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Avalere: Medicaid plans expected to grow 20 percent under
ACA expansion

Avalere Health LLC
An analysis from Avalere Health finds that Medicaid managed care enrollment will increase by 20 percent from 2013 to 2014 and by 38 percent from 2013 to 2016. This increase is driven by state decisions to expand the use of managed care, as well as the influx of new Medicaid beneficiaries under the Affordable Care Act.
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NGA developing state-level proposals on healthcare cost, quality
Inside Health Policy
As part of the National Governors Association's annual "State of the States" address on Jan. 15, NGA Chair Mary Fallin and Vice Chair John Hickenlooper discussed states' plans to move forward on developing state-level recommendations for how to cut healthcare costs and increase quality.
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CMS gives states 5 years to implement lengthy community services for disability changes; MHPA's Myers comments
Inside Health Policy
Disability advocates are cautiously applauding a final CMS rule out that provides states flexibility to offer home and community-based services to target specific populations, sets one national definition for home and community-based settings that could be applied to a HCBS waiver, defines person-centered planning requirements and allows for a five-year transition period. The rule also provides states the option to combine coverage for multiple target populations into one and provides CMS with additional compliance options beyond waiver termination.
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Warning: Ignore claims that 3.9 million people signed up for Medicaid
because of Obamacare

The Washington Post
In looking at a tweet by the @BarackObama Twitter account, maintained by the pro-Obama group Organizing for America, the 6 million figure comes from combining a figure of 2.1 million for people selecting a plan via state and federal exchanges, through December, and 3.9 million for Medicaid, through November. Thus, the claim that "6 million Americans have already signed up for coverage thanks to health reform."
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CMS awards states bonuses for enrolling children in Medicaid
Inside Health Policy
CMS awarded more than $307 million in Children's Health Insurance Reauthorization Act Performance Bonuses to 23 states in fiscal 2013, the fifth and final year of the bonus awards. Bonuses range from $1 million for North Dakota to more than $58 million for Colorado.
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Medicaid advisory panel in North Carolina takes public comment
The Associated Press via WRAL-TV
Influential players in North Carolina's medical community lined up behind a proposal that largely retains the current Medicaid payment method but shifts slightly the risk for cost overruns to providers.
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North Carolina Medicaid budget impossible to forecast due to ongoing DHHS computer woes
North Carolina Health News
After months of negative publicity about computer glitches in her department, Health and Human Services Secretary Aldona Wos apologized for a massive data-privacy breach that occurred at the end of December, when the North Carolina state Medicaid program sent the wrong registration cards to more than 48,000 child Medicaid recipients.
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New plan would use Medicaid dollars for private insurance in Nebraska
NET
Federal Medicaid dollars would help low income Nebraskans pay for private health insurance under a proposal introduced in the legislature. It is the second time lawmakers have attempted to expand Medicaid in Nebraska. Last year, the proposal was strictly to expand the government healthcare program to cover low income Nebraskans.
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133,000 Florida residents waiting for Medicaid
Health News Florida
The number of low-income Floridians waiting in computer limbo for their Medicaid card is far higher than previously thought, according to the Department of Children and Families. Ninety thousand Florida Medicaid accounts that cover 133,000 people have been stuck in the federal Healthcare.gov data system for weeks pending transfer to the state, said Jennifer Lange, project director for the Medicaid Eligibility System Project at DCF.
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New evidence on the Affordable Care Act: Coverage impacts of early
Medicaid expansions

Health Affairs
The Affordable Care Act expands Medicaid in 2014 to millions of low-income adults in states that choose to participate in the expansion. Since 2010 California, Connecticut, Minnesota and Washington, D.C., have taken advantage of the law's option to expand coverage earlier to a portion of low-income childless adults.
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State profiles: How will the uninsured fare under the Affordable Care Act?
The Henry J. Kaiser Family Foundation
The 2010 Affordable Care Act has the potential to extend coverage to many of the 47 million nonelderly uninsured people nationwide. Learn how the ACA could expand coverage to the uninsured in your state.
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A statewide Medicaid enhanced prenatal care program
The JAMA Network
Participation in MIHP reduced the risk for adverse birth outcomes in a diverse, disadvantaged population. The study adds to the evidence base for enhanced prenatal care home visiting programs and informs state and federal investments.
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Churning between Medicaid, exchanges to be costly
The Washington Post
Experts warn of gaps in health coverage as most states are still grappling with the issue. Jeff Myers, MHPA's president and CEO, notes that it's a serious problem for patients' continuity of care and plans' stability.

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Considering Medicaid expansion for your state? Read this study
National Journal
States that underwent early expansions of their Medicaid programs reduced their uninsured population, but they also pulled some customers off of private plans and onto government insurance rolls, according to a new study.

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Website defects leave many eligible for Medicaid, CHIP without coverage
The Washington Post
More than 100,000 Americans who applied for insurance through HealthCare.gov and were told they are eligible for Medicaid or the Children's Health Insurance Program remain unenrolled because of lingering software defects in the federal online marketplace, according to federal and state health officials.

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2013-2014 Best Practices Compendium on sale
MHPA
MHPA's Best Practices Compendium is our annual compilation of exemplary programs run by Medicaid health plans and their partners that help improve member lives. It's also a valuable reference tool that features a listing of the current state Medicaid directors and an MHPA member health plan/vendor resource directory. Get yours today ($25 for members, $30 for nonmembers). To order, call 202-857-5720, or email us here.
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Recent webinar presentations from Navigant, PwC, Lilly and others available free on MHPA website
MHPA
View PDFs or listen to audio for the following webinars: Additional webinars can be viewed here.
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TRENDING ARTICLES
Missed our previous issues? See which articles your colleagues read most.

    Churning between Medicaid, exchanges to be costly (The Washington Post)
Obamacare Medicaid split creates 2 Americas for poor (Bloomberg)
Study: Expanding Medicaid doesn't reduce ER trips; it increases them (The Washington Post)
Florida's Medicaid managed care ready to move forward (Orlando Buisiness Journal)
FDA Approves New Diabetes Drug (MedPage Today)

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