Friday Five - March 24, 2017

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March 24, 2017

This week in our Friday Five series, MAXIMUS looks at what concerns are being raised by Republican governors over the GOP health plan; proposed Republican changes to Medicaid; and how virtual appointments may be just what the doctor ordered to treat your everyday ailments.  

1. Snyder warns Michigan lawmakers about Obamacare overhaul

In anticipation of a vote this week on the House GOP’s plan to repeal and replace Obamacare, Michigan Governor Rick Snyder (R) was among a handful of Republican governors who urged their state lawmakers to take into consideration the bill’s impact on the state’s Medicaid recipients. In individual letters to members of the Michigan congressional delegation, Snyder warned that the bill in its current form will “adversely impact” the 1.75 million individuals served by Medicaid in the state. The Detroit Free Press looks at how high the stakes are for Michigan.   

2. Three ways Trump’s FDA nominee could reshape digital health

Last week, President Trump announced his intent to nominate Scott Gottlieb, M.D. to the FDA. As Fierce Healthcare reports, Gottlieb, who has advocated for a new, streamlined approach to drug approvals, will likely make, “subtle enforcement changes rather than an overt policy shift particularly during a time when the FDA has just established new guidelines regarding mHealth regulation, is in the midst of developing guidance for clinical decision support systems and has been tasked with rolling out provisions of the 21st Century Cures Act that specifically address digital health.” 

3. Accolade healthcare company partners with virtual doctor service Teladoc

Have a rash? Seasonal allergies? Pinkeye? You know exactly what it is but don’t have the time in your busy day for an appointment with your doctor. Enter Accolade. The company – known for navigating patients through the healthcare system – is partnering with Teladoc to offer virtual doctor visits, via phone or online video. GeekWire examines how this new partnership could make health care more accessible and affordable. 

4. Trio of GOP proposals would overhaul Medicaid dramatically, starting with job requirement

Conservative Republicans are pushing changes to Medicaid that, as reported by the Washington Post, President Trump is “100 percent” behind. In a partisan move late last week, members of the House Budget Committee voted to require able-bodied adults to hold a job to qualify for Medicaid, and supported converting Medicaid from an entitlement program into a block grant. If and how these recommendations will be incorporated into the House GOP bill is yet to be seen as efforts to pass the existing bill out of the House appear to have stalled.

5. How Would Changing Medicaid to ‘Per-Capita’ Funding Work?

In recent weeks, the repeal and replace of the Affordable Care Act has ignited conversations about changes to Medicaid. House Republicans are proposing to change Medicaid financing from a matching fund system to a "per-capita cap." In this video on MedPage Today, Daniel Derksen, MD, director of the Center for Rural Health at the University of Arizona, explains the two systems and the potential impact of the proposed change on the health of Medicaid beneficiaries.