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Biden administration urges states to slow down on dropping people from Medicaid

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FILE - Health and Human Services Secretary Xavier Becerra speaks during a meeting with a task force on reproductive health care access in the Roosevelt Room of the White House, April 12, 2023, in Washington. The Biden administration on Monday, June 12, urged states to slow down their purge of Medicaid rolls, citing concerns that large numbers of lower-income people are losing health care coverage because of administrative reasons. “I am deeply concerned with the number of people unnecessarily losing coverage, especially those who appear to have lost coverage for avoidable reasons that State Medicaid offices have the power to prevent or mitigate,” Becerra wrote in a letter Monday to governors. (AP Photo/Evan Vucci, File)

JEFFERSON CITY, Mo. (AP) — The Biden administration on Monday urged states to slow down their purge of Medicaid rolls, citing concerns that large numbers of lower-income people are losing health care coverage due to administrative reasons.

The nation’s Medicaid rolls swelled during the coronavirus pandemic as states were prohibited from ending people’s coverage. But that came to a halt in April, and states now must re-evaluate recipients’ eligibility — just as they had been regularly required to do before the pandemic.

In some states, about half of those whose Medicaid renewal cases were decided in April or May have lost their coverage, according to data submitted to the Centers for Medicare & Medicaid Services and obtained by The Associated Press. The primary cause is what CMS describes as “procedural reasons,” such as the failure to return forms.

“I am deeply concerned with the number of people unnecessarily losing coverage, especially those who appear to have lost coverage for avoidable reasons that State Medicaid offices have the power to prevent or mitigate,” Health and Human Services Secretary Secretary Xavier Becerra wrote in a letter Monday to governors.

Instead of immediately dropping people who haven’t responded by a deadline, federal officials are encouraging state Medicaid agencies to delay procedural terminations for one month while conducting additional targeted outreach to Medicaid recipients. Among other things, they’re also encouraging states to allow providers of managed health care plans to help people submit Medicaid renewal forms.

Nobody “should lose coverage simply because they changed addresses, didn’t receive a form, or didn’t have enough information about the renewal process,” Becerra said in a statement.

States are moving at different paces to conduct Medicaid eligibility determinations. Some haven’t dropped anyone from their rolls yet while others already have removed tens of thousands of people.

Among 18 states that reported preliminary data to CMS, about 45% of those whose renewals were due in April kept their Medicaid coverage, about 31% lost coverage and about 24% were still being processed. Of those that lost coverage, 4-out-of-5 were for procedural reasons, according to the U.S. Department of Health and Human Services.

In Arkansas, Florida, Idaho, New Hampshire and Oklahoma, about half or more of those whose eligibility cases were completed in April or May lost their Medicaid coverage, according data reviewed by the AP. Those figures may appear high because some states frontloaded the process, starting with people already deemed unlikely to remain eligible.

CMS officials have specifically highlighted concerns about Arkansas, which has dropped well over 100,000 Medicaid recipients, mostly for not returning renewal forms or requested information.

Arkansas officials said they are following a timeline under a 2021 law that requires the state to complete its redeterminations within six months of the end of the public health emergency. They said Medicaid recipients receive multiple notices — as well as texts, emails and phone calls, when possible — before being dropped. Some people probably don’t respond because they know they are no longer eligible, the state Department of Human Services said.

Republican Gov. Sarah Huckabee Sanders has dismissed criticism of the state’s redetermination process, saying Arkansas is merely getting the program back to its pre-pandemic coverage intentions.

But health care advocates said it’s particularly concerning when states have large numbers of people removed from Medicaid for not responding to re-enrollment notices.

“People who are procedurally disenrolled often are not going to realize they’ve lost coverage until they show up for a medical appointment or they go to fill their prescription and are told you no longer have insurance coverage,” said Allie Gardner, a senior research associate at the Georgetown University Center for Children and Families.

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Buccaneers to Honor Cancer Survivors at Sunday’s Crucial Catch Game, Donating $40K to Research

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TAMPA, Fla. (FNN SPORTS) – On Sunday, September 29, the Tampa Bay Buccaneers will host the Philadelphia Eagles at Raymond James Stadium in a 1 p.m. ET kickoff. The game will be the Buccaneers’ Crucial Catch event, supporting the NFL’s campaign to fight cancer and emphasizing the importance of early detection.

The Buccaneers will continue their tradition of giving back, with the Tampa Bay Buccaneers Foundation set to donate $40,000 to cancer research, raising their total contributions to over $550,000 in the last 13 years. Funds will benefit key cancer organizations including AdventHealth West Florida Foundation, Moffitt Cancer Center Foundation, and more.

Throughout the game, fans, players, and partners will “Raise the Flags” for loved ones affected by cancer. Fans will receive a custom mini-poster to show their support. At halftime, cancer survivors Bianca Muniz and Elana Gilbert will take the stage for an emotional performance honoring those impacted by cancer.

Official Crucial Catch merchandise will be available, with all proceeds supporting the American Cancer Society’s mission to provide screenings to underserved communities.

 

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AdventHealth awards $1.4 million to 6 nonprofits addressing urgent workforce needs in Central Florida

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ORLANDO, Fla. — AdventHealth is distributing nearly $1.4 million over the next three years to the 2024 recipients of its Community Impact Grants, giving six Central Florida nonprofits the chance to bolster their missions and help bring prosperity and wholeness to the community by training the workforce of tomorrow.

This year’s Community Impact Grants are focused on one of Central Florida’s top community health concerns, addressing critical workforce development needs in the health care, construction, hospitality and tourism industries, by funding programs that will provide job training, internship and apprenticeship opportunities and education assistance. Workforce development was selected as the priority for this year’s grants based on input from residents in the triannual Community Health Needs Assessment, building on investments made in 2023 that focused on mental health.

“At AdventHealth, we talk a lot about whole-person care, and we also realize that a person’s health is determined by so much more than just the health care setting,” said JB Boonstra, executive director of Community Advocacy for AdventHealth. “We know that employment is one of the most significant social determinants of health and a key part of that is earning a living wage. This year’s spotlight on workforce development speaks directly to that.”

The median income for a household in the Orlando area is about $43,000, the Department of Labor reports — not even close to the wage needed to live in Florida for a family of four, which is about $66,300, according to the United Way’s ALICE report.

“Almost half the people who go to work every day don’t make enough money to pay the bills, and one of the biggest challenges we see here in Central Florida in terms of workforce development is access to career opportunities,” said Marc Stanakis, president and CEO of Jobs Partnership, one of this year’s grant recipients. “For a lot of people in our community, they just don’t know what’s available or what types of jobs they can pursue that would allow them to get on a career path toward economic mobility. For organizations like ours, it’s really exciting to see the change that happens by simply opening the door of opportunity for someone.”

The 2024 grant recipients:

  • CareerSource Central Florida’s Community Health Champions program aims to create a career pipeline into the health care industry. Whatever roadblocks residents are facing, including language barriers, transportation challenges or unreliable Internet access for applying to jobs, CareerSource Central Florida offers a variety of vocational training and internship opportunities to overcome them. CSCF is upskilling health care workers who are culturally competent, empathetic and equipped to connect with the diverse populations they serve, making health care more accessible and impactful. Training goes beyond job skills, focusing on understanding and addressing the unique needs of community members.
  • The Sharing Center’s ProjectRISE, which, in addition to the organization’s food pantry, homeless resource center and thrift store, aims to address poverty and assist residents in accessing higher-paying jobs. Funding for ProjectRISE will allow 360 residents to enroll in a four-week comprehensive workforce development program focused on building emotional intelligence, soft skills and job-acquisition skills.
  • employU’s vocational rehabilitation program serves residents with mental and physical disabilities as part of the organization’s mission to create inclusive workplaces. Acting as a one-stop shop for career development and employment resources, employU provides employment training, paid work experience, job placement and job retention support. The organization will use the grant to fund new initiatives to help individuals access community resources and prepare for employment through workshops on financial literacy, social media safety and workplace readiness. It will also fund a program manager position to reach more residents and ultimately help them achieve financial independence.
  • Home Builders Institute BuildStrong Academy of Orlando is a tuition-free program delivering industry-recognized skills to train a new generation of home builders looking to break into the construction industry. The Academy offers career-focused education through hands-on learning, classroom instruction and real-life experience. Students train with skilled trades instructors who guide them through HBI’s nationally and industry recognized Pre-Apprenticeship Certificate Training curriculum and receive job placement assistance upon graduation, helping build a pipeline of residential and commercial construction workers.
  • iBuild Central Florida’s Pre-Apprenticeship Program is an innovative approach in attracting more people to jobs in the telecommunications construction industry, which is currently facing mass shortages nationwide. Based at Osceola Technical College, the program targets students enrolled in English language-acquisition and GED classes, 80% of whom live below the federal poverty line.
  • Jobs Partnership’s Stepping Up program equips residents who are unemployed or working low-wage jobs, combining soft skills training, career navigation and vocational training scholarships. Since its founding in 1999, the organization has served more than 3,300 people, empowering them to change their professional trajectories and developing a career pipeline into the health care industry. Last year, 79% of participants got a new job or started vocational training after completing the program.

Among the organizations that received grants, two are focused on bolstering the construction workforce. Central Florida’s lack of construction workers has contributed to a lack of affordable and attainable housing, with median home prices reaching $440,000, according to the Orlando Regional Realtors Association. And as the state wrangles with a shortfall of nearly 436,000 rental units, renters — who make up a third of the region’s population — have also watched rents skyrocket, hitting $1,600 a month for a one-bedroom unit.

“Virtually every industry is experiencing labor shortages, but the construction industry is significantly undersupplied,” said Emily Price, senior vice president of development and partnerships engagement for the Home Builders Institute. “The construction industry needs approximately 732,000 new workers each year to meet demand.”

Recognizing that employment and access to housing go hand in hand, Crystal Davidson, vice president of iBuild Central Florida, said creating a pipeline into the construction industry addresses multiple challenges. “They’ll be in a career field in the construction industry where they won’t want for a job for at least the next 25 years,” Davidson said, “because there is such a skills trade shortage across the United States, but especially in Florida.”

For more than 115 years, AdventHealth has called Central Florida home, and as a not-for-profit organization, has the privileged duty to invest financial resources into the community. In 2023 alone, AdventHealth contributed nearly $1.3 billion in community investments in Orange, Osceola, Seminole and South Lake counties, allowing more residents to access the medical care they need and deserve and supporting local nonprofit organizations.

“Investing in our community is a responsibility that AdventHealth treats very seriously and passionately, because we’ve seen the transformation that happens with these dollars,” said Tricia Edris, chief innovation and partnerships officer for AdventHealth’s Central Florida Division. “AdventHealth is proud to bring these six organizations together to now tackle issues around workforce development. It’s too big a problem for just one of us to solve. We must come together as a community.”

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Officials Celebrate Milestone at AdventHealth Minneola Topping-Out Ceremony

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MINNEOLA, Fla. (FNN) – AdventHealth Minneola marked a major construction milestone today as leaders, physicians, elected officials, and community members gathered for the hospital’s topping-out ceremony. The new facility has reached its full height of four stories, with attendees signing a commemorative structural beam.

“AdventHealth is honored to be Minneola’s partner in health. I’m thrilled to bring this world-class healthcare facility to South Lake County,” said Kay Barnett, CEO of AdventHealth Minneola.

Located on Hancock Road near Florida’s Turnpike, the 204,000-square-foot hospital will feature an emergency department, operating suites, heart catheterization labs, 80 private inpatient rooms, and more. It is expected to bring around 500 jobs to the community.

“Providing care close to home is central to our mission,” said Dr. Miles Bennett, Chief Medical Officer for AdventHealth Winter Garden and Clermont.

The facility is set to open in late 2025.

 

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