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Comprehensive state Medicaid expansion
decisions chart launched by NASHP

State Refor(u)m    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Get the latest info on state Medicaid expansion including direct links to statements from the governor or executive branch, activity in the state legislature, and fiscal and demographic analyses from the state or other institution. This chart was launched by the National Academy for State Health Policy. More

Governors in 22 states back expanded Medicaid plan
Reuters    Share    Share on FacebookTwitterShare on LinkedinE-mail article
At least 22 governors, including four Republicans, support an expansion of Medicaid under President Barack Obama's healthcare reform law, while others are expected to decide in the coming weeks, experts said. An analysis published by the New England Journal of Medicine said the headcount, which includes 13 Republican governors who staunchly oppose Medicaid expansion, portends an uneven start for Obamacare when its most sweeping reform provisions begin on Jan. 1, 2014. More

CMS state Medicaid director letter on Mental Health Parity
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
After the President announced on Jan. 16 that new rules regarding mental health parity would be released soon, CMS sent a letter to states explaining and providing guidance on how the Mental Health Parity and Addiction Equity Act applies to Medicaid MCOs, CHIP and Alternative Benefit, or Benchmark, plans. More

Children, teens, young adults' focus of
mental health provisions in Obama's gun plan

Kaiser Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
VideoBriefIf the National Rifle Association's plan to curb violence is, in part, arming school employees with guns, President Barack Obama wants to arm them with something quite different — mental health training. The president's plan centered largely on training teachers and others who work with children, teens and young adults to recognize mental illness as it's developing. More

MCNA Dental Plans

MCNA Dental Plans delivers high quality dental care to traditionally underserved populations enrolled in Medicaid, CHIP, and Medicare programs. MCNA contracts with over 25,000 dental providers throughout 22 states. Our provider network and our focus on customer satisfaction are the foundation of our commitment to excellence. MORE

Democrats urge Biden task force to push bill
bolstering Medicaid pay for mental health treatment    Share    Share on FacebookTwitterShare on LinkedinE-mail article
A duo of Democratic senators and several House Democrats are urging the multiagency gun violence task force — whose work is being led by Vice President Joe Biden — to embrace legislation that would authorize "federally-qualified community behavioral health centers" to serve individuals with mental illnesses and addiction disorders. The bill, which the lawmakers plan to reintroduce, would extend Medicaid prospective payment reimbursement or another state-approved payment methodology currently used for federally qualified health centers and rural health clinics to the health clinics that meet new criteria, as well as extend eligibility for the 340B drug discount program to the centers. 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
Michelle Rice, director of public policy for the National Hemophilia Foundation, will share her journey as the mother of two boys with hemophilia and her commitment to increasing hemophilia patient care, research and awareness through education and coalition building. Michelle will also share how NHF has developed guidelines to ensure quality care, how they align with the goals of managed care organizations and how the NHF and managed care organizations can work together to ensure appropriate patient care of patients within this unique disease. More

Ombudsman says most KanCare concerns are being resolved
Kansas Health Institute    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Kancare Ombudsman James Bart has assured members of the Senate Public Health and Welfare Committee that he's been able to resolve most of the 74 complaints that have reached his office since it opened on Jan. 2. Almost 95 percent of the concerns raised by providers, and 89 percent of those raised by consumers were resolved within a few hours or days. The remaining issues, he said, were in the process of being addressed. More

AHCA announces awarding of long-term care Medicaid contracts in Florida
The Florida Current    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Three companies — American Eldercare, Sunshine State Health Plan and UnitedHealthcare of Florida — stand out as major winners in Florida's competition for contracts in the Statewide Medicaid Managed Care Program for Long-Term Care, a market worth an estimated $3 billion, according to Health News Florida. More

Consumers relieved by California duals demo delay, still upset by demo's size    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Consumers are relieved that California is backing off the aggressive start date for its demonstration that proposes to place roughly half a million of its dually eligible beneficiaries in managed care, according to the state's proposed budget. However, they remain concerned about the large scope of the initiative. The state had been pushing hard for implementation on June 1, and the proposed budget pushes that back to September. More

Arizona governor rallies hospitals in effort to push expansion of Medicaid
The Republic    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Arizona Gov. Jan Brewer is wasting no time rallying support for her effort to expand Arizona's Medicaid plan, using a news conference at Maricopa Medical Center to show she has backing from hospitals and the business community. More

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Missouri backers of Medicaid expansion: 'We mean business'
St. Louis Beacon    Share    Share on FacebookTwitterShare on LinkedinE-mail article
As nurse practitioner Judith Gallagher related story after story of families or individuals who had no health insurance or had lost it — and couldn't qualify for Medicaid in Missouri — she emphasized one common fact about each case. Gallagher was among a parade of speakers addressing more than 100 people at the St. Louis-based Kirkwood Baptist Church as part of a statewide kickoff of a campaign to persuade the Republican-dominated General Assembly to support the expansion of Medicaid in Missouri, as sought by the federal Affordable Care Act. More

UnitedHealth touts predictive modeling as solution to
healthcare fraud and preventable hospitalizations

Healthcare Payer News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
In a working paper on modernizing healthcare, UnitedHealth Group's Center for Health Reform and Modernization is proposing the use of predictive modeling software, particularly in Medicare and Medicaid programs, as a possible solution to both healthcare fraud and preventable hospitalizations. More

Centene to acquire specialty pharmacy leader AcariaHealth
PRNewswire via Insurance Broadcasting    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Centene Corporation has announced that it has signed a definitive agreement to acquire Specialty Therapeutic Care Holdings, Inc. (doing business as AcariaHealth), one of the nation's largest, independent, comprehensive specialty pharmacy companies, from Enhanced Equity Funds and affiliates for $152 million. More

WellCare of Georgia integrates behavioral health services
Bioscience Technology    Share    Share on FacebookTwitterShare on LinkedinE-mail article
WellCare Health Plans, Inc. has announced that as of Jan. 1, it has integrated all behavioral health services for WellCare Medicaid and PeachCare for Kids® members in Georgia. Insourcing of WellCare's behavioral health services, including those addressing mental health and substance abuse, and physical health care services will promote improved patient care, better clinical outcomes and enhanced cost management by integrating medical and behavioral care at the plan level and in the community. More

Recent webinar presentations available free on MHPA's site
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
View PDFs of "Medicaid Managed Care Program Management: The Next Generation" by Navigant Healthcare and "Why Identity Management Matters to Medicaid" by LexisNexis. More

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. 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 deciding whether to expand Medicaid coverage, and which type of health insurance marketplace to create — state-run, state-federal run or federally facilitated. 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
VideoBriefThe CentAccount program promotes personal healthcare responsibility in Centene's membership by offering financial incentives. Centene Senior Vice President 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.

Medicaid Innovations    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Medicaid Innovations will 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. More

MHPA CEO Thomas Johnson keynote speaker at the 6th Annual
Leadership Summit on Medicaid Managed Care | Feb 25-27 | Arlington, Va.

MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Payment transformation continues in Medicaid, as well as the development of integrated care delivery models industrywide. 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. Discounts are not valid on government rates. More

MHPA CEO Thomas Johnson to speak at 21st Annual Medicaid Managed Care Congress | May 20-22 | Baltimore Marriott Inner Harbor Hotel | Baltimore, Md.
Institute for International Research    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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