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Governors' group highlights healthcare in 2013 outlook
Kaiser Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
As governors gear up to deliver their state-of-the-state addresses later this month, the Democratic and Republican leaders of the National Governors Association spoke about the broader policy challenges facing all states in 2013 — and sure enough, healthcare was among the major issues both mentioned. The "State of the States" addresses by Delaware Gov. Jack Markell, a Democrat, who is chair of the NGA, and Oklahoma Gov. Mary Fallin, a Republican, who is vice-chair, was a first for the group. More



PwC's Health Research Institute identifies top 10 health issues to watch
PR Newswire via WDAM-TV    Share    Share on FacebookTwitterShare on LinkedinE-mail article
As the health industry undertakes a full transition to meet requirements of the Affordable Care Act and to prepare for a shift in market dynamics, PwC's Health Research Institute published its annual list of the Top Health Industry Issues for 2013. According to PwC US, the pace is certain to quicken in 2013 with the effects of technology, consumerism, budgetary pressures and the ACA converging on a sector that represents nearly one-fifth of the economy. More

UnitedHealth Group pitches managed care, FFS Medicare reforms in cost-cutting plan
InsideHealthPolicy.com    Share    Share on FacebookTwitterShare on LinkedinE-mail article
UnitedHealth Group is touting a new proposal to reduce health spending that calls for Medicare and Medicaid to be updated to include strategies already successfully implemented by health plans, employers and states — including use of "administrative services organizations" in fee-for-service Medicare to manage beneficiaries' health benefits and increased reliance on managed care for dual eligibles beyond current CMS demonstrations. More

Study: UnitedHealthcare's diabetes health plan can lead to more effective disease management
Business Wire    Share    Share on FacebookTwitterShare on LinkedinE-mail article
A two-year study from UnitedHealthcare, a UnitedHealth Group company, offers promise that the Diabetes Health Plan can help people with diabetes more effectively manage their condition and reduce their health risks, while also reducing related healthcare costs. The study followed 620 people with diabetes for two years, examining their compliance with six key diabetes treatment and testing requirements, including regular primary care visits and screening tests for blood sugar, cholesterol, cancer, kidney function and eye disease. More

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States struggle with how to sell their exchanges
POLITICO    Share    Share on FacebookTwitterShare on LinkedinE-mail article
From Pandora radio to those paper coffee cup sleeves to the neighborhood laundromat, states are searching for creative ways to advertise their new health insurance exchanges to people who may not know much about how to get covered next year under the healthcare law — and who may not like what they've heard. No state has yet seemed to rope in the star power that Massachusetts got when the Boston Red Sox helped pitch that state's exchange a few years ago. But California has drawn up plans to advertise at places like soccer games and community colleges. A few other states, so far mostly in the West, are using part of their federal exchange grants to hire public relations firms tasked with spreading the message to hard-to-reach groups, like non-English speakers and younger Americans who don't think they need health coverage. More

Minnesota lawmakers unveil bill to create insurance exchange
Minnesota Public Radio    Share    Share on FacebookTwitterShare on LinkedinE-mail article
State lawmakers have unveiled a bill to create an insurance exchange in Minnesota. The exchange is an online gateway for Minnesotans to comparatively shop for health insurance or enroll in Medicaid beginning Oct. 1. The bill calls for a seven-member board to govern the online marketplace, including choosing which insurance plans can be sold on the exchange. More

Governor: New Mexico will expand Medicaid program
The Associated Press via Santa Fe Reporter    Share    Share on FacebookTwitterShare on LinkedinE-mail article
New Mexico Gov. Susana Martinez, a Republican, announced her decision to expand Medicaid for thousands of New Mexicans. The governor says New Mexico will follow provisions of a federal healthcare law to expand the state's Medicaid program to potentially provide medical services to 170,000 low-income adults. New Mexico will join at least 15 other states and the District of Columbia in broadening eligibility for the healthcare program under terms of a healthcare overhaul championed by President Barack Obama. More



Federal officials scale back Maine Medicaid cuts
The Associated Press via The Boston Globe    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Obama administration has rejected Republican Gov. Paul LePage's plan to cut healthcare coverage for more than 20,000 low-income Mainers but left intact provisions approved by the former GOP-controlled Legislature that will eliminate benefits for another 12,600 residents. The administration denied Maine's request to eliminate Medicaid coverage for Maine parents who make between 100 percent to 133 percent of the federal poverty level and to drop coverage for 19- and 20-year-olds, changes that combined would have eliminated coverage to more than 20,000 people. More

Wyoming governor: Lawmakers should consider Medicaid
The Associated Press via KULR-TV    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Gov. Matt Mead is urging Wyoming lawmakers to carefully look at whether the state should accept $50 million in federal funds to expand the Medicaid system in the state. Speaking in his annual State of the State address, Mead says federal officials have failed to answer questions from him about how to implement the expansion. He also says he questions whether the federal government can live up to promises to pay for enlarging the program. More

Virginia revises estimate of Medicaid savings
Richmond Times Dispatch via Pharmacy Choice    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The administration of Gov. Bob McDonnell now estimates that Virginia would save money for the first five years if it expands its Medicaid program under the Patient Protection and Affordable Care Act. Secretary of Health and Human Resources Bill Hazel told a Senate Finance subcommittee that Virginia estimates it would save money until 2019 and then spend about $722 million to expand the program through 2022. At the same time, the federal government is expected to spend more than $23 billion to expand Medicaid coverage in Virginia, which ranks 48th in the country in program eligibility and benefits. More

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Researchers find minimal state cost from Medicaid expansion in California
YubaNet.com    Share    Share on FacebookTwitterShare on LinkedinE-mail article
As the California Legislature prepares to consider bills relating to implementing the Affordable Care Act and expanding Medicaid, the state has the opportunity to significantly increase health insurance coverage at minimal cost to the state budget, according to a joint study by the University of California-Berkeley's Center for Labor Research and Education and the UCLA Center for Health Policy Research. According to the report, new state spending directly related to the expansion likely will be offset by savings from reduced expenses in other state health programs, mental health services and state prisons. More

Plan presented to KanCare Advisory Council
Kansas Health Institute    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Kansas officials say they want to consolidate four KanCare workgroups into two and include more Medicaid enrollees or their family members on the remaining panels. "Now that we're implementing [KanCare], we need to look at things a little differently and have more consumer input," Becky Ross, Medicaid initiatives coordinator at the Kansas Department of Health and Environment, told members of the KanCare Advisory Council during a meeting at KDHE headquarters in Topeka. More

Medicaid provider fee gets maximum priority in Georgia
Georgia Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
At a recent Atlanta panel discussion previewing children's health issues for the upcoming General Assembly session, one item stood out. State Sen. Fran Millar, R-Atlanta, was officially on the panel to highlight "School Flexibility," but he summed up what he sees as the urgency of passing a Medicaid hospital provider fee during the legislative session. Approving the hospital assessment is "perhaps the most critical thing we have to do," Millar said. As the new session gets ready to begin, a fight over the provider fee could provide more drama than any of the health-related controversies of the last session. More



California health proponents watching budget for Medi-Cal provider rate cut
California Healthline    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Gov. Jerry Brown is expected to release his plan to fix a projected $1.9 billion deficit in the state's budget. Despite the recently rosier financial outlook for the state, many in the California health community still hold concerns that those new cuts may come out of the hide of healthcare. More

New report slashes cost estimate on Medicaid expansion in Florida
Health News Florida    Share    Share on FacebookTwitterShare on LinkedinE-mail article
After two days of heavy criticism, Gov. Rick Scott's administration released a new, much smaller estimate of the cost of expanding Florida Medicaid. The new report pegs the price tag at about $3 billion. At the most, if all those eligible signed up, it would cost the state $5 billion over a decade, the new report says. That is less than one-fifth the cost that Scott has been citing. More

Proposed Telehealth Promotion Act of 2012 gains strength, support
Examiner.com    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The proposed Telehealth Promotion Act of 2012 would boost federal financial support for telemedicine services and would improve current Medicare and Medicaid initiatives by launching new programs using telehealth to augment care. The bill was introduced by U.S. Rep. Mike Thompson, D-California. By eliminating arbitrary coverage restrictions and simplifying licensure requirements within federal health programs, the bill would extend the benefits of telehealth and mHealth to nearly 75 million Americans. More


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Free webinar by Navigant Healthcare: 'Medicaid Managed Care Program Management: The Next Generation' | 11a.m. EST Jan. 16
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
There has been "skepticism" about managed care in the policy process and in the public at large. Medicaid Health Plans need to help policy makers understand the value of MCOs and be able to design delivery systems where MCOs can be innovative and valued leaders in delivery and management of Medicaid services. The webinar will cover what MCOs need to do to be ready for the next generation of Medicaid managed care, emphasizing the need to use value-based purchasing to drive for improvement and achievement. Presented by Anne Jacobs, managing director, Navigant Healthcare. More

Insights webinar by Baxter: 'The Hemophilia Community and the Voice of Advocacy' | 11 a.m. EST Jan. 23
Baxter    Share    Share on FacebookTwitterShare on LinkedinE-mail article
In 2013, Medicaid managed care will be affected in a variety of ways — from the shakeout of the 2012 elections and the fiscal cliff negotiations to the continued implementation of the Affordable Care Act. This presentation will address the current status and implications of many outstanding state and federal decisions affecting Medicaid managed care, including: state Medicaid expansion, Health Insurance Exchange decisions and level of integration, and CMS regulatory guidance on Medicaid reforms. Presentations by Jim Hardy and Sarah Wiley of Deloitte Consulting LLP. More

Watch, listen to the Sept. 18 webinar, 'Importance of Coordinated Care in the Management of Members with Hemophilia,' free on MHPA's website
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The presentation on coordinating care in hemophilia and how to improve outcomes and reduce costs by Jeff Januska, PharmD, pharmacy director at CenCal Health and Dr. Steven Pipe, associate professor, Department of Pediatrics and the Department of Pathology, University of Michigan, now is available on MHPA's website.



Free webinar by Deloitte: 'The Fiscal Cliff, ACA, and Medicaid Managed Care' | 2 p.m. EST Jan. 29
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
In 2013, Medicaid managed care will be affected in a variety of ways — from the shakeout of the 2012 elections and the fiscal cliff negotiations to the continued implementation of the Affordable Care Act. This presentation will address the current status and implications of many outstanding state and federal decisions affecting Medicaid managed care, including: state Medicaid expansion, Health Insurance Exchange decisions and level of integration, and CMS regulatory guidance on Medicaid reforms. Presentations by Jim Hardy and Sarah Wiley of Deloitte Consulting LLP. More

Free webinar by AMFC: 'Optimizing Pharmaceutical Care and Measuring Outcomes in a Collaborative Drug Therapy Management Program' | 2 p.m. EST Jan. 30
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Medication-related problems and medication mismanagement are massive public health problems in the U.S. Experts estimate that 1.5 million preventable adverse events occur each year that result in $177 billion in injury and death. In response to these problems, PerformRx, in collaboration with the AmeriHealth Mercy Family of Companies, successfully have developed a collaborative Drug Therapy Management program that has demonstrated significant reductions in emergency room visits and inpatient admissions, as well as significant costs savings. More

Free webinar by PwC: 'Getting to know the 30 million newly insured: New patients equals new challenges' | 2 p.m. EST Feb. 6
PwC    Share    Share on FacebookTwitterShare on LinkedinE-mail article
In the wake of the Supreme Court's ruling to uphold the Affordable Care Act, approximately 30 million uninsured Americans under age 65 stand to gain coverage under the law. States are making two crucial decisions: Whether to expand Medicaid coverage, and which type of health insurance marketplace to create — state-run, state-federal run, or federally facilitated. As decisions are made and plans put in place, one thing is certain: When the exchange population is combined with the new Medicaid beneficiaries, the result will be a distinctly different customer base for the health sector, bringing with it many new challenges and opportunities. More



Keeping You Healthy video: CentAccount by Centene
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The CentAccount program promotes personal healthcare responsibility in Centene's membership by offering financial incentives. A consumer-driven incentive program designed to strengthen the relationships between Centene health plan members and their medical home, it increases the utilization of preventive services, reduces reliance on the ER, and increases continuity of care, resulting in better health outcomes for members. Rewarding members for targeted healthy behaviors increases the likelihood that such behaviors will be continued through positive reinforcement. Centene Senior VP Aparna Aburri discusses this innovative program with the MHPA Center for Best Practices. More

MHPA CEO Thomas Johnson to speak at Strategic Solutions Network's 4th Annual 'Medicaid Innovations Forum' | Feb. 5-7 | Orlando, Fla.
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Medicaid Innovations is designed to be the meeting place for all participants in the Medicaid universe who want to participate, share and learn about innovations that promote quality improvement, cost reduction and transformation in the face of reform. Use discount code MHPA when registering to receive a $200 discount off the current rate. For complete agenda and to register, click here.

MHPA CEO Thomas Johnson keynote speaker at the 6th Annual Leadership Summit on Medicaid Managed Care | Feb 25-27 | Arlington, Va.
The World Congress    Share    Share on FacebookTwitterShare on LinkedinE-mail article
After, and in spite of, the political uncertainty of an election year, payment transformation continues in Medicaid as well as the development of integrated care delivery models industrywide. Now, more than ever, Medicaid managed care plans must continue to show their value. Attend the 6th Annual Leadership Summit on Medicaid Managed Care to get the latest updates via insightful presentations from experts including MHPA's Thomas Johnson ("Deciphering the Implications of Optional Medicaid Expansion"). MHPA members, receive a $200 discount when you register online or at 800-767-9499 with promo code MHPA200. Discount not valid on government rate.

MHPA CEO Thomas Johnson to speak at 21st Annual Medicaid Managed Care Congress | May 20-22 | Baltimore Marriott Inner Harbor Hotel | Baltimore, Md.
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Collaborate and drive innovation to move the Medicaid industry forward. Implement the ACA, increase quality, grow membership, and strengthen financials. Register with code XP1826MHPA and save 25 percent. More

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