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HHS names 73 'innovation advisors'
The Hill
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The Health and Human Services Department named 73 "innovation advisors" who will help with efforts to improve healthcare quality and lower costs.
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Medica Health and Wellness Coaching program improves health, reduces cost
Reuters
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Medica's Health and Wellness Coaching program improves health and generates health cost savings while delivering a high degree of satisfaction among participants, according to a recent study by an independent third party that evaluated 1,051 participants over three and a half years.
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News bites: Quietly de-funding the healthcare law
The Hill
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Congress cut off funding for part of the healthcare reform law simply by failing to reach agreements last year on spending.
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Altegra Health is the first ‘Third-Party Submitter’ to receive certification in Encounter Data Front End Testing from the Centers for Medicare and Medicaid Services (CMS). This certification reflects our expertise in encounter reporting, risk adjustment analytics, and data management. Altegra Health continues to be a health care services leader.
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Obama administration awards $300 million for children's healthcare
The Hill
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The Obama administration awarded 23 states $296 million in bonus payments for exceeding enrollment targets in the Children's Health Insurance Program.
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Wisconsin scales back Medicaid shortfall by $300 million
The Journal Sentinel
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In a bit of good news for the state's strained budget, Wisconsin governor Scott Walker's administration is scaling back by more than $300 million the two-year shortfall projected for state health programs for the poor.
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Wisconsin decision to halt health exchanges worries insurers
Milwaukee Journal Sentinel
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A recent decision by Wisconsin governor Scott Walker could give the federal government greater influence over the state's health insurance market — and that worries some in the industry.
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Colorado Republicans want asset test for Medicaid
The Denver Post
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As Colorado lawmakers prepare for hard budget choices in the 2012 session, House Republicans are urging the state to reinstate an asset test for Medicaid recipients.
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• Comprehensive InSight™ risk analysis
• Direct access to pricing actuaries
• Partnership solutions for health care reform
• Medical management programs and services
• Capital management MORE |
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California barred by Judge from cutting Medi-Cal rates
Bloomberg
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California can't cut reimbursements hospitals receive for the skilled-nursing services they provide to low-income people, a federal judge ruled.
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Planned Medicaid cuts to impact poor, elderly patients
The Dallas Morning News
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It may soon become harder for the neediest Texans to receive medical treatment. That's because statewide regulations scheduled to go into effect would limit reimbursements paid to medical providers for patients covered by both Medicare and Medicaid.
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HMS has the only comprehensive pre-payment claim solution on the market:
• Forensic editing
• Predictive modeling
• SIU
• Ongoing monitoring of State-specific regulations
www.hms.com |
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Webinar: Understanding Health Literacy
MHPA
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Thursday, Jan. 12
11 a.m.-12:30 p.m. EST
Presented by Health Literacy Innovations
Few consumers understand their healthcare — medication inserts, prescription labels, discharge instructions, informed consent forms, and health web sites — and as a result cannot make informed decisions. Roughly one-third of all U.S. adults have "low health literacy" and lack the ability to read, understand or follow health care instructions, which results in confusion, mistakes, poor health outcomes and increased costs from to unnecessary hospitalization, ER, and doctor visits. To learn more and register, click here.
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3rd Annual Medicaid Innovations Forum
Medicaid Innovation Forum
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Next Generation Strategies to Expand Coverage, Improve Quality and Control Costs
Omni Orlando at Champions Gate, Orlando, FL,
Feb. 8-9, 2012
For more information click here.
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The World Congress 5th Annual Leadership Summit on Medicaid Managed Care
World Congress
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Feb. 28 - March 1, 2012
Sheraton Reston, Reston, Va.
Network with over 100 Health Plan and Pharmaceutical industry executives and State Medicaid Directors at the 5th Annual Leadership Summit on Medicaid Managed Care.
Featured Speakers Include:
Thomas L. Johnson, president and Chief Executive Officer, Medicaid Health Plans of America
Henry Waxman, D-CA, U.S. HOUSE OF REPRESENTATIVES
Jennifer Coleman, Senior Advisor, Federal Coordinated Health Care Office, Centers for Medicare and Medicaid Services (tentative)
Karen Brodsky, Director, New Jersey Department of Human Services
30 Sessions, 12 Keynotes, 15 Track Sessions
In-Depth Examinations and Discussions on issues such as:
•Medicaid Expansion
•Early Innovator Grants
•Health Insurance Exchanges
•MMIS & HIT
•Care Management/Quality Improvement and more.
MHPA health plan members can attend the conference for just $695 (a $900* savings!) when using Promo Code SEZ526 to register by Jan. 13.
To register, call us at 800-647-7600 or visit the World Congress website.
* Discount does not apply to the Government Rate.
Job opportunity: Mercy Care Plan seeks chief medical officer
Mercy Care Plan
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Mercy Care Plan, a not-for-profit Medicaid health plan managed by Aetna Medicaid which provides healthcare coverage for enrollees in Arizona's Medicaid program, seeks a new chief medical officer. The successful candidate will be a physician with at least four to six years of experience in medical management and policy implementation within a healthcare provider or managed care organization. Medicaid experience preferred. For a full position description and to apply, please email mercycarecmo@meyerconsultinginc.com.
The Disparities Solutions Center at Massachusetts General Hospital is now accepting applications for the 2012-2013 Disparities Leadership Program
Massachusetts General Hospital
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This year-long executive education program is designed for leaders from hospitals, health plans and other healthcare organizations who wish to implement practical strategies to identify and address racial and ethnic disparities in healthcare, particularly through quality improvement.
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MHPA on Twitter, Facebook and LinkedIn
MHPA
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Follow us on Twitter, and Facebook and LinkedIn to get industry-related news and the latest MHPA announcements.
Banner advertising available with MHPA NewsBriefs
MHPA
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Now you can ensure that your message gets out to the Medicaid managed care industry. For rate information, contact James Debois for opportunities 469.420.2618 or email at jdebois@multiview.com.
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Firstsource’s advanced IVR technology helps achieve a 34% live connect rate, up from 14 to 18% with traditional dialers. As a result, we dramatically improve member contacts and results for disability transfers, member retention/recertification, SSI benefits and member wellness programs and initiatives. For a better, faster way to connect, contact Firstsource at 877-926-7370. MORE
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Epstein Becker Green is uncompromising in its pursuit of legal excellence and client service in its areas of practice: Health Care and Life Sciences, Labor and Employment, Litigation, Corporate Services, and Employee Benefits. The Firm was founded to serve the health care industry and has been at the forefront of health care legal developments since 1973.
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VITAS Innovative Hospice Care®, a pioneer and leader in the hospice movement since 1978, provides a special form of care for people with life-limiting illnesses.
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