Medicaid

Nearly $37 million in general revenue surplus money will be given to West Virginia’s Medicaid program as well as the state’s Rainy Day emergency reserve fund.

In this AP file photo, U.S. Attorney Mike Stuart speaks at a news conference, Wednesday, July 31, 2018, at the federal courthouse in Charleston, W.Va.
John Raby / AP Photo

Federal prosecutors say they've reached a $17 million settlement with a health care company accused of Medicaid fraud in West Virginia.

U.S. Attorney Mike Stuart announced the civil settlement with Acadia on Monday, saying it's the largest health care fraud settlement in state history.

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West Virginia receives the fourth most federal funding of any state in the country, according to a new analysis.

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A bill that sought to place work or other requirements on Medicaid recipients in West Virginia has died in the House of Delegates.

A House committee put the bill on its inactive calendar Wednesday, Feb. 27, the final day that legislation could be passed in their chamber of origin. The full House earlier Wednesday debated the bill but stopped short of voting on it, and did not take up the bill during a late evening session before adjourning.

Wednesday is crossover day, meaning it’s the last day for the West Virginia House of Delegates and Senate to consider bills on third reading, or voting stage, in their chamber of origin. Host Suzanne Higgins speaks with Senate President Mitch Carmichael and Senate Minority Leader Roman Prezioso about legislation they hoped would make it out and on legislation they still hope to consider.

West Virginia Morning
West Virginia Public Broadcasting

On this West Virginia Morning, a controversial Medicaid bill that originated in the House Finance Committee last week was on the amendment stage last night in the West Virginia House of Delegates. House Bill 31-36 would create some work requirements for Medicaid holders. Supporters of the bill say it will help West Virginians get “back to work,” while some in the health community have concerns.

Lawmakers are working weekends and evenings now as we enter the seventh week of the 2019 West Virginia Legislative session. We'll discuss a controversial Medicaid bill that originated in the House Finance Committee. It was reported to the floor at almost the last possible moment for consideration.

January 8, 1964: President Johnson Declares War on Poverty

Jan 8, 2019
For instance, community organizers in Mingo County and other parts of southern West Virginia fought to clean up their local governments. In the process, they drew the wrath of powerful politicians.
e-wv, The West Virginia Encyclopedia online. / WV Humanities Council

On January 8, 1964, President Lyndon Johnson called on Congress to declare an “unconditional war on poverty.” Combatting poverty had been a big thrust of John F. Kennedy’s campaign in 1960. Johnson introduced the War on Poverty legislation less than seven weeks after his predecessor’s assassination.

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A new task force will track health care crimes in West Virginia.

U.S. Attorney for the Northern District of West Virginia Bill Powell announced the task force's creation in a news release Friday. The Health Care Crimes Task Force will investigate prosecute illegal activities like fraud and opioid diversion.

Kara Lofton/ West Virginia Public Broadcasting

Updated on Mar. 6, 2018 at 8:30 p.m.

After nine long days of a teacher and service personnel work stoppage, it looks like it’s come to an end. Lawmakers have agreed to a five percent pay raise for teachers as well as a five percent pay increase for all public workers.

Will Price / West Virginia Legislative Photography

The West Virginia Senate has adopted a resolution that says the state constitution grants no right to an abortion or the funding of the procedure.

West Virginia Morning
West Virginia Public Broadcasting

On this West Virginia Morning, we bring you stories from the GOP retreat at the Greenbrier Resort and another installment of our week-long Appalachian Innovators series.

Perry Bennett / West Virginia Legislative Photography

A bill that would remove Medicaid funding for medically necessary abortions has been drawing a lot of attention in the House since passing through that chamber’s Health Committee last week. While the issue is inherently divisive, many questions about House Bill 4012’s constitutionality have been raised -- further drawing attention to the matter.

Kara Lofton / West Virginia Public Broadcasting

A West Virginia Hospital Association official says the state's hospitals stand to lose up to $15 million toward treating low-income patients if federal cuts to a Medicaid program remain in place.

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West Virginia Health and Human Resources Secretary Bill Crouch says $160 million in savings from the state's Medicaid program will be applied to other programs.

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A new study from Indiana University has found that the Affordable Care Act led to an increase in early-stage cancer diagnosis in Medicaid expansion states like West Virginia. 

 

The research suggests that public health insurance may increase cancer detection. Early cancer detection is linked to better outcomes for patients and fewer deaths. West Virginia has one of the highest rates of cancer in the nation.

Naloxone
Charles Krupa / AP Photo

State health officials say they have received federal approval to expand addiction treatment for West Virginians covered by Medicaid.

The waiver from the U.S. Centers for Medicare and Medicaid Services was requested to improve care and outcomes by expanding services for those diagnosed with a substance use disorder.

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West Virginia University plans to host what it's calling a summit meeting on health care policy for children on Thursday.

Scheduled speakers include former U. S. Sen. John D. Rockefeller IV and former U.S. Dept. of Health and Human Services Secretary and now American University President Sylvia Mathews Burwell.

Healthy Debate: What The Republican Health Bill Taught Us About Medicaid

Jul 23, 2017
Mary Meehan / Ohio Valley ReSource

It’s hard to find a spot on the map where the proposed repeal of the Affordable Care Act would have a bigger effect than in the Ohio Valley. By one measure, for example, the proposal could mean West Virginia’s rate of people who lack health insurance would climb by nearly 300 percent -- the biggest such change in the country. The projected declines in Kentucky and Ohio are also more than twice the national average. This is largely due to proposed changes in Medicaid.

Kara Lofton / West Virginia Public Broadcasting

A vote on the Republican plan to repeal and replace the Affordable Care Act has been put on hold after several Republican Senators, including West Virginia's Shelley Moore Capito, have publicly said they cannot support it. Nationally, opposition for the bill continues to mount as more and more groups release reports about the negative impacts the current bill could have on access to treatment in rural areas, like much of West Virginia.

J. Scott Applewhite / AP Photo

Both of West Virginia’s U.S. Senators have now announced their opposition to a federal healthcare bill that could result in the loss of healthcare coverage for millions of Americans. 

Republican Sen. Shelley Moore Capito announced Tuesday afternoon in a press release she is a no vote on the bill. The statement came after Senate Majority Leader Mitch McConnell announced earlier in the day he would delay a vote of the full Senate until after the 4th of July holiday.

Kara Lofton / West Virginia Public Broadcasting

Two major non-partisan research groups released a study this week about the impact of Medicaid on children, families and communities in small-town, rural America.

“For the country as a whole we found that the role of Medicaid and CHIP in reducing the rate of insurance for kids and adults is even more important in rural areas and small towns,” said Joan Alker during a press conference at Riverside High School in Belle. “It’s disproportionately important to these communities.”

Trump Administration’s Addiction Crisis ‘Listening Tour’ Gets An Earful

May 19, 2017
HHS Sec. Tom Price speaking at a press conference at the state Capitol.
Ashton Marra / WVPB

Trump administration officials have been visiting parts of the country affected by the opioid addiction crisis, including the Ohio Valley region. The administration called it a “listening tour,” and they got an earful in events marked by protests and controversies.

Doctor, medicine
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A research group that examines how government policies affect low-income Americans says the latest proposal to replace the Affordable Care Act will particularly hurt rural communities including those in West Virginia.

The Washington-based Center on Budget and Policy Priorities says the House-passed replacement for "Obamacare" would effectively end its Medicaid expansion under which 76,900 rural West Virginians gained medical coverage. The program is almost entirely federally funded.

Members of the U.S. House of Representatives approved a Trump-backed healthcare bill that would repeal and replace the Affordable Care Act.

Sen. Joe Manchin believes the bill has major issues and will likely move slowly through the U.S. Senate.

Ashton Marra / West Virginia Public Broadcasting


West Virginia’s opioid overdose death rate is two and a half times the national average, the highest in the country. Last year, 864 West Virginians died from an overdose, up by more than 17 percent from the year prior.

 

West Virginia Department of Health and Human Resources Sec. Bill Crouch shared those statistics at a press conference Tuesday. Crouch hosted U.S. Health and Human Services Sec. Tom Price for a closed-door meeting about the state’s struggle with substance abuse and what the federal government can do to help.

Kara Lofton / West Virginia Public Broadcasting

The number of coal mining jobs in Boone County has halved during the past two years. Drive through the county now, and signs of depression are becoming evident in shuttered storefronts and homes in increasing need of repair.


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On Monday, the Congressional Budget Office released an analysis of the U.S. House of Representatives proposal to replace the Affordable Care Act.The CBO estimates that the proposed legislation would reduce federal deficits by $337 billion over the 2017-2026 period. Savings would come primarily from cutting funding to Medicaid and eliminating nongroup subsidies. A third of West Virginians are on Medicaid and such cuts could have big implications for the state.

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If lawmakers don't approve Gov. Jim Justice’s proposal to increase taxes, representatives of the state's Department of Health and Human Resources says they will be forced to cut funding to programs. Bill Crouch is the new Department of Health and Human Resources Cabinet Secretary, says some programs, like the Aged and Disabled Waiver Program, might be eliminated entirely.

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On Monday night, members of the U.S. House of Representatives released their bill to replace the Affordable Care Act. Possibly the biggest deal for West Virginia is that the new bill proposes changing the way that Medicaid is funded.

 

 

Medicaid is the joint state-federal insurance program that covers more than a third of West Virginians. Right now, the federal government matches state spending for Medicaid dollar for dollar. But under the proposed bill, that funding would change to a per-capita cap.  

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