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Medicaid-Medicare alignment, often facilitated by the Centers for Medicare & Medicaid Services (CMS), integrates care for dual-eligible individuals to reduce administrative burden and improve health outcomes. It connects both programs under single, coordinated plans like Medicare-Medicaid Plans (MMPs), PACE, or Dual-Eligible Special Needs Plans (D-SNPs), streamlining services and enhancing care coordination. Centers for Medicare & Medicaid Services | CMS (.gov) Key Aspects of Alignment: Integrated Care: Combines Medicare and Medicaid benefits—including long-term supports, behavioral health, and prescription drugs—under one plan. Financial Alignment Initiative: CMS tests models, such as capitated (blended payment) or managed fee-for-service, to align financial incentives between federal and state governments. Improved Experience: Aims to provide beneficiaries with unified customer service, a single ID card, and easier appeals processes. Exclusive Aligned Enrollment (EAE): Allows states to encourage or mandate that beneficiaries enroll in a D-SNP and a Medicaid plan operated by the same parent company, ensuring comprehensive, coordinated care. Centers for Medicare & Medicaid Services | CMS (.gov) Models of Alignment: Medicare-Medicaid Plans (MMPs): A single plan handling most benefits for dual-eligibles. PACE (Program of All-Inclusive Care for the Elderly): A specific, comprehensive model focused on community-based care. D-SNPs (Dual-Eligible Special Needs Plans): Medicare Advantage plans designed for individuals with both Medicare and Medicaid, often aligned with a Medicaid plan from the same insurer. Benefits of Alignment: For Beneficiaries: Better care coordination, easier access to services, and simplified information. For Providers: Simplified billing and fewer administrative barriers. For States: Reduced cost-shifting between program

justme

🚀 3 DAYS TO GO. THE MOMENT IS ALMOST HERE. On April 1, NASA will launch Artemis II — the first crewed mission to journey around the Moon in over half a century. At the heart of this mission is the powerful Space Launch System (SLS), the most capable rocket ever built by NASA, designed to send humans deeper into space than ever before. Sitting atop it is the Orion spacecraft — a next-generation vehicle built to carry astronauts safely beyond Earth orbit and back home. 🌕 What will Artemis II do? A crew of four astronauts will travel around the Moon, testing every critical system needed for future lunar landings — without landing itself. It’s the essential step before humanity sets foot on the lunar surface once again. 👨‍🚀 Meet the crew: Reid Wiseman Victor Glover Christina Koch Jeremy Hansen This is more than a mission — it’s a turning point. Humanity hasn’t ventured this far from Earth since the Apollo era over 50 years ago. And now, after decades… we’re ready. 📅 April 1 is almost here so your calendar! Because this time, we’re not just looking at the Moon… We’re going back to it. 🚀🌕

Michael Tovornik

John 5:39-40 NIV [39] You study the Scriptures diligently because you think that in them you have eternal life. These are the very Scriptures that testify about me, [40] yet you refuse to come to me to have life. The Jewish leaders considered themselves to be the experts on Scripture. After all, they had studied for years and thought they knew it all! They were furious that Jesus had healed a man on the Sabbath and therefore decided that he could not be from God. Jesus answered them and they became even more enraged and wanted to kill him. When Jesus met the two disciples on the road to Emmaus following his resurrection he went through the Scriptures with them and pointed out all of the references that referred to him. This will not be the last time that someone has decided that they know everything there is to know about the Scriptures. It has happened often through the centuries and still happens today. How many times has someone picked out one phrase and used it to justify themselves? For example, Bible quotes were used to justify slavery, to perpetuate apartheid in South Africa, to use wealth as a yardstick to measure holiness and the favor of God. It was also used to justify the Holocaust. Nothing Jesus ever taught could justify any of this! Where was the yardstick of love? We forget that the Scriptures are the living Word of God. Although the Scriptures teach doctrines and values for all time, they also have an historical sense. Today, slavery is recognized for the sin it is. In Biblical times, slaves only had to serve a particular amount of time and then be freed. It is not okay to kill others just because they are of a different faith. It is not okay to invade other countries and annihilate the population. No one can claim to know everything about Scripture, so let us continue to learn from it and grow in our understanding of God's plan for us living a life based on love.

LataraSpeaksTruth

I saw a video with a little boy outside at night with grown adults. He looked no older than seven or eight. In the clip, he called a drug addict a crackhead, hit him, and ran. That alone was bad enough, but what made it worse was how normal it all seemed. He should not have even been outside at night, let alone feeling comfortable enough to act like that around adults. When I saw it, I said that little boy would be in jail or hell before 18. People got offended by that, but I was not joking and I was not trying to be cruel. I was saying what too many people are afraid to say out loud. Behavior like that is not cute. It is not funny. It is not just kids being kids. It is a warning sign. What bothered me almost as much as the video was the reaction. Some people said pray for him. Others acted like everybody in the video was disrespectful except the child. That kind of thinking is exactly why so many boys stay on the wrong path until the consequences get serious. People confuse truth with cruelty and excuse making with compassion. Let me be clear. I am not condemning a child. I am condemning the lack of supervision, the lack of correction, and the adults who keep letting obvious dysfunction slide. Prayer matters, but prayer is not a substitute for parenting, discipline, structure, intervention, therapy, and real guidance. You can pray over a child all day, but if nobody is putting him in the house, checking his behavior, watching who he is around, and correcting what is going wrong, then the streets will keep teaching him instead. And the streets are brutal teachers. People love to act shocked when boys end up hurt, locked up, or dead. But many times the signs were there early. The disrespect was there. The aggression was there. The neglect was there. The adults laughing instead of correcting were there too. Sometimes truth sounds harsh because the situation is harsh. Pretending not to see it has never saved anybody. #Parenting #MentalHealth #Society #Youth

justme

The last time humans ventured beyond Earth orbit was December 1972. Apollo 17. Gene Cernan and Harrison Schmitt walked on the lunar surface. Then they climbed back into their spacecraft, lifted off, and left. And for 54 years — no human being went back. That changes in six days. Artemis II will carry four astronauts on a 10-day journey around the Moon and back to Earth. Not a landing. Not yet. But a free-return trajectory that will carry them farther from Earth than any human being has traveled since the final Apollo mission — swinging them around the far side of the Moon before gravity pulls them back home. The crew: Reid Wiseman — Commander. A Navy test pilot and veteran astronaut who has already spent 167 days aboard the International Space Station. Victor Glover — Pilot. A Navy aviator and NASA astronaut who will become the first person of color to travel beyond Earth orbit. Christina Koch — Mission Specialist. A NASA astronaut who holds the record for the longest single spaceflight by a woman, spending 328 consecutive days in space. Jeremy Hansen — Mission Specialist. A Canadian Space Agency astronaut and former Royal Canadian Air Force fighter pilot. This will be his first spaceflight — and he will become the first Canadian to leave Earth orbit. Four people. Four firsts. One mission. They won't land on the Moon. But they will do something that hasn't happened in over half a century: they will see it up close, with their own eyes, through a window, from a spacecraft they are flying themselves. They will watch it fill the entire frame as they swing around its far side — a view so rare that only 24 human beings in history have ever experienced it. All of them in the 1960s and 70s. The entire mission will be streamed live by NASA. Every burn. Every maneuver. Every moment the crew looks out that window at a Moon that suddenly isn't a dot in the sky anymore — it's a world, and they're next to it. The launch window opens April 1 at 4:20 UTC. Six days from now. We are