show and get it ad-free and early?Supercasthttps://dailybeans.supercast.com/Patreon https://patreon.com/thedailybeansOr subscribe on Apple Podcasts with our affiliate linkThe Daily Beans on Apple Podcasts

In 2022, voters approved Medicaid expansion. This November, a new question about America's public health insurance program is before the electorate. Can the state impose work requirements to the program?

Georgia is set to become the first state in five years to implement work requirements for Medicaid beneficiaries. Host Katherine Ellen Foley talks with Robert King about the waiver's provisions and why some conservative states are looking to Georgia's eligibility requirements as a possible model for their own Medicaid programs.

  Medicareful is getting a new name and a brand-new look! We answer frequently asked questions on the rebrand of Ritter's revolutionary quoting and enrollment tool! Read the text version Question for Sales Specialist: https://www.ritterim.com/meet-your-sales-team/   Follow Us on Social! Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim Twitter, https://twitter.com/RitterIM and Youtube, https://www.youtube.com/user/RitterInsurance Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ and Instagram, https://www.instagram.com/thesarahjrueppel/ Tina on LinkedIn, https://www.linkedin.com/in/tina-lamoreux-6384b7199/   Resources: 4 Perks of Being a Part-Time Insurance Agent: https://agentsurvivalguide.podbean.com/e/4-perks-of-being-a-part-time-insurance-agent-2023/ Agent Apps | Apps to Take With You When Traveling: https://agentsurvivalguide.podbean.com/e/agent-apps-apps-to-take-with-you-when-traveling/ AHIP 2024, MA Enrollment Milestone, & Apple Personal Voice: https://agentsurvivalguide.podbean.com/e/ahip-2024-ma-enrollment-milestone-apple-personal-voice/ CMS' New Definition of Marketing & How It Affects Agents Selling Medicare Plans: https://www.ritterim.com/blog/cms-new-definition-of-marketing-how-it-affects-agents-selling-medicare-plans/ CMS' 2024 MA and Part D Final Rule Changes for Agents: https://www.ritterim.com/blog/cms-2024-ma-and-part-d-final-rule-changes-for-agents/ How to Streamline Your Insurance Sales Process: https://agentsurvivalguide.podbean.com/e/how-to-streamline-your-insurance-sales-process/ Insurance Agents as TPMOs: What 2023 CMS Compliance Regulations Mean for You: https://www.ritterim.com/blog/insurance-agents-as-tpmos-what-2023-cms-compliance-regulations-mean-for-you/ Medicaid Work Requirements, Renewal Help, & Drug Price Transparency: https://agentsurvivalguide.podbean.com/e/medicaid-work-requirements-renewal-help-drug-price-transparency/

  The Friday Five for June 2, 2023: Medicaid work requirements in debt ceiling bill nixed, Medicaid enrollees unaware of Medicaid redeterminations and unsure of renewal process, Medicaid prescription drug transparency proposal, register to attend Ritter Summits, and RIMGO, Ritter's AEP-prep game is back!   Next Steps After Listening: Get Ready to Summit with Ritter Insurance Marketing! https://summits.ritterim.com/ Reach out to your sales specialist! Click on the rep for your state here: https://www.ritterim.com/meet-your-sales-team/ RIMGO is Back: Ritter's Business-Boosting BINGO Competition! https://www.ritterim.com/blog/rimgo-is-back-ritters-business-boosting-bingo-competition What Summit is Sarah attending? Email the podcast with a question to get the answer at ASGPodcast@RitterIM.com   Recent Episodes: Apps to Make Your Small Business More Efficient Whether you're working for yourself or a have a small team, these apps will help your business get organized and save time! 4 Perks of Being a Part-Time Insurance Agent Looking for a new part-time profession? Want flexibility and make your own schedule? Selling insurance part-time may be right for you! AHIP 2024, MA Enrollment Milestone, & Apple Personal Voice AHIP 2024 certification dates, Medicare Advantage enrollment reaches 50 percent, one in five seniors skipping meds to cut costs, Apple Personal Voice feature, and Meta's new Twitter clone How to Streamline Your Insurance Sales Process Are you having trouble meeting your personal and career goals, or feel your sales methods seem outdated? Perhaps you're in a good spot, but you want to increase your sales? If any of those sound like you, it's time to streamline your sales process! NABIP Certification, ChatGPT Scams, and Innovation for Field Agents NABIP 2024 certification release date, Chat GPT fleeceware scams, Craig Ritter's panel at Medicarians, new HSA and HDHP limits from the IRS, and TikTok Sans.   References: Biden-Harris Administration Announces Proposal to Advance Prescription Drug Transparency in Medicaid: https://www.hhs.gov/about/news/2023/05/23/biden-harris-administration-announces-proposal-advance-prescription-drug-transparency-medicaid.html Debt deal claws back COVID relief, spares Medicaid: https://www.axios.com/2023/05/30/debt-deal-claws-back-covid-relief-spares-medicaid HR 2811, the Limit, Save, Grow Act of 2023: https://docs.house.gov/billsthisweek/20230529/BILLS-118hrPIH-fiscalresponsibility.pdf Medicaid Drug Price Verification Survey and Pharmacy Benefit Manager Drug Price Transparency: https://www.cms.gov/newsroom/fact-sheets/medicaid-drug-price-verification-survey-and-pharmacy-benefit-manager-drug-price-transparency Medicaid Program; Misclassification of Drugs, Program Administration and Program Integrity Updates Under the Medicaid Drug Rebate Program: https://www.federalregister.gov/documents/2023/05/26/2023-10934/medicaid-program-misclassification-of-drugs-program-administration-and-program-integrity-updates Medicaid work requirements dropped in debt ceiling deal: https://www.fiercehealthcare.com/regulatory/medicaid-work-requirements-dropped-debt-ceiling-deal New Details in Debt Limit Deal: Where $136 Billion in Cuts Will Come From: https://www.nytimes.com/2023/05/29/business/debt-ceiling-agreement.html The Unwinding of Medicaid Continuous Enrollment: Knowledge and Experiences of Enrollees: https://www.kff.org/medicaid/poll-finding/the-unwinding-of-medicaid-continuous-enrollment-knowledge-and-experiences-of-enrollees/ Tough Tradeoffs Under Republican Work Requirement Plan: Some People Lose Medicaid or States Could Pay to Maintain Coverage: https://www.kff.org/medicaid/issue-brief/tough-tradeoffs-under-republican-work-requirement-plan-some-people-lose-medicaid-or-states-could-pay-to-maintain-coverage/ Understanding the Intersection of Medicaid & Work: A Look at What the Data Say: https://www.kff.org/medicaid/issue-brief/understanding-the-intersection-of-medicaid-work-a-look-at-what-the-data-say/ What Happens When the U.S. Hits Its Debt Ceiling? https://www.cfr.org/backgrounder/what-happens-when-us-hits-its-debt-ceiling White House and G.O.P. Strike Debt Limit Deal to Avert Default: https://www.nytimes.com/2023/05/27/us/politics/debt-ceiling-deal.html With Medicaid redeterminations underway, many are unaware of the process: KFF: https://www.fiercehealthcare.com/regulatory/medicaid-redeterminations-underway-many-are-unaware-process-kff   Follow Us on Social! Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim Twitter, https://twitter.com/RitterIM and Youtube, https://www.youtube.com/user/RitterInsurance Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ and Instagram, https://www.instagram.com/thesarahjrueppel/ Tina on LinkedIn, https://www.linkedin.com/in/tina-lamoreux-6384b7199/

On Thursdays, Sun reporters Michael Booth and John Ingold talk about the latest in climate and health news. Today - they are discussing how federal Medicaid work requirements might impact Colorado, as well as a new law aiming to help make Colorado a hub for clean hydrogen generation.See omnystudio.com/listener for privacy information.

Join Health Affairs Insider.According to survey company Civiqs, 51% of Americans plan on taking a COVID-19 vaccine if and when it becomes available. As the U.S. exceeds 500,000 deaths related to COVID-19, the Biden administration is working to deploy more than 200 million COVID-19 vaccine doses as well as combat vaccine hesitancy.On Health Affairs This Week, Leslie Erdelack and Chris Fleming discuss the latest on COVID-19, vaccine availability, and the status on various health policy court cases and administrative regulations.Related Links: COVID-19: U.S. Surpasses 500,000 COVID-19 Deaths, A Monumental Loss (New York Times) Hearing On "Pathway To Protection: Expanding Availability Of COVID-19 Vaccines" (House Committee on Energy & Commerce) Building On The Gains Of The ACA: Federal Proposals To Improve Coverage And Affordability (Health Affairs) As The Biden Administration Begins Unwinding Them, Medicaid Work Experiments Remain Unreasonable, Unnecessary, And Harmful (Health Affairs Blog) Ensuring Equitable Access To COVID-19 Vaccines In The US: Current System Challenges And Opportunities (Health Affairs) Subscribe: RSS | Apple Podcasts | Spotify | Castro | Stitcher | Deezer | OvercastMusic provided by Fake Fever.

Sinclair Broadcast Group's Political Reporter Mikenzie Frost stalks with House Speaker Lee Chatfield, R-Levering, about the new effort he's backing in the House to fund repairs for Michigan's crumbling infrastructure. Last year, Democratic Gov. Gretchen Whitmer unveiled her 45-cent gas tax increase, poised to generate at least $2 billion in new revenue to fix potholes and bridges falling apart. That plan didn't go anywhere, with little support on either side. Now, Chatfield is putting forward a similar plan to his caucus' last year. Plus, Mikenzie asks about the latest development in Michigan's Medicaid work requirements that got struck down by a federal judge Wednesday. There's a lot happening in Lansing and the two briefly talk about it all. --- Send in a voice message: https://anchor.fm/wwmt/message

Emily Scott, Matthew Schneeman, Zoe Abedon, and Jasmin Smith discuss the arrest of Jazmine Headley for sitting down and the large settlement she has now received, and Medicaid work requirements in South Carolina; a border wall update, and an impeachment update; Boris Johnson and the Conservative Party in the winning a majority vote in Britain, and the UN Climate Change Summit in Madrid; and a little bit of good news. Also, a clip from the Brooklyn documentary podcast School Colors, produced by Brooklyn Deep, a project from the Brooklyn Movement Center, is presented. And Matt talks pigeon hunting and his podcast At Night I Fly. Check it out here: http://hyperurl.co/4496m1

Pat Johnston talks with Sharon Dolente, who is the Voting Rights Strategist with the ACLU of Michigan (https://www.aclumich.org/en/biographies/sharon-dolente) . Sharon played a pivotal role in helping get the Promote The Vote initiative on the 2018 ballot, which won by overwhelming numbers. Pat talks about why Michigan Republicans are trying to stifle the vote rather than WIN votes. And Pat rants about how Medicaid Work Requirements are doing exactly what conservatives wanted by hurting working families. 

Over the last few months, you’ve probably heard about a few states making changes to their Medicaid programs that will require able-bodied Medicaid recipients to work. This is a major policy shift which could have profound consequences – and we’re going to talk about it today. We talk about what the changes might mean in terms of people losing coverage, how the requirements may be operationalized, ethical concerns for medical professionals, and the current situation with some of the many lawsuits filed against these policies, in particular Stewart vs. Azar. Our guest is Sara Rosenbaum, JD. Professor Rosenbaum is the Harold and Jane Hirsh Professor of Health Law and Policy and Founding Chair of the Department of Health Policy at the Milken Institute School of Public Health at George Washington University. Professor Rosenbaum has devoted her career to issues of health justice for populations who are medically underserved as a result of race, poverty, disability, or cultural exclusion and is a nationally known expert on Medicaid. You can find the Health Affairs blog that we referenced in our conversation here.

In the latest edition of the NC Coalition for Fiscal Health’s podcast, “The Cost of Health,” you’ll hear the second part of our talk with Cohen as she walks us through her vision for Medicaid expansion and creating a healthier North Carolina.You might remember from part one that a big goal of Medicaid expansion is filling what’s called the “coverage gap,” or the group of people who make too much money to qualify under current Medicaid standards, but not enough to be eligible for a subsidy under the Affordable Care Act (ACA).Discussed in this episode: NCCARE360Follow the coalition and Michael on Twitter @fiscalhealthnc and michaelck and FacebookAnd be sure to join the coalition to help fight for lower health care costsThe North Carolina Coalition for Fiscal Health is a 501(c)(4) corporation, organized as a nonpartisan group focused on economic issues and the rising cost of healthcare in North Carolina. We’re here to talk about improving the fiscal health of all North Carolinians.

We’re having a conversation about the Medicaid Work Requirement with Portia Brown, Vice President at Valley Health Page Memorial Hospital, Shena Popat, Research Scientist at NORC Walsh Center for Rural Health Analysis, and Laurel Molly, Chief Nursing Officer at UNC Lenoir Health Care.  Portia, Shena and Laurel were 2018-2019 Rural Health Fellows with the National Rural Health Association (NRHA), where they focused on the Medicaid Work Requirement, culminating in a Policy Paper presented to and adapted by the NRHA Rural Health Congress.   “The national landscape is changing daily on this topic.”  Portia Brown   Portia Brown is the Vice President at Valley Health Page Memorial Hospital located in Luray, Virginia.  She has 35 years of healthcare experience to include 30 years in leadership positions working in large and small hospitals, a 1000 bed Veterans Administration hospital, academic facility, and Martin Marietta contractor for the U.S. Department of Energy.  Portia has a passion for patient safety, risk reduction, performance improvement, patient experience and providing an environment where staff and physicians have a great place to work and patients to receive high quality compassionate care.  Portia received undergraduate degrees in laboratory technology and medical technology from Auburn University and a Master of Science in Health Administration from Virginia Commonwealth University, Medical College of Virginia.  Portia is a certified professional in healthcare quality (CPHQ), patient safety (CPPS), and healthcare risk management (CPHRM) as well as Fellow of the American College of Healthcare Executives (FACHE).  Currently, Portia serves on the Board of Directors for the Virginia Rural Healthcare Association as well as on the Board of Directors for the Virginia Chapter of the American Society for Healthcare Risk Management.   “Veterans can be affected by work requirements… and they will face the same work requirement as others.”  Shena Popat  Shena Popat is a Research Scientist for the Walsh Center for Rural Health Analysis at NORC at the University of Chicago. She has experience working specifically on rural and frontier health projects, conducting grant program evaluations and collaborating with colleagues to develop policy recommendations for federal agencies. Previously, Shena worked in administration at a critical access hospital and rural health clinic. Shena has her MHA from the George Washington University.  “Our great discovery to highlight is that… rural does need to be taken seriously.”  Laurel Molloy  Laurel Molloy MSN, RN, CPHQ currently works at UNC Lenoir Health Care in Kinston, NC as the VP of Nursing and Rehab Services. As an RN for about 25 years, Laurel has contributed to nursing in many roles including bedside ICU and Emergency Department nursing, flight nursing, nurse education, organizational quality improvement, and formal executive nursing leadership. Recently, Laurel received a Hall of Honor Induction from East Carolina University, Greenville, NC where she earned her Bachelors in Nursing. She was a 2018 fellow for The National Rural Health Association and worked with a team that explored the impact of Medicaid Work Requirements in the rural setting. Her work passion is about providing excellent patient care, supporting practices that improve care delivery, mentoring new nurses and nursing leadership, and reducing disparity within the rural environment.  She is married to Dennis and they have 4 children; Audrey (25), Elijah (24), Ethan (20), and Claire (18). 

A DC judge struck down laws in Arkansas and Kentucky that would require Medicaid recipients to work in exchange for getting free or low-cost government healthcare coverage. Opening up the floor for debate. Meanwhile, the UK is the latest country to call out Chinese tech giant Huawei for being insecure. Also on today’s episode: Sarah Kate Ellis gets ready to present the Carters with some gold, and we get bad news from the produce aisle.    PS: Want to tell us about your Woman of the Week? Leave us a voicemail at 646.461.6370 and you might hear your voice on the show on Friday. 

Getting it right this time. Putting an end to unfair Medicaid work requirements.  Fixing a corrupt campaign finance system. Plus, Bill Press on what it will take to confront climate change.   Why the Southern Poverty Law Center is suing the Trump Administration.   Plus, Fred Wertheimer and the movement to restore ethics and integrity to government. And Bill Press with Amy Harder of Axios.   Samuel Brooke The President continues to pursue  his policy to attach work requirements to medicaid benefits. Our first guest says it’s a policy that has a devastating impact on people’s lives which why his organization is suing the Trump administration to stop it.   Fred Wertheimer President Fred Wertheimer has played a key role in every major campaign finance reform and ethics battle in Congress since the post-Watergate reforms in the 1970s. He continues that career now as President of Democracy 21, where he calls on a new Congress to restore integrity to governing.   Amy Harder Coming up, Bill Press talks Amy Harder of Axios on why the failure to confront climate change will cost far more than it’s worth.   Jim Hightower Who are the serial killers of America’s newspapers?

The full broadcast of Boston Public Radio from Monday, November 16th, 2018. Our political roundtable with Jennifer Nassour, former chairwoman of the Massachusetts GOP, and former President of the Boston NAACP Michael Curry weighed in on the week's biggest headlines. An outbreak of chicken pox at a North Carolina private school is being blamed on religious exemptions from vaccines. Medical ethicist Arthur Caplan discussed. On this Cyber Monday, are you loading up your Amazon shopping cart? Or do horror stories about the human cost of our online shopping addictions give you pause? We opened up the lines and asked you. The White House Correspondents' Dinner will be headlined this year not by a comedian, but by historian Ron Chernow. Television expert Bob Thompson brought us his perspective. Reverend Irene Monroe and Reverend Emmett Price discussed the power of former First Lady Michelle Obama's new memoir, "Becoming." Charles Sennott, executive director of The GroundTruth Project, analyzed the worsening situation in Yemen. How much would you be willing to spend to save a beloved pet's life? Medical ethicist Arthur Caplan weighed in, and then we asked you.

Welcome to this "ASCO in Action" podcast. This is ASCO's monthly podcast series where we explore policy and practice issues that can impact oncologists, the entire cancer care delivery team, and most importantly, of course, the patients we care for, people who have cancer. My name is Clifford Hudis, and I'm the CEO of ASCO as well as the host of this "ASCO in Action" podcast series. And for today's podcast, I am really delighted to have with me Dr. Manali Patel, chair elect of ASCO's health equity committee. Dr. Patel is here as our guest today to talk about some interesting issues for that committee and for all of us in ASCO. Our conversation today is going to focus on ASCO's recent position statement on Medicaid waivers. For those of you who aren't following this or have been tuned out for a little while, there are several states that have recently submitted waivers to the Centers for Medicare and Medicaid Services-- what we generally call CMS-- asking for the agency to approve changes to the Medicaid program in their state individually that would make eligibility, continued coverage for care, cost sharing, and other program benefits dependent on the beneficiary's work status. Some state waivers have also requested the authority to cut coverage for beneficiaries based on them not paying premiums, on eligibility re-determinations, and on other work requirements. Simply put, these are challenges because they could restrict some access to care, and they put ability to work into the mix for oncologists to consider. So here at ASCO, we're concerned. We're concerned especially that Medicaid work requirements may hinder patient access to essential cancer care services. They may reduce the already limited time that physicians have available to spend with their patients, because they will require, in some cases, doctors to do work related to assessing employability. And our position statement, therefore, recommends that federal and state policymakers take very specific steps to ensure that new Medicaid requirements do not harm patients with cancer. So to dig deeply into this, Dr. Patel has joined us. And I welcome you, Dr. Patel. And thank you for coming on this discussion today. Well, it's an honor and a privilege to be here today. Thank you. So I want to start with a little more background on the type of waivers that we're talking about here. And there's always a nomenclature that's confusing to the outside world. These are called 1115, 1-1-1-5 waivers. What is their intended purpose in the Medicaid program? Section 1115 of the Social Security Act gives the secretary of health and human services essentially the authority to waive particular provisions of the Medicaid program in hopes to further the Medicaid program's objective. 1115 waivers provide states an avenue to test new approaches in Medicaid that can potentially improve their programs but that may differ from what the federal program rules currently are. These 1115 waivers are subject to public comment. They must be budget neutral for the federal government. And while there is great diversity in how states have used these waivers over time, generally these waivers reflect the priorities that are identified by the states and the current administration. And just out of curiosity, who submits the terms or the concepts that are being considered in these waivers? Do they bubble up from the state? They come down from the federal government? Do they come from some other source? What's interesting about these waivers is that they do come from the states themselves. However, there is great encouragement by the administration in terms of what waivers they would encourage states to apply for and which waivers they would approve. The secretary of the health and human services is the one that makes the authority for approving the waivers themselves. But the states themselves are the ones that submit the waiver provisions in hopes that it will align with what the administration's goals and encouragements are. And just, again, for background, historically, before we get to the present, has it typically been the case that there's heterogeneity in these programs around the country, or is this something new in terms of these waivers encouraging local experimentation and variation? Historically, most waivers have been very small in scope until the 1990s. There are still a wide range and great diversity in how states have used these waivers over time. But there's been homogeneity in terms of the wide range of purposes for which they've been used. Most of these are to expand eligibility and to help to simplify Medicaid enrollment processes, all with the goal to help improve the Medicaid program. Historically, many states have applied for waivers to reform care delivery and present an opportunity for states to institute reforms that go beyond just routine medical care, but that focus on providing evidence-based interventions that have an opportunity to improve health outcomes for this particularly disparate patient population. For example, Oregon used its waiver to establish a partnership between managed care plans and community providers to provide behavioral health and oral health services for its Medicaid beneficiaries. In 2012, the enactment of the Affordable Care Act allowed a new category of low-income adults to become eligible for Medicaid. And therefore, several states in 2012 applied for demonstration waivers from the Obama administration to test different approaches to expand eligibility and recently included the introduction of premiums and co-payments. Most recently, in 2017, the Centers for Medicaid and Medicare Services encouraged new approval processes, including the potential for many states to obtain a 10-year extension. Previously these were five-year extensions. In January of 2018, states were encouraged by the administration to apply for waivers to make employment, volunteer work, or the performance of some other service a requirement for Medicaid eligibility, as you discussed earlier in the podcast, and to impose premiums and increases in cost sharing. Now, this is different. A number of states now have waivers that have been approved, as well as ones that have been pending, that include these provisions that have not previously been approved in the past. And also, that includes drug screening and testing, eligibility time limits for patients, and lock-out periods if beneficiaries cannot pay for their premiums or cost sharing. So there are a couple of concepts that your introduction raises. And I think it may even come as a surprise, at least to some of our listeners, that Medicaid beneficiaries have any premiums. And I want to make sure we're all clear. Are we talking about dollars coming out of the pocket directly of Medicaid recipients in the form of premiums? We are. And we're also talking about cost sharing in terms of patients being now required to provide cost sharing for services that they are receiving through Medicaid. And can you expand on each of those areas about what we mean? What kind of dollars would a Medicaid recipient be paying in premiums? And what kind of cost sharing dollars might they be at risk for in a typical program? The concern now is that Medicaid is state by state. So in any individual state, these premiums and cost sharing can vary greatly. In some cases, it's 50% of cost sharing of the services provided. In other cases, it's less than that. In other states, there are waivers for the premiums or cost sharing and have never been imposed. So to answer your question, it varies widely. And it can be as great as the premiums and cost sharing that we're seeing in Medicare and patient populations that are enrolled in Medicare. But it can also be as great as the premiums and cost sharing that we see in private health plans. It will be surprising, I think, to many people to hear this, because I think for most people there's at least a perception that Medicaid represents insurance and access of nearly last resort and is not for people of means. So the idea that there's a cash flow out of the beneficiaries into this program or into their care in this program, I suspect is not something that's widely known. Right. I would agree. It's not widely known. And it comes as a shock that we would expect patients that would be eligible for Medicaid, given the provisions of what Medicaid has been there to serve and was enacted to serve, that we're seeing patients experience the financial toxicity perhaps even more so than patients that may be in public health plans. Yeah, that's interesting. And it relates at least tangentially, I'm sure, to some of the recent data that's come out of ASCO addressing the rate of financial toxicity in the form of choices around spending and choices, unfortunately, to go into debt that we've heard from the general population. It's got to be presumably even tighter in this population, right? Right. And with costs rising at an unsustainable rate for cancer care delivery services, what I think is also a shock to the public is understanding that all of those costs eventually are coming back to the patients themselves to bear the burden of the cost that we're seeing. Every year, my own health care premiums and health insurance premiums are rising. Benefits are being cut in these private health plans. And we're seeing the same occurring for the limited services that are available in Medicaid programs. And because states have the authority to make these programs reflect what its state's priorities are, there's wide variation in the same way that there is wide variation between each individual public and private health plan outside of these states. Within the states, there's a significant degree of diversity in terms of what services states are providing through Medicaid. And I guess one last question before we move on is-- it sounds like you've answered this already, but I want to be clear-- the program really is taking shape right now, right? This is not the way it's been historically. Is that a fair roll-up of what you've said?   That is extremely fair. I think prior, as early as the 1990s, these waivers were really to expand eligibility. And they were meant to improve the program for its objectives to increase access, equitable access, to high-quality medical care. And now what we're seeing are provisions that are directly inhibiting this access. Yeah. This is amazing. So turning now to the current reality and our response to it, we have concerns, as we've already alluded to, specifically regarding the work requirements, in two directions, I would say. First, of course, we're concerned about the direct impact on patients. But I think in addition to that, we're worried about the impact on the system as a whole. And my question to you is what would you like our listeners to know about how these waivers might have an impact on people with cancer? Right, so I'm deeply concerned about the waivers failing to promote the intended objectives of the Medicaid program, as I've discussed previously in our conversation today. These waivers directly inhibit access to high-quality cancer care. These new provision to waivers can be extremely detrimental by restricting access to coverage for those not only with an ongoing cancer diagnosis, but restricting access to services that can help to prevent cancer. And patients that are enrolled in Medicaid are those patients that may be at highest risk for developing cancer. Disruptions in care, delays in treatment, dis-enrollment in coverage-- all of these gaps in care delivery have been shown to directly adversely impact cancer care outcomes. And to think that these disruptions are now being imparted and imposed into Medicaid eligibility requirements is quite concerning. Many patients have to stop working entirely. Many are dramatically reducing their work hours to comply with evidence-based treatments. Many have debilitating side effects that prevent them from working and are at risk for life-threatening infections and illnesses when their blood counts may be low. These worse outcomes also affect patients that are cancer survivors, who face long-term effects and increased health risks related to their cancer. So the imposition, also, of lifetime limits and lock-out periods are detrimental to ensuring that patients have equitable access to cancer care. And you know, one of the other areas that isn't obvious at first-- I had to look into this as well-- is the downstream impact on the clinicians caring for these patients. Can you explain to our listeners, why would a doctor even become aware of this? How would this take time from the doctor, these kinds of work requirements? Well, when I think about my own practice and how I spend-- and I think studies have also validated that we spend over 50%, or up to 50%, of our time in front of the computer with administrative paperwork burden. These restrictions, in terms of these new restrictions for Medicaid, will increase the requirement for additional paperwork. And that paperwork is going to have to directly come from the oncology practices and the providers that are seeing these patients. These restrictions and requirements that will be imposed on us are going to exacerbate our already limited time. Do you think that the assessment of ability to work would also fall to the oncologist? That's a concern, I think, that it might drive our docs to find themselves in a funny relationship, an uncomfortable one, with their own patients?   Oh, certainly. I do believe firmly that it will come to the providers providing care for these patient populations. We are already required to provide disability placards and make that assessment in our clinics. And it does make it-- it interferes with a therapeutic relationship with our patient population. And you alluded to this already, the fact that many patients diagnosed with cancer ironically have to stop working, both because of the time and effort it takes to get treated, but also because they're just not well. So I've heard, at least, the comment that these work requirements technically might not apply very much to cancer patients because of the-- again, the technical work requirements would be waived for patients who are sick. Do we have any sense, in real-world implementation, how this plays out? It's unclear if states will be able to make those exceptions. And if you have an exception for patients with cancer, I can list several other terminal illnesses as well as curable illnesses that may similarly have exemptions. And it's unclear if these exemptions will be adhered to. One concern, and I think one of our recommendations have been that if there will be requirements for work requirements, that at least they not occur for a minimum of a year after a patient has undergone active treatment and that caregivers of patients should be seen in a similar light. But to answer your question, it's really unclear if there will be provisions made and exemptions made for patients with cancer. I do certainly hope that to be the case. And that's certainly why advocating for this and advocating against these work requirements for our patient population is this especially important from all stakeholders. Well, that's a perfect segue for us to turn to ASCO's recommendations. That is what we're advocating for. And I wonder if we could start, if we think about the recent ASCO position statement on Medicaid waivers, what are the specific recommendations that you want us to know about in terms of what we want policymakers to do? What's our focus? Our main focus and the underlying mission of ASCO's recommendations are, again, to ensure that all patients have equitable access to high-quality cancer care. And the main focus of these recommendations are that waivers really should not create delays or barriers to receipt of timely and appropriate cancer care. Secondly, states should consider patients that are in active treatment exempt from any work requirements for the reasons that we've discussed and consider the primary caregivers in a similar light. There should not be lock-out periods or lifetime limits or elimination of retroactive eligibility for at least a year after a patient's last treatment. And additionally, these uncompensated burdens on providers really should not be posed on providers. ASCO also recommends that waiver applications and amendments be open to a full and transparent public comment period. So that last point, it seems like that's an obvious one for all of us wanting good government, and even in our daily lives. What is it that we're worried about with this transparency? Why is it so important that these 1115 waivers be handled in a transparent way? And I'm almost embarrassed to ask that question, because it's hard to see the argument against transparency. Why do we have to make that argument? Right. Well, it's key. Transparency is key. We have to make this argument all the time in many other facets of health care as well.   But it's key to ensuring that we all understand what the implications of these waivers have on our patients, on our practices, but also on our personal lives, and that we have a chance to comment publicly on the waiver. I think states may look at each other's waivers and begin to make provisions for their own waivers or apply for waivers based off of what another state has been approved to demonstrate or to test. And so I think it's extremely important that we all have a chance to publicly comment on these waivers and to understand what's in the waivers themselves prior to them being approved. So I guess in addition to our public statement on the waivers and the position statement and then hopefully having the opportunity to address these in public, are there any other next steps that we need to be taking formally as ASCO? Is there anything else that's on the agenda for us? ASCO is currently conducting and helping state affiliates develop letters and comments to their own state officials as they design and submit the waivers. I think it's extremely important that we continue to advocate. ASCO's advocacy team from the state level is keeping an eye on waivers and opportunities to partner with state affiliates on problematic waivers that may be coming from their own states. But beyond analysis and these comment letters, ASCO is also coordinating meetings with state affiliate leadership and with state policymakers to discuss concerns about ongoing and the current Medicaid waivers as well as ones that may come up. So it's just another plug for our regular listeners for engagement through, for example, our Hill Day and our ACT Network and so forth to keep the pressure on and the awareness up with our legislators, right? Right. Certainly. This is a topic that will continue to evolve, and so it's extremely important that we're keeping ourselves up to date and that ASCO is helping us to keep abreast of what new developments may be occurring on these waivers on a state-based level. Well, that's great. I don't think there is, but is there anything else that we've left out that listeners should know about the current state of the Medicaid play for us? Well, I don't think so. I think we covered most. But as we all know, Medicaid is currently evolving. It's always evolving, and currently more so in a direction that I would have never assumed we would be evolving into. The concerns that are always raised are legislative cuts, caps to the program, uncertainty about revenues, federal legislation that may have an effect on state actions on Medicaid. And now there are growing concerns about substance use disorder and opioid epidemic use that may make Medicaid play a larger role in these issues than we had previously considered. There's a lot to chew on there. I want to thank you, Dr. Patel, for joining me today for this "ASCO in Action" podcast. I hope our listeners find this clear and informative. I think it raises really important issues for all of us. I want to remind everybody that ASCO's position statement on Medicaid waivers is just one of our many that address policymakers in various ways. Our overall goal is to preserve and enhance access to high-quality care for all Americans. I'll remind you that our 2014 policy statement on Medicaid reform called for major changes to the Medicaid program to ensure access to high-quality cancer care for all low-income individuals. And then, our 2017 principles for patient-centered health care reform called for access to affordable and sufficient health care coverage regardless of income or health status, the point being, this is a long-term commitment by our leadership and our volunteers. And this is something that clearly is going to remain at the top of our agenda. If you're interested, and I hope you are, you can read the complete ASCO position statement online. It's available at ASCO.org/medicaid-waivers. And this is, again, made available to you on the web. And I hope that this is informative. With that, until next time. I want to thank everybody for listening to this "ASCO in Action" podcast.

The state of Kentucky has introduced Medicaid work requirements. And the trend seems to be proceeding fast and furiously in other states looking to cut health and behavioral health benefits of Medicaid enrollees, with officials saying the costs can’t be met otherwise. Kentucky eliminated vision and dental benefits to 500,000 Medicaid enrollees within 36 hours of the federal decision. Imagine the impact to the readmissions quagmire if benefits continue to be cut for the most vulnerable and disenfranchised members of society, or those most impacted by the social determinants of health (SdoH). These costs are already eye-raising: $1.7 trillion is being spent annually on 5 percent of the population. Readmission penalties are barely being managed across all hospitals, especially the safety net facilities. What will the continued impact of forcing shifts in Medicaid benefits be for the patients who need them most? Reporting on this latest development during the next edition of Monitor Mondays is nationally recognized SDoH expert Ellen Fink-Samnick, author, consultant, and founder of EFS Supervision Strategies, LLC. The broadcast rundown also will include: Monday Focus: Nationally recognized whistleblower attorney Mary A. Inman, partner at Constantine Cannon’s London office, has an update on the largest-ever healthcare bust, involving more than $2 billion in fraudulent billings. According to court documents, the defendants allegedly participated in schemes to submit claims to Medicare, Medicaid, TRICARE, and private insurance companies for treatments that were medically unnecessary and often never provided. Hot Topics: Monitor Mondays senior correspondent Nancy Beckley, president and CEO of Nancy Beckley and Associates, reports on all the latest hot topics and present the Monitor Mondays Listener Survey. Risky Business: Healthcare attorney David Glaser with Fredrikson & Byron reports on another example of a potentially troublesome issue that could pose a risk to your facility. Medicare Advantage Report: Monitor Mondays national correspondent J. Paul Spencer, a senior healthcare consultant for DoctorsManagement, continues to report on the vexing issue of Medicare Advantage. Monday Rounds: Ronald Hirsch, MD, vice president of R1 Physician Advisory Services, makes his Monday Rounds with another installment of his popular segment. Monitor with us™

Every week, The American Journal of Managed Care® recaps the top managed care news of the week, and you can now listen to it on our podcast, Managed Care Cast. This week, the top managed care stories included a federal judge blocking Kentucky’s Medicaid work requirements; CMS announced it would launch a demonstration to encourage Medicare Advantage providers to take on more risk; and researchers identify racial disparities in HIV incidence and recommended a 5-part plan of action. Read more about the stories in this podcast: Federal Judge Blocks Kentucky's Medicaid Work Requirements: https://www.ajmc.com/newsroom/federal-judge-blocks-kentuckys-medicaid-work-requirements Kentucky Cuts Medicaid Vision, Dental Benefits Following Block to Work Requirements: https://www.ajmc.com/newsroom/kentucky-cuts-medicaid-vision-dental-benefits-following-block-to-work-requirements CMS Will Waive MIPS for Doctors Who Agree to More Medicare Advantage Risk: https://www.ajmc.com/newsroom/cms-will-waive-mips-for-doctors-who-agree-to-more-medicare-advantage-risk Health Organizations Urge HHS to Recognize MA Providers in MACRA: https://www.ajmc.com/newsroom/health-organizations-urge-hhs-to-recognize-ma-providers-in-macra Researchers Highlight Disproportionate HIV Incidence Among African Americans, Recommend Plan of Action: https://www.ajmc.com/newsroom/researchers-highlight-disproportionate-hiv-incidence-among-african-americans-recommend-plan-of-action Feedback on the Direction, Challenges of the OCM: https://www.ajmc.com/focus-of-the-week/feedback-on-the-direction-challenges-of-the-ocm Implementing Alternative Payment Models for Improved Population Health: Experiences From the OCM: https://www.ajmc.com/interactive-tools/experiences-from-the-ocm

Episode Notes Today's episode hosted by John Flynn, Amy Libka, Mariel Brown-Fallon, and special guest Haley Dalian. Topics include: Winning the battle for the soul of Kalkaska Michigan, Michigan Man vs. Floria Man, A new Medicaid work requirements bill heading to the Governor's desk, and the closest thing Lansing will ever have to our own Ocean's 8. Find out more on the Midwest Nice website.

Jeff Stein -- Policy Reporter -- The WASHINGTON POST, talks to WDEL's Allan Loudell from Washington

Dr. Dixon and Dr. Berezin discuss In SHAPE, a lifestyle intervention for individuals with serious mental illness; outcomes of a peer mentor intervention for persons with recurrent psychiatric hospitalizations; and the inaugural Viewpoint column in Psychiatric Services. Viewpoint is a new feature that touches on controversial and important current topics. Our first Viewpoint discusses work requirements in Medicaid. Articles may be viewed online at ps.psychiatryonline.org. Follow the journal on Twitter at @APAPubPsychSvcs.

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On a new episode of Versus Trump, Easha and Jason discuss a new lawsuit challenging the Trump Administration's approval of Kentucky's new rules for its Medicaid program. The new rules will require some Medicaid recipients to work 20 hours per week to receive health benefits, and they also impose other novel requirements. Jason and Easha start with the basics: What is Medicaid, how do the states and the federal government interact, and what do states need to receive approval to deviate from the federal rules regarding Medicaid eligibility? That leads them directly to the key section of the Medicaid law, called Section 1115, which permits the federal government to approve any “experimental, pilot, or demonstration project” that is “likely to assist in promoting the objectives” of the Medicaid program. The two then break down—and disagree about—whether Kentucky's new program, which adds work requirements and other novel features to its state Medicaid program, fits into that definition. The episode with ends a pair of Trump nuggets.You can find us at @VersusTrumpPod on twitter, or send us an email at versustrumppodcast@gmail.com. And you can buy t-shirts and other goods with our super-cool logo online at takecareblog.com/podcast See acast.com/privacy for privacy and opt-out information.

Every week, The American Journal of Managed Care® recaps the top managed care news of the week, and you can now listen to it on our podcast, Managed Care Cast. This week in managed care, the top stories included the announcement that Kentucky is the first state approved to require patients work to receive Medicaid benefits; FDA Commissioner Scott Gottlieb, MD, reveals a new program to improve clinical trial transparency; research finds the worst cases of attention-deficit/hyperactivity disorder could lower life expectancy. Read more about the stories in this podcast: Kentucky First State Approved for Medicaid Work Requirements: www.ajmc.com/newsroom/kentucky-first-state-approved-for-medicaid-work-requirements FDA Launches Pilot Program to Improve Transparency of Clinical Trial Information: www.ajmc.com/focus-of-the-week/fda-launches-pilot-program-to-improve-transparency-of-clinical-trial-information- FDA Approves Olaparib for Breast Cancer With a BRCA Gene Mutation: www.ajmc.com/newsroom/fda-approves-olaparib-for-breast-cancer-with-a-brca-gene-mutation Psychologist Barkley Says Life Expectancy Slashed in Worst Cases for Those With ADHD: www.ajmc.com/conferences/apsard-2018/psychologist-barkley-says-life-expectancy-slashed-in-worst-cases-for-those-with-adhd American Professional Society of ADHD and Related Disorders: www.ajmc.com/conferences/apsard-2018 January 2018 Health IT Issue: http://www.ajmc.com/journals/issue/2018/2018-vol24-n1

Dramatic NFL Weekend... Hawaii Oops... Byway Accident... Motorist Found Dead In Big Clifty... House Arrest... More Snow... Medicaid Work Requirements... By The Numbers... Tide Pod Challenge... Weekend Box Office.

Every week, The American Journal of Managed Care® recaps the top managed care news of the week, and you can now listen to it on our podcast, Managed Care Cast. This week, the top managed care stories included CMS unveiling a new voluntary bundled payment model; coverage from the JP Morgan Healthcare Conference, including immunotherapy's impact on HIV treatment and biosimilars; and news that 2 key diabetes devices will be covered by Medicare. Read more about the stories in this podcast: CMS Tells States How to Require Work for Medicaid: www.ajmc.com/newsroom/cms-tells-states-how-to-require-work-for-medicaid Kentucky First State Approved for Medicaid Work Requirements: www.ajmc.com/newsroom/kentucky-first-state-approved-for-medicaid-work-requirements MedPAC Votes a Resounding "No" to MIPS, Recommends Voluntary Value Program: www.ajmc.com/newsroom/medpac-votes-a-resounding-no-to-mips-recommends-voluntary-value-program CMS Unveils New Voluntary Bundled Payment Model: www.ajmc.com/newsroom/cms-unveils-new-voluntary-bundled-payment-model 5 Things From the 36th Annual JP Morgan Healthcare Conference: www.ajmc.com/newsroom/5-things-from-the-36th-annual-jp-morgan-healthcare-conference Dexcom Works to Bring CGM to the Medicare Population, and More: www.ajmc.com/newsroom/dexcom-works-to-bring-cgm-to-the-medicare-population-and-more Abbott's Freestyle Libre CGM Gains Medicare Coverage: www.ajmc.com/newsroom/abbotts-freestyle-libre-cgm-gains-medicare-coverage Study Shows the Impact Synchronization Programs Have on Medication Adherence: www.ajmc.com/newsroom/study-shows-the-impact-synchronization-programs-have-on-medication-adherence

Having failed to repeal the expansion of Medicaid under the Affordable Care Act, the Trump Administration wants to open the door for states to dismantle this essential safety net program by allowing them new ways to deny care. Director of Public Policy for National Nurses United, and Sanders Institute Fellow, Michael Lighty visits with Nurse Talk for this Special Edition Podcast.

Jay and Mike open the show with a discussion of what we currently know about the recently ended Mueller investigation. Jay says there was ‘no collusion' while Mike points out that there was ‘not enough evidence to prove collusion' which he sees as an important distinction. They also discuss why Mueller refrained from making a determination about obstruction of justice and what's next for Democrats intent on continuing their investigations into President Trump. After that is a look at the administration's recent change of position on the constitutionality of the Affordable Care Act. Previously, they stated that while the individual mandate was unconstitutional, the rest of the law could stand (not that they were enthusiastic about it). This change of position seems to be both constitutionally questionable and a potential political problem for Congressional Republicans. However, viewed in light of what's good for President Trump, Jay believes the change of position may make good political sense. Finally, the Guys discuss a federal judge halting Medicaid work requirements in Arkansas and Kentucky. Mike argues that the administration overstepped when it granted the work requirements waivers which he believes amounted to the executive branch rewriting a law it didn't like. Jay counters that work requirements are related to health outcomes, and that the programs should be allowed to continue. *Listener support helps make The Politics Guys possible*. If you're interested in supporting the show, go to patreon.com/politicsguys ( https://www.patreon.com/politicsguys ) or politicsguys.com/support ( http://www.politicsguys.com/support ). Support this podcast at — https://redcircle.com/the-politics-guys/donations Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy