A proposed initiated statute to change state prescription drug purchasing in Ohio would be difficult if not impossible to implement, according to a new report issued by Ohio public health policy experts. The report, released today from Vorys Health Care Advisors (VHCA) and Health Management Associates (HMA), analyzes the proposed initiated statute to change state… Continue Reading
Ohio’s behavioral health service delivery and payment systems are heading in a new direction. Over the next three years, we expect providers and service recipients to experience significant changes as alterations are made to the state’s determination of eligibility, authorized providers, covered services, and payment amounts and methods. This is the first post of a… Continue Reading
The Ohio Department of Medicaid recently announced that its work to rebalance spending on long-term services and supports in favor of home- and community-based services has hit an important milestone one year ahead of schedule. In June 2013, Ohio was awarded $169 million in additional federal Medicaid matching funds as a result of the state’s… Continue Reading
Vorys Health Care Advisors professionals, Maureen Corcoran and Daphne Saneholtz, along with Vorys attorney Suzanne Scrutton, will present How the Governor’s Executive Budget Impacts Providers 12 pm – 1 pm (Eastern time) on February 21. The presentation will discuss: Impact of the following on providers: Budget proposals affecting the behavioral health, developmental disability, child welfare,… Continue Reading
On Monday, February 4th, Governor John Kasich proposed that Ohio will expand Medicaid benefits to individuals earning up to 138% of the federal poverty level (FPL) (about $15,800 for an individual and $32,500 for a family of four). The Affordable Care Act (ACA) originally made such an expansion mandatory, but the Supreme Court’s ruling on… Continue Reading
Individuals represented by the red boxes will be impacted by the Supreme Court’s ruling on the Medicaid expansion. This information is provided courtesy of the Ohio Governor’s Office of Health Transformation.
In our last post, we discussed the practical impact on the American public of the Affordable Care Act’s Medicaid expansion. There are also significant repercussions for states, as described below. What does the Medicaid expansion really mean for States? For Ohio, specifically? • States will be responsible for up to 10% of the cost of the… Continue Reading
The Ohio Department of Job and Family Services this week announced an initiative that will have a profound impact on Ohio’s most vulnerable citizens. In collaboration with Ohio Medicaid’s ongoing effort to simplify and streamline the eligibility process for all Medicaid-eligible individuals, the State is implementing presumptive eligibility for certain groups of individuals. Presumptive eligibility… Continue Reading
Ohio’s involvement in local projects focused on improving quality, reducing cost, and expanding access to health care exemplify dynamic partnerships that are fully engaged in the evolving health care environment. These are some—but certainly not all—of the exciting, locally driven initiatives underway in Ohio: Ohio Children’s Hospitals’ Centers for Medicare and Medicaid Innovation Award The… Continue Reading
Vorys Health Care Advisors’ president, Maureen Corcoran, was recently quoted in the Cincinnati Enquirer’s article “Big changes coming at Ohio Medicaid.” Read the article to learn more about important Medicaid initiatives and how they will impact Ohio Medicaid consumers, providers, and stakeholders.
Join Vorys Health Care Advisors for a complimentary webinar. Wednesday, April 25 from 12:00 – 1:00 p.m. (EDT) The Ohio Office of Health Transformation is working with the Ohio Department of Job and Family Services’ Office of Ohio Health Plans and the Ohio Department of Mental Health to implement several new Medicaid behavioral health policy… Continue Reading
Maureen Corcoran is quoted in a March 13th Cincinnati Enquirer story entitled “Ohio getting older.” The story highlights statistics on the growing number of Ohioans who are reaching the age of 65 and outlines the impact this increasing population will have on both the Ohio Medicaid program and local government services. The story states: “Ohio’s Medicaid… Continue Reading
Beginning on January 1, 2012, Ohio’s Medicaid managed care plans must fully change to the existing set of care management requirements, which require face-to-face contact with a high risk group of individuals. The new requirements are designed to ensure that plans’ members get the health care services they need, when they need them and in… Continue Reading
In my last post, I contemplated whether the expansion of Medicaid is constitutional (i.e., whether Congress can mandate the expansion). In this post, I explore whether the expansion should stand. To some, the question seems narrow. It is not! At issue is a provision in the health care reform law that, for the first time… Continue Reading