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CHCS webinar: 'Health Plan Approaches to Locating New Medicare-Medicaid Enrollees and Building Trusting Relationships' | Tuesday, Jan. 13, 2-3:30 p.m. ET
Center for Health Care Strategies, Inc.
Individuals eligible for both Medicare and Medicaid are increasingly served by health plans within integrated models. To realize the potential of improved care coordination and access to services that integrated models offer, plans must contact members and establish trusting relationships. However, the contact information that plans have for new Medicare-Medicaid members is often inaccurate or out-of-date. Moreover, individuals who did not proactively choose a new plan may not be immediately receptive to health plan outreach.
This 90-minute webinar from the Center for Health Care Strategies (CHCS) will share health plan strategies for contacting hard-to-locate Medicare-Medicaid enrollees, building relationships and creating person-centered care plans that incorporate social service and housing needs.
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.
Health-law suit hints at GOP divide
The New York Times
After President Barack Obama's Affordable Care Act was enacted in 2010, Republicans at both the state and federal levels seemed to speak with one voice in flatly rejecting it. But in subsequent years, though most Republican governors remained critical of the healthcare law, nine accepted a central but optional element, expanding Medicaid programs to cover many more low-income residents of their states. At least four others, urged on by hospitals and business groups, will try to do so this year.
Issues to watch during Virginia's 2015 legislative session
The Washington Post
All 140 General Assembly seats will be on the ballot in Virginia this year, in some cases intensifying the already strained relationship between Gov. Terry McAuliffe and the Republican-controlled legislature.
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California governor offers $164.7 billion budget plan
Los Angeles Times
Taking advantage of a growing economy, California Gov. Jerry Brown proposed a $164.7 billion budget that would boost funding for schools, community colleges, courts and home care for the elderly and disabled. He did not include money that University of California leaders say is necessary to avoid a tuition increase, continuing the standoff over the cost of attending the state's most prestigious institutions of higher learning.
Will Georgia hospital group go to bat for expansion?
Georgia Health News
Unlike its counterparts in other states, the Georgia Hospital Association has not been seen as actively advocating for Medicaid expansion. A number of states have expanded their Medicaid programs, making more low-income people eligible for benefits and thus helping hospitals financially by reducing their numbers of uninsured patients. But expansion has gone nowhere in Georgia. Gov. Nathan Deal and his fellow Republicans who dominate the General Assembly have made a point of blocking such a move, saying it would cost the state too much money.
Arizona governor Ducey keeps 4 agency directors; hires Medicaid critic
The Arizona Republic
Arizona Gov. Doug Ducey is sticking with four directors who have overseen state agencies during Jan Brewer's administration. The retention of the directors comes as Ducey continues to fill out the roster of his top staff, adding a vocal critic of the state's Medicaid expansion as his policy adviser for healthcare and human services.
Aetna subsidiary gets go-ahead to join New Jersey's Medicaid program
Aetna Better Health of New Jersey, a subsidiary of the health insurer Aetna, announced it was awarded a state contract to participate in the NJ FamilyCare, or Medicaid, program, effective last Dec. 1. Medicaid provides healthcare to serves low-income New Jerseyans, and the state is now in the midst of a major Medicaid expansion funded by the Affordable Care Act. Health plans provide the state's Medicaid program under managed care contracts with the state. The largest provider is Horizon Blue Cross Blue Shield of New Jersey's managed Medicaid subsidiary, Horizon NJ Health.
Sunshine Health introduces new dental health plan, Dental Health & Wellness
PRNewswire via Pharmacy Choice
Sunshine Health, a wholly owned subsidiary of Centene Corporation, announced Dental Health & Wellness as its new dental benefits manager beginning Jan. 1. Dental Health & Wellness, one of Centene's specialized health solutions companies, is partnering with Sunshine Health to administer dental benefits for more than 410,000 Medicaid members in Florida.
Affinity Health Plan names Glenn A. MacFarlane president and CEO
Affinity Health Plan via WAGT-TV
The Affinity Health Plan Board of Directors has announced that Glenn A. MacFarlane has officially taken the reigns as president and chief executive officer. MacFarlane, who has been part of the Plan's executive leadership team as its chief financial officer, is tasked with leading the organization in its mission to provide New Yorkers' high-quality, affordable healthcare. He replaces Bertram L. Scott, who led successfully Affinity's efforts to maximize enrollment during the Affordable Care Act introduction.
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.
MHPA CEO Jeff Myers joins keynote health plan panel at Medicaid Managed Care Leadership Summit | Feb. 24-25 | Alexandria, VA
World Congress and MHPA
Hear from CMS, national health plans and seven state offices. Topics include expansion, long term care, dual eligibles and more!
MHPA members: Save $300 with promo code MHPA400. Register here, or call 800-767-9499. For more info, visit the website here.
MHPA's Myers to chair WHCC 4th Annual Medicaid and Medicare Reform Summit | March 2015 | Washington, DC
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.
Job opportunity: Clinical director, Homecare & Managed Care
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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