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MHPA's Jeff Myers: States must cover cost of health
insurance tax

Inside Health Policy
The lobby representing Medicaid managed care plans tells Inside Health Policy that actuarial soundness principles dictate states must absorb the impact of the health law's insurance fee (including its nondeductibility), but CMS has not — and sources suggest may never — issued guidance on the subject, thus leaving plans and states to hash details out in negotiations.
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Little-known aspect of Medicaid now causing people to avoid coverage
The Washington Post
Add this to the scary-but-improbable things people are hearing could happen because of the new federal healthcare law: After you die, the state could come after your house. The concern arises from a long-standing but little-known aspect of Medicaid, the state-federal program that provides health coverage to millions of low-income Americans. In certain cases, a state can recoup its medical costs by putting a claim on a deceased person's assets.
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Health overhaul law dicey when parents are not Medicaid eligible — but
children are

The Associated Press via Star Tribune
Families shopping for health insurance by way of the new federal marketplace — those trying to get everyone covered — are running into issues upon finding out that while the children are eligible for Medicaid, their parents are not.
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Employers face tax hit in states with no Medicaid expansion
The decision by 25 states not to expand Medicaid coverage under Obamacare could cost some employers more than $1.5 billion in new taxes starting next year, a new analysis reveals. That tax hit might come as a shock to many of those businesses unaware of their exposure to the penalty — which will kick in if their employer-offered health plan is deemed too expensive and workers then buy private, subsidized Obamacare insurance.
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Utah governor: Medicaid will expand
The Salt Lake Tribune
Utah will expand Medicaid to cover more of the state's uninsured, Gov. Gary Herbert said. Herbert did not indicate which of two expansion strategies endorsed by a legislative Health Reform Task Force he prefers — or whether he has another in mind. He said he will make his decision during the upcoming legislative session.
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Virginia House members say no to Medicaid expansion
The Washington Post
Senior members of Virginia's House of Delegates declared that eligibility for Medi­caid will not be expanded this year, hardening their opposition to one of Gov. Terry McAuliffe's top priorities for the legislative session.
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Medicaid expansion backers resubmit initiative to address legal snag in Montana
Backers of a proposed 2014 voter initiative to expand Medicaid coverage to at least 70,000 low-income Montanans have hit another delay, after Attorney General Tim Fox noted a legal problem with the measure.
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Bond to lobby for Missouri to expand Medicaid
St. Louis Public Radio
Retired Missouri Sen. Christopher "Kit" Bond is jumping into the Jefferson City debate over Medicaid expansion — and he's on the side of Gov. Jay Nixon and other expansion supporters. Bond, a former two-term governor, has been hired as a lobbyist by the Missouri Chamber to try to persuade fellow Republicans in the General Assembly to drop their opposition and agree to take the federal aid which would cover all the expansion's costs for three years and at least 90 percent thereafter.
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Florida's decision hurts county with highest uninsured rate
USA Today and Kaiser Health News
In the city that calls itself "America's Sweetest Town," the smell of burning sugar cane pierces the 80 degree January air. Steam billows from the 12-story U.S. Sugar Corp. factory that dominates the landscape and the economy in this region, halfway between the Gulf of Mexico and the Atlantic Ocean. Some describe the aroma as sweet, others as sour — a metaphor of sorts for the Affordable Care Act and its impact on this South Florida county that has the state's highest uninsured rate.
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Medicaid waivers' role in innovation, coverage expansion
The Pew Charitable Trusts
When the U.S. Supreme Court in 2012 ruled that states could decide for themselves if they would expand Medicaid eligibility, many thought states were left with a yes or no proposition. Simple — except nothing is ever simple when it comes to either the Affordable Care Act or Medicaid, the federal-state partnership that provides healthcare to America's poor. Some states want to expand Medicaid, but in their own way. Lucky for them, there is a process that enables them to do so.
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Driving engagement, reducing healthcare costs

Healthx is the leading developer of portals and applications for the healthcare market. Over 130 payers and 39,000 groups, representing over 12 million individual lives, use our technology solutions. From our member and provider portals to our
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The promise and pitfalls of expanded Medicaid
VideoBriefThe U.S. Conference of Mayors is meeting in Washington, D.C., and among the many things on the agenda is the rollout of Obamacare. Under the Affordable Care Act, many states have made it easier to get Medicaid, a move that will affect cities, experts say.
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Millennium Laboratories announces strategic acquisition of RxAnte
Millennium Laboratories
Millennium Laboratories, a leader in the science of medication monitoring and pharmacogenetic testing, has announced its acquisition of RxAnte, a healthcare predictive analytics and decision support company that improves population-level medication adherence on behalf of health plans, pharmacy benefit management companies, pharmacy chains and healthcare providers. Terms of the transaction were not disclosed.
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Peer-support specialists gain funding and ground in Medicaid programs
Inside Health Policy
Thirty-five state Medicaid programs have expanded to reimburse peer-support specialists since 2001, which experts in the mental and substance abuse fields say is a sea-tide of change that could eventually result in validation and creation of a profession that fits well with accountable care organizations and the push for value-based purchasing.

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Big jump seen in Medicaid signups
More than 6.3 million people have been determined eligible for Medicaid and Children's Health Insurance Program coverage since the October start of open enrollment, the Obama administration announced — but it's still impossible to say how many are newly insured because of Obamacare.

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Sebelius to mayors: Urge your states to accept Medicaid expansion
The Hill
Health and Human Services Secretary Kathleen Sebelius urged U.S. mayors to push their state legislatures to expand Medicaid under Obamacare. Sebelius said mayors were the "the pragmatic CEOs" that could help tip the balance in states that have so far refused to expand Medicaid under the Affordable Care Act by making their community's case for expanded coverage to state legislators.

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Free webinar: "Readmissions in Medicaid Managed Care: Finding Them and Understanding Underlying Causes" | Feb. 4, 2-3 p.m. EST
MHPA Clinical Leadership Committee
This Feb. 4 webinar, sponsored by the MHPA Clinical Leadership Committee, features the following:
  • A Quality Outcomes-Focused Approach to Medicaid Managed Care: Identifying Potentially Preventable Readmissions
    Dr. Norbert Goldfield, Medical Director, Clinical and Economic Research Group, 3M Health Information Systems
  • A Better Look at the Problem: Understanding Behavioral Health Contributions to Readmissions
    Shareh Ghani, M.D., Chief Medical Officer, Magellan Health Services, Arizona
1. Please join my meeting. Meeting ID:778-894-509
2. Join the conference call at 760-569-0100. Participant Access Code: 510735 #

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MHPA CEO Jeff Myers to speak at Medicaid Managed Care Congress 2014,
scheduled May 19-21 in Baltimore

Medicaid Managed Care Congress
The Medicaid Managed Care Congress is where government officials, health plan executives and other key players of the healthcare ecosystem come together to learn from one another. Not only will you have exclusive access to industry leaders who will guide you through the 2014 healthcare evolution, you will also have unique networking opportunities to learn from case studies that will drive your business strategy forward.

Highlights include: CMS Keynote speakers, ABC News Chief White House Correspondent, Jeff Myers, MHPA's president and CEO, Jonathan Karl, 18+ health plan case studies from MajestaCare, Molina Healthcare, Cigna-Health Spring and more, 8+ intimate round table discussions with government officials and 12+ never-before-heard presentations across three unique tracks.

Save 20 percent with your MHPA code: XP1926MHPA. Visit here to register today!

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2013-2014 Best Practices Compendium on sale
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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Missed our previous issues? See which articles your colleagues read most.

    Medicaid overhaul plan filed by Missouri senator (The Associated Press via Fort Worth Star-Telegram)
Document: Obamacare contractor faces mid-March deadline — or disaster (The Hill)
Michigan Republicans rethink Medicaid expansion (Kaiser Health News)
"ACA Update: Coordination Between QHPs and Medicaid Managed Care Plans" (MHPA)
ACA spurs shift in long-term care (The Pew Charitable Trusts)

Don't be left behind. Click here to see what else you missed.

Recent webinar presentations from Navigant, PwC, Lilly and others available free on MHPA website
View PDFs or listen to audio for the following webinars: Additional webinars can be viewed here.
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