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NCSL ranks healthcare among state legislators' top 2012 priorities
Government Health IT
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The National Conference of State Legislatures published its annual listing of top priorities for the coming year, and healthcare and health IT issues were chief concerns for 2012.
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HHS releases core Medicaid quality measures
Government Health IT
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The Health and Human Services Department has finalized its initial core set of health quality measures for adults eligible for Medicaid for voluntary use by states. The measures would also be used by the health insurers and managed care organizations that contract with Medicaid to provide coverage for low-income individuals and families.
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Study: Continuous insurance required for low-income diabetics
The Wall Street Journal
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Even a small gap in Medicaid coverage can have consequences for diabetics, new research suggests. The study looked at 3,384 diabetes patients who received medical care at 50 clinics in Oregon from 2005-2007. The care was mostly free, but some recommended diagnostic tests and other services — including cholesterol screening, HbA1c testing to determine blood-sugar control and the flu shot — required a small co-pay.
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Lawyers, courts see weaknesses in defense of Obama's healthcare law
The Hill
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The Obama administration is headed into a Supreme Court case over healthcare reform without a clear answer to significant questions about Congress's power.
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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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New York governor Cuomo cites boosting state's economy, aiding poor in State of State address
The Washington Post
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While outlining an aggressive agenda to boost New York's economy during his second year in office, governor Andrew Cuomo advocated several measures to help the poor and dispossessed such as better access to food stamps, new offices to protect tenants' rights and help homeowners avoid foreclosure, establishing a health insurance exchange and improving care for disabled adults.
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Medicaid rolls in Colorado at 'all-time historical high' in November
The Denver Post
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Nearly 615,000 Coloradans were on Medicaid in November, by far a record high, officials said, attributing the vast bulk of the growth to economic hard times rather than recent eligibility expansions.
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Cook County Health seeks early expansion of Medicaid
Crain's Chicago Business
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The Cook County Health and Hospitals System is seeking approval to add thousands of uninsured patients to the Medicaid rolls nearly two years early, a move that could generate millions of dollars in new revenue for the cash-strapped network.
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Louisiana driving hard toward managed healthcare
The Town Talk
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At the state level, the Department of Health and Hospitals will roll out Bayou Health, a shift from a fee-for-service health care system to a managed, coordinated care model that is expected to give about 1.1 million Medicaid patients more choice in their health plans and service providers, according to the state's health secretary.
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Federal funds to help counties' health programs for low-income residents
The Sacramento Bee
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Thousands of the north state's rural poor, including residents of the greater Sacramento area, will be able to access medical care in 2012 after more than 30 counties received federal approval and funding to expand their indigent health coverage.
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CMS issues FAQ on Medicaid RAC program
AHANews.com
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The Centers for Medicare and Medicaid Services published answers to frequently asked questions regarding the Medicaid Recovery Audit Contractor program. The Patient Protection and Affordable Care Act requires states to contract with RACs to audit payments to Medicaid providers.
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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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Cognosante awarded contract to develop IT blueprint for next generation of Utah Health Exchange
Business Wire via TMCnet
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Cognosante, a leading provider of IT services to healthcare organizations, has been awarded a contract with the state of Utah to assist in designing an IT blueprint for future development of the current Utah Health Exchange.
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TriZetto acquires Medical Data Express
Healthcare IT News
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The TriZetto Group announced it has acquired Chandler, Ariz.-based Medical Data Express, with an eye toward expanding its managed solutions that serve more than 14 million Medicare Advantage and Part D members and more than 12 million Medicaid members.
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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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Population Health and Care Coordination Colloquium
Population Health Colloquium
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A hybrid Conference and Internet event
ONSITE
Philadelphia Marriott Downtown
Philadelphia
ONLINE
In your own office or home live via the Internet
with 24/7 access for six months
For more information click here.
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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Health Integrated, the leading innovation partner for health plans, provides evidence- based solutions to achieve health management goals for clinical outcomes, quality measures and cost containment.
Our expertise with vulnerable populations and 360-degree view of the impact of bio-psycho-social risk factors on health makes us the perfect partner for Medicaid and Medicare plans.
www.healthintegrated.com
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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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