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Blues plans create Medicaid HMO
Health News Florida
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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.
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Ohio begins value-based measure for Medicaid
Dayton Daily News
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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.
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White House cheers news that health law not adding to healthcare costs
The Hill
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The Obama administration cheered new evidence that the president's healthcare reform law isn't making healthcare more expensive.
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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 defends healthcare law in Supreme Court brief
The Hill
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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.
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HHS finalizes more than 1,200 waivers under healthcare reform law
The Hill
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Roughly 1,200 companies received waivers from part of the healthcare reform law, the Health and Human Services Department said.
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Medicaid smoking cessation benefit would provide significant savings
Healthcare Finance News
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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.
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New study disputes LePage administration on MaineCare's childless adults
Bangor Daily News
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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.
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• Comprehensive InSight™ risk analysis
• Direct access to pricing actuaries
• Partnership solutions for health care reform
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After a contentious political year, Republicans may moderate their approach
Stateline
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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.
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New York lawmakers tackle exchange bill. Again.
WNYC-AM via Kaiser Health News
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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.
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Regence BlueShield decides to leave Washington's Medicaid market
The Lund Report
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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.
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HMS has the only comprehensive pre-payment claim solution on the market:
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Judge rules: Medi-Cal care trumps California's fiscal woes
The Sacramento Bee
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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.
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South Carolina makes questionable bid for private health insurance exchange
American Medical News
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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.
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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.
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www.healthintegrated.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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North Carolina Medicaid medical homes: The numbers don't add up, period.
Sunday Feb. 26, 2012
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, Fla.,
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.
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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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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