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Medicaid rolls rose even as Pennsylvania disqualified many, new calculation shows
Philadelphia Inquirer
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The Pennsylvania Department of Public Welfare's stepped-up efforts over the summer to target waste, fraud, and abuse quickly bore fruit in the fall. Adult Medicaid enrollment alone was down 109,000 through November. Cause and effect seemed clear. Advocates for the poor and disabled were outraged.
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Majority of Americans think ideology will affect high court's ruling on health law
Kaiser Health News
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With the Supreme Court just months away from hearing a historic legal challenge to the 2010 health law, nearly 60 percent of the public expects the justices to depend more on personal ideology than a legal analysis of the individual mandate, according to the Kaiser Family Foundation's health tracking poll.
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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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Centene Corporation selected for Washington State Medicaid contract
NewsRx via Insurance News
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Centene Corporation announced that its subsidiary, Coordinated Care Corporation, has been selected to contract with the Washington Health Care Authority to serve Medicaid beneficiaries in the state.
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Amerigroup wins new business in Washington
NewsRX via Insurance News
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Amerigroup Corporation announced that it is expanding operations to the West Coast. The Washington State Health Care Authority announced its intent to contract with Amerigroup Washington, Inc., and four other health plans as a result of a statewide competitive bidding process.
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HMS has the only comprehensive pre-payment claim solution on the market:
• Forensic editing
• Predictive modeling
• SIU
• Ongoing monitoring of State-specific regulations
www.hms.com |
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GOP prepares bill to replace Obama's Supreme Court-bound health care law
The Hill
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House Republicans will be ready with a plan to replace President Barack Obama's health care law once the Supreme Court determines the law's fate this summer.
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High court's review of health law's Medicaid expansion 'very serious' issue
Kaiser Health News
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One of the top lawyers representing those challenging the health care law said that even opponents were surprised that the Supreme Court ordered arguments on the measure's Medicaid expansion. A second plaintiff attorney characterized it as a "very serious issue" that goes to the heart of the question of the overhaul's constitutionality.
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• Comprehensive InSight™ risk analysis
• Direct access to pricing actuaries
• Partnership solutions for health care reform
• Medical management programs and services
• Capital management MORE |
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State of the Union address barely mentions health care reform law
Politico
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President Barack Obama used his State of the Union speech to remind voters that his administration killed Osama bin Laden and rescued General Motors. But that big health care law he spent a year pushing through Congress didn't get much play.
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New Jersey's inner cities ready, but waiting, to formalize Medicaid ACOs
NJ Spotlight
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Inner city hospitals and physicians are waiting for federal regulations that will enable them to launch Medicaid ACOs designed to cut costs while improving care primarily through reduced ER visits. Although the final regulations are still several months out, urban health providers have hardly been sitting on their hands: In fact, they've been working for years to create coalitions committed to improving healthcare for the poor.
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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.
Our expertise with vulnerable populations and 360-degree view of the impact of bio-psycho-social risk factors on health makes us the perfect partner for Medicaid and Medicare plans.
www.healthintegrated.com
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Registration open for Second Annual Awards Forum
MHPA
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The MHPA Center for Best Practices Second Annual Awards Forum will be held on April 30, 2012, from 8 a.m.-2 p.m. at the U.S. Chamber of Commerce, 1615 H St., NW, Washington, D.C. This event of industry CEOs, CFOs, CMOs and other key personnel will honor health plans for implementing innovative and effective best practices that have improved the health of Medicaid enrollees. For more information and to register, click here.
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MHPA's new Keeping You Healthy video: Improving Blood Lead Screening in 2-year-olds
UnitedHealthcare Community Plan
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To prevent lead poisoning in Michigan, where as many as 20,000 young children may be affected, UnitedHealthcare Community Plan started a program to improve blood lead screening in two-year olds. View MHPA's Center for Best Practices new Keeping You Healthy video on Youtube here.
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Live webinar: Managed Medicaid state-by-state update
MHPA
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Wednesday, 2/1/2012
2:00 p.m. - 3:15 p.m. EST
Brought to you by Corporate Research Group
This webinar will give you a complete look at the policy environment impacting Medicaid, state activities and current and future challenges and opportunities to Medicaid, managed care and the patients served. Thomas L. Johnson, president & CEO of Medicaid Health Plans of America will present.
Webinar Pricing:
Live Webinar $299
Web Archive $299
Live + Web Archive $329
Register Online or call 800-647-7600
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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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.
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.
Job opportunity: Mercy Care Plan seeks chief medical officer
Mercy Care Plan
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Mercy Care Plan, a not-for-profit Medicaid health plan managed by Aetna Medicaid which provides healthcare coverage for enrollees in Arizona's Medicaid program, seeks a new chief medical officer. The successful candidate will be a physician with at least four to six years of experience in medical management and policy implementation within a healthcare provider or managed care organization. Medicaid experience preferred. For a full position description and to apply, please email mercycarecmo@meyerconsultinginc.com.
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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Firstsource’s advanced IVR technology helps achieve a 34% live connect rate, up from 14 to 18% with traditional dialers. As a result, we dramatically improve member contacts and results for disability transfers, member retention/recertification, SSI benefits and member wellness programs and initiatives. For a better, faster way to connect, contact Firstsource at 877-926-7370. MORE
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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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VITAS Innovative Hospice Care®, a pioneer and leader in the hospice movement since 1978, provides a special form of care for people with life-limiting illnesses.
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