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Hepatitis C drug discount deals still miss many patients; MHPA weighs in
Forbes
Despite recent deals designed to extract discounts from the makers of expensive hepatitis C pills, there are still large numbers of Americans, particularly the poor covered by Medicaid insurance, that are missing out on lower costs and in some cases can't access the treatment. CVS Health, which owns a large drug benefit manager, confirmed this week that hepatitis C treatments — Harvoni and Sovaldi — sold by Gilead Sciences (GILD) would be the exclusive option for its health plan enrollees in its "commercial, exchange, Medicare Part D and Medicaid formularies."
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Might your workers be eligible for Medicaid? Startup helps
employers find out

Kaiser Health News
The Gold 'N Silver Inn in Reno, Nevada, has long offered health coverage to its employees — but many of the cooks, dishwashers and waiters who make close to minimum wage can't afford the $100 monthly premium. Last January, when Nevada became one of more than two dozen states to expand Medicaid under the Affordable Care Act, 10 of the diner's 55 employees qualified for the government insurance program for low-income Americans. None of them realized it, however, until the family-run restaurant hired BeneStream, a New York-based startup funded partly by the Ford Foundation.
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5 things governors want the do-nothing Congress to, well, do
The Washington Post
As members of Congress returned to a snowy D.C. morning, so, too, did some governors. And they have a few requests. In their State of the States address on Tuesday, the two governors heading the bipartisan National Governors Association touted state innovations and lamented federal gridlock, urging Congress to pass and reauthorize laws this year on a range of issues from education to jobs to healthcare to infrastructure.
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Red-state governors discuss expansion of Medicaid with Obama
The Hill
President Barack Obama appears more willing to compromise on the path toward Medicaid expansion in several red states, a pair of GOP governors said after a White House meeting on Tuesday. Govs. Pat McCrory (R-North Carolina) and Gary Herbert (R-Utah) told reporters they believe the president would sign off on their states' alternative expansion plans for the low-income insurance program.
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North Carolina governor: Obama open to Medicaid waiver for the state
News & Observer
At a White House meeting with President Barack Obama Tuesday, North Carolina Gov. Pat McCrory raised the possibility of waiving federal rules on Medicaid expansion for the state. McCrory met the president along with three other members of the National Governors Association's Executive Committee.
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Arkansas governor-elect stays quiet on Medicaid private option
Arkansas Online
Gov.-elect Asa Hutchinson on Tuesday still demurred from announcing his opinion on the expansion of the Medicaid private option in Arkansas. Hutchinson discussed the forthcoming legislative session at a forum hosted by the Arkansas Associated Press Managing Editors at the state Capitol.
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Feds: Utah will not get Medicaid work requirement
The Associated Press via The Washington Times
Utah will still not be allowed to require Medicaid recipients to work, even though the president has offered Utah Gov. Gary Herbert more flexibility on the issue, federal officials said Wednesday. U.S. Health and Human Services Department spokesman Ben Wakana said "encouraging work is a legitimate state objective" and the agency looks forward to continuing negotiations with Herbert over Medicaid expansion.
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Texas urged to expand Medicaid
San Antonio Express-News
As more Republican-led states accept Medicaid expansion or consider expanding the program to extend health coverage to the low-income uninsured, a report released Wednesday recommends that Texas do the same. The report by the Code Red Task Force on Access to Health Care in Texas says doing so would not only cover an estimated 1 million residents but also prevent billions of dollars in federal taxes paid by Texans from going to other states to fund their programs.
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Improving Medicaid for 'medically complex' kids
The Pew Charitable Trusts
Finding care for children with medically complex or rare conditions — which may affect fewer than 100 kids nationwide — can force parents to tap into networks of highly specialized physicians and hospitals scattered around the country.
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Jan. 14 Webinar Wednesday: 'Integrated Health Care: Physical and Behavioral Care Delivery Models' | 3 p.m. ET
Deloitte Consulting LLP
More state Medicaid agencies are continuing to move towards integration of physical health/behavioral health medical services. This move typically involves complete integration via a carve-in program or partial integration/stronger coordination in a carve-out program. Increasingly, health plans need to adapt to physical health/behavioral health integration state requirements in order to continue to contract with the state.
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MHPA's Myers to chair WHCC 4th Annual Medicaid and Medicare Reform Summit | March 2015 | Washington, DC
World Congress
MHPA President and CEO Jeff Myers will chair the WHCC 4th Annual Medicaid and Medicare Reform Summit, a meeting that convenes executives from health plans, hospital systems and policy organizations to share, learn and discuss approaches to improve the quality of government programs and achieve payment and delivery reform. For conference details, agenda and registration, please visit here.
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MHPA's Myers to speak at 6th Annual Medicaid Innovations 2015 Forum | Feb. 3-5, 2015 | Orlando
Medicaid Innovations Forum
Join MHPA President and CEO Jeff Myers at the Sixth Annual Medicaid Innovations 2015 Forum in February 2015. This meeting offers a unique combination of forward-thinking perspectives including first-hand case studies and examples of true innovation from both Medicaid managed care plans and state government agencies. The forum, which gathers hundreds of representatives from states, health plans and solution providers in one room, goes beyond policy to explore the specific strategies these organizations are leveraging to improve quality of care, reduce costs and position themselves for success in serving the rapidly expanding Medicaid population. Use Discount Code MHPA200 to receive $200 off the current rate.
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Job opportunity: Clinical director, Homecare & Managed Care
First Quality
First Quality, a leading manufacturer of disposable home health care products, is seeking a clinical director for our Homecare & Managed Care Business. This candidate will provide leadership and have a focus on clinical education, utilization management protocols and programs and operational program development within home care and managed care markets.
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MHPA's Industry NewsBrief
Colby Horton, Vice President of Publishing, 469.420.2601
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