Medicaid

Rhode Island Dept. of Human Services

Rhode Islanders seeking medical or food stamp assistance will soon be able to complete their application online, all in one go.

Gilead Sciences

Rhode Island Medicaid is revisiting its policy for determining who receives pricey hepatitis C drugs. Current policy limits who gets treated and when, but those restrictions could be loosened.

Kristin Gourlay / ripr

  Hospitals could face another rate cut under the Medicaid budget proposed for this fiscal year. Tension over the cuts came up during a budget hearing this week.

Kristin Gourlay / RIPR

The House Finance Committee begins budget hearings next week, and top of the agenda is Medicaid. One in four Rhode Islanders is enrolled in the health care program for the low income and disabled. The state spends more than a third of its budget on it. But a major effort has been underway to trim expenses and transform the way Medicaid delivers care.

Ian Donnis / RIPR

A budget proposal is like a map, showing you where an agency wants to invest more money, and where it plans to cut. It reveals an administration’s priorities for the future– and holds them accountable for what they did or didn’t accomplish in the past. I’ll be your tour guide for this year’s health and human services proposal.

RIPR

Elizabeth Roberts, secretary of the Executive Office of Health and Human Services, joins Political Roundtable this week to discuss the Raimondo administration's attempt to cut Medicaid spending and improve the troubled state Department of Children, Youth and Familes, as well as the outlook on the governor's truck-toll plan.

Ambar Espinoza / RIPR

Rhode Island Public Radio will be taking a look at some of the top stories from 2015 in the coming days – from developments in the 38 Studios case to the state’s first female governor. But for this week’s The Pulse, Rhode Island Public Radio’s Kristin Gourlay joins news director Elisabeth Harrison to talk about some of the health care stories that deserve a second look.

Rhode Islanders with Medicaid coverage may have a more difficult time finding a doctor. And every obstetrics and gynecology practice in the state has a waiting list. Those are just two of the findings in a massive survey just completed by the state’s health department.

RI Dept. of Health

Rhode Island may not have enough primary care doctors to meet the need. That’s one conclusion from a major survey of the state’s health care inventory. Another conclusion: mental health resources are lacking.   

Gilead Sciences

  Federal officials say state Medicaid agencies may be going too far when it comes to restricting access to new hepatitis C drugs. Rhode Island, like many states, requires Medicaid patients to meet a list of criteria before doctors can prescribe them the new medications. But those criteria may be too restrictive.

Wikimedia Commons

Rhode Island is now one of just nine states and the District of Columbia offering coverage for transgender medical services under Medicaid. The new policy went public this week.

Previously, Medicaid in Rhode Island offered no coverage for patients seeking hormone therapy or gender reassignment surgery. Now, those patients can get those services and mental health treatment too.

The head of HealthSourceRI is stepping down to become director of Medicaid. Anya Rader Wallack starts her new job on Monday.

Former Medicaid Director Deidre Gifford announced her resignation in September. Anya Rader Wallack will take her place on November second. That makes her tenure as head of HealthSource RI, the state’s health insurance marketplace just shy of a year.

Kristin Gourlay / RIPR

Medicaid officials testified Monday before House and Senate fiscal advisers about how much they expect to spend on medical assistance for the poor in Rhode Island. Officials expect a small deficit and growing enrollment.

Twice a year, Medicaid officials report how much they’ve spent and what they think they’ll spend in the coming fiscal year. It’s part of the budget process. Highlights from Monday’s testimony include a projected deficit of $5.7 million dollars for this fiscal year. That’s tiny compared to total Medicaid spending, projected to be about $2.3 billion dollars.

Kristin Gourlay / RIPR

Rhode Island’s Medicaid director, Dr. Deidre Gifford, is stepping down. A search for her replacement is underway.

From the Annals of Internal Medicine article: Restrictions for Medicaid Reimbursement of Sofosbuvir for the Treatment of Hepatitis C Virus Infection in the United States / Authors: Soumitri Barua; Robert Greenwald, JD; Jason Grebely, PhD; Gregory J. Dore, MBBS, PhD; Tracy Swan; and Lynn E. Taylor, MD

Hepatitis C may not take as big of a chunk out of the state’s Medicaid budget as previously projected. One reason? A majority of patients who requested treatment have been denied.

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