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Indiana governor gets federal government approval for |
After months of negotiations with the federal government, Indiana Gov. Mike Pence on Tuesday morning announced the state received a waiver from the Department of Health and Human Services to expand the Healthy Indiana Plan, known as HIP 2.0. Indiana residents can begin applying today. Coverage will begin Feb. 1.
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3.2 million newly eligible adults joined Medicaid in early 2014
The CMS is taking a deep data dive into Medicaid enrollment data to uncover just how many new adults have joined the state programs since the Affordable Care Act motivated many states to expand eligibility last year. In the first three months of last year, 3.2 million new adults joined the program, the CMS said in a recent report.
Kansas state official: KanCare may not need an inspector general
Kansas Health Institute
The Kansas state official who heads KanCare said that the Medicaid program's long-vacant inspector general position may not need to be filled. The KanCare inspector general would serve as a watchdog over the $3 billion contracts the state awarded to three private insurance companies to administer Medicaid services. Susan Mosier, secretary of the Kansas Department of Health and Environment, told a legislative committee that the state is struggling to find a qualified candidate who will take on the job.
Arkansas governor eyes changes to Medicaid expansion
Arkansas Gov. Asa Hutchinson said he wants to end his state's Obamacare Medicaid experiment, which has been a national model for conservative states. The Arkansas program uses federal funds to buy people private health plans on the Obamacare exchange. Dubbed "the private option," it was an innovation designed to draw support of red-state lawmakers otherwise opposed to President Barack Obama's healthcare law.
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Proposal filed to end Arkansas' private option compromise Medicaid plan
A group of Republican lawmakers proposed terminating Arkansas' compromise Medicaid expansion by the end of the year, days after GOP Gov. Asa Hutchinson called for keeping the program alive through 2016.
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Ohio governor backs Medicaid expansion, budget amendment
Great Falls Tribune
Ohio Gov. John Kasich told a small group of Montana legislative Republicans they should not oppose expansion of Medicaid on the basis of "strict ideology."
"I gotta tell you, turning down your money back to Montana on an ideological basis, when people can lose their lives because they get no help, doesn't make a lot of sense to me," Kasich told Republican lawmakers.
Idaho healthcare official calls for overhaul
The Associated Press via Charlotte Observer
Idaho's healthcare system for the poor has been stretched to its limits and needs an overhaul, the program's director said. The Catastrophic Health Care Cost Program handled fewer cases last year than it had previously, but it continued to be burdened by issues such as mental healthcare, Roger Christensen told state budget writers.
Alaska senator says he will keep open to possible Medicaid expansion
The Associated Press via Charlotte Observer
A co-chair of the Senate Finance Committee said the state is not on a path to expanding Medicaid. But Alaska Sen. Pete Kelly said that he would keep an open mind to the possibility. Kelly made his comments as the committee discussed hiring former state health commissioner Bill Streur as a consultant. Streur served under former Gov. Sean Parnell, who resisted expanding Medicaid coverage, citing cost concerns.
Maryland governor proposes cuts in Medicaid reimbursements
The Washington Post
Maryland Gov. Larry Hogan has proposed cutting Medicaid reimbursements, salaries for state employees and extra funding for the state's most expensive school systems, setting up an immediate test of the call for bipartisanship he issued a day earlier at his inauguration.
Medicaid expansion in Georgia still a longshot
The Atlanta Journal-Constitution
Georgia lawmakers' frigid response to Medicaid expansion may be thawing a bit, though legislative leaders and the governor remain staunchly opposed to the idea. At least three state legislators have said publicly in recent weeks that fellow lawmakers should consider Medicaid expansion as they search for ways to address Georgia's uninsured problem. Nearly one in five Georgians doesn't have health coverage; expanding Medicaid, as called for by the Affordable Care Act, would extend coverage to hundreds of thousands of low-income residents.
Judge orders California to make timely decisions on Medicaid coverage
Kaiser Health News
Medi-Cal applicants who have been waiting for more than 45 days can receive temporary health benefits while officials determine eligibility for the public insurance program, a state Superior Court judge ruled this week. The decision came in a lawsuit filed in September alleging that a large backlog of applications to California's Medicaid program left hundreds of thousands of people unable to access healthcare.
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Feb. 4 Webinar Wednesday: 'Engage Moms on Mobile Devices: How Smartphone-Based Programs Can Improve Maternal Health'
Think your Medicaid moms don't have smartphones? Think again. Research shows that nearly 80 percent of women in the Medicaid pregnancy demographic have smartphones, and the number is just going up. In this webinar, learn how native smartphone applications customized to your plan and state can help you improve engagement of pregnant women, identification of high-risk pregnancies and compliance with maternal health quality measures.
NDEP Webinar: 'Population Health Management: Improving Health Where We Live, Work, and Play' | Feb. 24 | noon-1 p.m. ET
National Diabetes Education Program
Healthcare costs continue to soar, outpacing inflation and taking up increasingly larger portions of business, government and consumer budgets. But while costs are rising, overall health and well-being are declining. A population health management approach considers health quality and costs beyond the clinical setting to integrate health information, management and support into people's daily lives. Join the CDC's National Diabetes Education Program in this webinar that will show you a different way to think about health and wellness on the job and in the community.
Feb. 25 Webinar Wednesday: 'Health Plans Leave Money on the Table When They Fail to Effectively Audit, Track Rx Drug Claims'
The total cost of overpayments and fraud, waste and abuse (FWA) in the prescription drug claims arena can be significant. Discuss techniques that health plans and pharmacy benefit management companies can consider to root out FWA and audit for claims processing inefficiencies.
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's 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: Physician contract negotiator | Chicago
Negotiates, re-negotiates and executes physician and/or provider contracts in accordance with company standards in order to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals. Medicaid and Medicare contracting experience strongly preferred.
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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