Section 1115 Waivers: The effects of Medicaid expansion under the Affordable Care Act

To date, 33 states and the District of Columbia have expanded their programs, 8 utilizing a Section 1115 Waiver.  Another 17 are not currently expanding, however, their interest will soon be measured on ballots this Fall.   

Overall, the impacts have been significant; coverage, access to care, and delivery system reform have all seen changes. Medicaid expansion has positively affected utilization of services, the affordability of care, and financial security among the low-income population. According to Kaiser Family Foundation (KFF), Medicaid expansion states have also experienced significant coverage gains and reductions in uninsured rates – among the low-income population broadly and within specific vulnerable populations.  

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MESC 2018 Recap: Day 3

The annual Medicaid Enterprise Systems Conference (MESC) introduced day 3 with an interactive session discussing health information technology in the Medicaid enterprise—past, present, and future. If you weren’t able to attend, check out our MESC recap of key takeaways.

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MESC 2018 Recap: Day 2

The annual Medicaid Enterprise Systems Conference (MESC) began day 2 with a deep dive into Machine Learning for Medicaid Payers and Providers, followed by sessions on successful modular MMIS implementations and best practices from state reuse initiatives, including that of New Jersey and Pennsylvania.

If you weren’t able to attend, check out our MESC recap of key takeaways.

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MESC 2018 Recap: Day 1

The annual Medicaid Enterprise Systems Conference (MESC) kicked off with a boom. Set in beautiful Portland, Oregon, the event welcomed the who’s who of Medicaid. Nearly 100 sessions are packed into 4 days of fun- filled announcements and discussions about Medicaid and where the industry is headed.

Day 1 rang in with an overarching theme: “What’s your next big idea in Medicaid?” If you weren’t able to attend, check out our MESC recap of key takeaways:

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My internship at Softheon: Final week

Our Softheon summer interns have completed their 10 weeks with us! After presenting their final group and individual projects, our interns have walked away with valuable skills and new connections. Hear first-hand about what it was like to be a Softheon intern this summer.

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My Internship at Softheon: Week 8

With 8 weeks completed, our interns are preparing to present their group and individual projects to the company. We are excited to see their visions and hard work come to life. Our interns also participated in their first ever annual summer Olympics, creating memories with their peers. Hear first-hand about what stood out for our interns in week 8 at Softheon.

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Why you should attend Medicaid Enterprise Systems Conference (MESC) 2018

We’re nearly two weeks away from this year’s Medicaid Enterprise Systems (MESC) conference, taking place on August 13-17th. This 4-day conference is centered around the future of Medicaid, and showcasing the latest systems, technology, and approaches. We’d like to highlight some of the events were most excited about.

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My Internship at Softheon: Week 7

Gaining real world experience at Softheon has been a lot of fun for our interns! With only a few weeks left, they are excited to showcase their group and individual projects. Hear first-hand about our interns favorite moments of the annual Softheon summer Olympics!

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CMS restores Affordable Care Act risk-adjustment transfers for 2017 benefit year

Yesterday, the Centers for Medicare and Medicaid Services (CMS) released a final rule designed to allow and reissue payments under the Affordable Act risk-adjustment program to balance the insurance market. According to CMS Administrator Seema Verma, “This rule will restore operation of the risk adjustment program and mitigate some of the uncertainty caused by the New Mexico litigation.”  

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