Subscribe to The Pulse

Health Reform

Georgia health centers get funding to expand care

A federal agency has awarded $6.9 million in Affordable Care Act funding to 30 community health centers in Georgia that will help expand their primary care services.

Sylvia Burwell

Sylvia Burwell

That funding was part of $295 million awarded nationally to 1,195 health centers by the Department of Health and Human Services (HHS).

“Health centers are a key part of how the Affordable Care Act is working to improve access to care for millions of Americans,” said HHS Secretary Sylvia Burwell in announcing the grants Friday. “These funds will enable health centers to provide high-quality primary health care to more people including the newly insured, many of whom may be accessing primary care for the first time in Georgia.”

The money will go to hiring new staff, including new health care providers; staying open for longer hours; and expanding services,  including oral health, behavioral health, pharmacy and vision services.  full story

2 nonprofits share $3.3 million in ‘navigator’ grants

Two nonprofit organizations will divide $3.3 million in federal money to provide “navigators” to help consumers enroll in the Georgia health insurance exchange this fall, the federal government announced Monday.

Sylvia Burwell

Sylvia Burwell

Navigators provide face-to-face, in-person help for consumers seeking information about the exchanges.

SEEDCO (Structured Employment Economic Development Corporation) will receive nearly $2.2 million, roughly the same as it received last year as a navigator grantee.

The second grantee will be an alliance led by Macon-based Community Health Works and consisting of cancer coalitions and other organizations. It will get $1.1 million.

Nationally, U.S. Health and Human Services Secretary Sylvia M. Burwell announced $60 million in navigator grant awards to 90 organizations in states with federally facilitated and state partnership exchanges. Also known as marketplaces, the exchanges were created under the Affordable Care Act, sometimes known as Obamacare. full story

Another insurance deadline only days away

More than 20,000 Georgians have until next Friday to provide missing information or they will lose their insurance exchange coverage Sept. 30.

Renard Murray

Renard Murray

The regional administrator of the federal Centers for Medicare and Medicaid Services told GHN on Friday that most of the data discrepancies involve immigration or citizenship issues.

Letters requesting further information were mailed earlier in August to 310,000 people in three dozen states that have their insurance exchange run by the federal government. The exchanges were created under the Affordable Care Act.

Georgia’s total of 20,900 people getting the notices was the third-highest total in the nation, after Florida’s 93,800 and Texas’ 52,700.

Renard Murray, the regional CMS administrator, said the federal agency has been working on getting this information for months, and that as many as seven letters requesting data have been sent to some people. full story

State health agency outlines spending increases

A state health agency is budgeting an extra $24 million this fiscal year, and a similar amount next year, to pay for costly hepatitis C drugs in Georgia’s Medicaid program.

clipboardThe state is also expected to pay $14.1 million more this year, and $37.9 million in fiscal 2016, for lengthening the time between eligibility reviews for Medicaid and PeachCare beneficiaries, as required by the Affordable Care Act.

Those were among the financial projections made in a budget presentation Thursday for the board of the Georgia Department of Community Health, which runs the Medicaid and PeachCare programs in the state, as well as the state employee health plan. The presentation is the beginning of a long budgeting process for the agency.

The Community Health board approved the budget requests.

The hepatitis C drugs are considered breakthrough medications for patients. One drug, Sovaldi, has a 90 percent cure rate for newly infected patients — much better than previously available treatments for hepatitis C. full story

Medicaid increase, uninsured data show Ga. impact

Federal figures show Georgia’s Medicaid and PeachCare enrollment jumped 16 percent since October – the highest percentage increase among states that have rejected the expansion of Medicaid under the Affordable Care Act.

clipboardThe Georgia jump greatly exceeds that of the second-highest increase among non-expansion states: 9.5 percent in Montana.

Expanding Medicaid involves extending enrollment in the government program to many low-income people who had not previously been eligible.

As a group, the states not pursuing expansion saw enrollment in Medicaid and their Children’s Health Insurance Program rise by 4 percent. (The children’s program is called PeachCare in Georgia.) States embracing Medicaid expansion saw an average increase in enrollment of 18.5 percent since October, when open enrollment on the health insurance exchanges began.

The enrollment data from the Department of Health and Human Services, released Friday, are part of various studies underscoring the insurance changes created through the ACA. full story

  • Sign up for our mailing list.