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Home   About   Policy & Advocacy   Education & Resources   Events   Contact Us Jan. 10, 2012

Blues plans create Medicaid HMO
Health News Florida    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Florida's huge and growing Medicaid managed-care market is gaining a new, formidable player: Florida True Health Inc. Blue Cross and Blue Shield of Florida announced that it is forming the joint venture with an experienced Medicaid managed-care organization based in Philadelphia, AmeriHealth Mercy Family of Companies. More

Ohio begins value-based measure for Medicaid
Dayton Daily News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The state of Ohio launched a formal effort to shift the healthcare industry's business model from one based on volume to one based on value. More

White House cheers news that health law not adding to healthcare costs
The Hill    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Obama administration cheered new evidence that the president's healthcare reform law isn't making healthcare more expensive. More

Altegra Health, First 'Third-Party Submitter'

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.

Obama administration defends healthcare law in Supreme Court brief
The Hill    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Obama administration defended its healthcare reform law, arguing that the Supreme Court would have to break with clear precedent to strike down the law's insurance mandate. More

HHS finalizes more than 1,200 waivers under healthcare reform law
The Hill    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Roughly 1,200 companies received waivers from part of the healthcare reform law, the Health and Human Services Department said. More

Medicaid smoking cessation benefit would provide significant savings
Healthcare Finance News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Research published in the open access journal PLoS One shows that a smoking cessation benefit for Medicaid members saves an estimated $388 per member, per year and could yield billions in savings for state insurance programs across the country. More

New study disputes LePage administration on MaineCare's childless adults
Bangor Daily News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The childless adults Maine governor Paul LePage has proposed dropping from MaineCare are far from young and healthy, despite rhetoric to the contrary, according to a report released by an advocacy group for the poor. More


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After a contentious political year, Republicans may moderate their approach
Stateline    Share    Share on FacebookTwitterShare on LinkedinE-mail article
From the moment he took office, Florida governor Rick Scott made clear that a new and unabashedly conservative administration had taken power in Tallahassee — just as it had in state capitals around the country following an historic election haul for Republicans in 2010. More

New York lawmakers tackle exchange bill. Again.
WNYC-AM via Kaiser Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
New York governor Andrew Cuomo says creating a health insurance exchange for the state is a priority for 2012. State-run exchanges are mandated by the federal health law. Exchanges would effectively allow states to play the role of insurance broker to help individuals and small businesses buy coverage from private companies. More

Regence BlueShield decides to leave Washington's Medicaid market
The Lund Report    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Regence BlueShield is pulling out of the Medicaid market in Washington, after deciding not to bid on a new contract that takes effect in July. More

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Judge rules: Medi-Cal care trumps California's fiscal woes
The Sacramento Bee    Share    Share on FacebookTwitterShare on LinkedinE-mail article
California's fiscal crisis does not outweigh access to healthcare, a federal judge said in temporarily blocking state Medi-Cal cuts that rural hospitals say would have endangered skilled nursing care for their elderly and long-term patients. More

South Carolina makes questionable bid for private health insurance exchange
American Medical News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
A South Carolina state commission concluded in late 2011 that neither a state nor a federal health insurance exchange is feasible, mirroring the position pushed by South Carolina governor Nikki Haley before she created the commission. The panel instead called for a private insurance marketplace to be run by health plans and modeled on travel search engines. More

Improving Lives. Reducing Costs.
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.

Webinar: Understanding Health Literacy
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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.

Population Health and Care Coordination Colloquium
Population Health Colloquium    Share    Share on FacebookTwitterShare on LinkedinE-mail article
North Carolina Medicaid medical homes: The numbers don't add up, period.
Sunday Feb. 26, 2012

A hybrid Conference and Internet event

Philadelphia Marriott Downtown

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    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Next Generation Strategies to Expand Coverage, Improve Quality and Control Costs

Omni Orlando at Champions Gate, Orlando, Fla., Feb. 8-9, 2012

For more information click here.

The World Congress 5th Annual Leadership Summit on Medicaid Managed Care
World Congress    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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
•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.

The Disparities Solutions Center at Massachusetts General Hospital is now accepting applications for the 2012-2013 Disparities Leadership Program
Massachusetts General Hospital    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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. More

MHPA on Twitter, Facebook and LinkedIn
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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
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