This message contains images. If you don't see images, click here to view.
Advertise in this news brief.




Text Version    RSS    Subscribe    Unsubscribe    Archive    Media Kit January 02, 2015

Home   About   Policy & Advocacy   Education & Resources   Events        

 




HERE'S TO A NEW YEAR!

With 2014 coming to a close, MHPA's Industry NewsBrief would like to wish its subscribers, partners and other industry professionals a very safe and happy holiday season.


As we reflect on the past year, we would like to provide the subscribers with a look at the most-read news stories. Last week featured the top 10 articles. This week includes 10 additional popular articles.

Your regular news publication will resume on Tuesday, Jan. 6.



Private insurers net 9.3 million enrollees from ACA's Medicaid expansion; MHPA weighs in
Forbes
From Dec. 18: New customers from the expansion of Medicaid benefits for poor Americans under the Affordable Care Act helped private managed care plans increase enrollment by 9.3 million people, according to a new report. Medicaid enrollment jumped by 9 million this year overall, according to the new report from consulting firm PwC. And in states that went along with the Medicaid expansion, enrollment jumped 24 percent.

"As more states like Tennessee, Indiana and Utah endorse Medicaid expansion, it only make sense that they do so with the help of Medicaid managed care," Jeff Myers, chief executive of MHPA, said in a statement accompanying the PwC report. "The risk-based capitated model brings the budget predictability that is key to managing the influx of new Medicaid beneficiaries while providing access to quality healthcare and care coordination that keeps enrollees and their families healthy."
   Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ MORE  




States accelerate shift of nursing home residents into Medicaid
managed care

USA Today and Kaiser Health News
From Feb. 11: Inside his family's trailer home, Israel Cortes sits in his bomber jacket at the kitchen table, doing his best to talk despite the tracheotomy tube in his throat. Communicating in whispers and handwritten notes, Cortes, 60, is frustrated at the slow pace of his recovery from a stroke but relieved to be home with his mother and brother after four months in a nursing home.
Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ MORE


Rockefeller pushes medical loss ratio provision for Medicaid managed care
Bloomberg BNA
From May 27: The requirement that health insurers spend at least 80 percent of premiums on medical claims or quality improvements was added to the Affordable Care Act as a substitute for the so-called public option for a government-run health insurance plan. The so-called medical loss ratio has been hailed by ACA supporters for providing consumers with nearly $2 billion in rebates from health insurers who didn't meet the spending ratio, and they argue it has also led to lower premiums as insurers cut administrative costs to meet it.
Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ MORE


SPONSORED CONTENT


Medicaid-exchange churn could leave gaps in coverage; MHPA's Myers weighs in
The Washington Post
From Jan. 7: Experts warn of gaps in health coverage as most states are still grappling with the issue. Jeff Myers, MHPA's president and CEO, notes that it's a serious problem for patients' continuity of care and plans' stability.
Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ MORE


SHOWCASE
 
Your One Set of Data Gives You Access to Superpowers

Complex Clinical Reviews. Dependent Audits. And More.

Contact HMS today!
 


Texas Medicaid holds off on proposed limits for Gilead hepatitis drug
Reuters
From April 15: Texas is reconsidering whether to impose strict limits on Gilead Sciences' $84,000 hepatitis C treatment for patients on the state's Medicaid health plan for the poor, at the urging of outside advisers, a state official said.
Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ MORE


The costs of 10 top Medicaid readmission conditions
Becker's Hospital Review
From April 22: Of the 10 most common readmissions conditions for Medicaid patients, septicemia resulted in the highest costs for hospitals, according to an Agency for Healthcare Research and Quality statistical brief.

In 2011, septicemia readmissions for Medicaid patients cost hospitals $319 million, but septicemia was only the eighth most common readmission condition. The most common readmission condition for Medicaid patients was mood disorders, which cost $286 million.

Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ MORE




North Carolina Senate, House at odds over future of Medicaid; MHPA's Myers weighs in
The Associated Press via Salisbury Post
From July 17: Senate Republicans offered a Medicaid overhaul recently that's more sweeping than a House plan because it would recruit private managed-care companies to coordinate patient services and shift North Carolina's Medicaid agency to a new department. Jeff Myers, CEO of MHPA, called the North Carolina medical groups' complaints about the plan "more scaremongering than anything else." Myers continued, "Ultimately, I think the Senate’s on the right path."
Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ MORE


SPONSORED CONTENT


Study: Florida's Medicaid reform pilot is saving money
Sun Sentinel
From Feb. 4: Healthcare plans in the Florida Medicaid Reform Pilot project have done a better job of controlling costs than Florida's traditional Medicaid program, according to a new University of Florida study. An initial estimation suggests the reform pilot reduced costs by about 18 percent had expenditures increased at the same rate as experienced in the nonreform counties.
Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ MORE


Avalere: Medicaid plans expected to grow 20 percent under ACA expansion
Avalere Health LLC
From Jan. 16: An analysis from Avalere Health finds that Medicaid managed care enrollment will increase by 20 percent from 2013 to 2014 and by 38 percent from 2013 to 2016. This increase is driven by state decisions to expand the use of managed care, as well as the influx of new Medicaid beneficiaries under the Affordable Care Act.
Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ MORE




Feds demand Medicaid backlog fixes by 6 states
Kaiser Health News
From July 10: Tired of waiting for states to reduce their backlogs of Medicaid applications, the Obama administration has given six states until Monday, July 14, to submit plans to resolve issues that have prevented more than 1 million low-income or disabled people from getting health coverage. The targeted states are Alaska, California, Kansas, Michigan, Missouri and Tennessee.
Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ MORE

MHPA just topped 2,000 Twitter followers! Are you one of them? If not, start following
@mhpa for the latest in Medicaid and MHPA news.
 

Sponsored by ...


 

 

 

 

 

 

 


 

 


 

 

 


 

 

 


 

 

 


MHPA's Industry NewsBrief
Colby Horton, Vice President of Publishing, 469.420.2601
Download media kit

Damon Sayles, Senior Editor, 469.420.2662   
Contribute news

This edition of MHPA's Industry NewsBrief was sent to ##Email##. To unsubscribe, click here. Did someone forward this edition to you? Subscribe here -- it's free!
Recent issues
Dec. 31, 2014
Dec. 30, 2014
Dec. 26, 2014
Dec. 23, 2014



7701 Las Colinas Ridge, Ste. 800, Irving, TX 75063