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MPHA's Myers pens Medicaid expansion haiku; featured in 'Politico Pulse'
Pence does expansion
Uninsured Hoosiers covered
Will more red govs join?
Read today's "Politico Pulse" here.
Indiana governor scores conservative points on Medicaid expansion
Indiana Gov. Mike Pence, a potential 2016 presidential contender, has announced that he had won federal approval for a form of Medicaid expansion that includes elements championed by conservatives. Indiana becomes the tenth state with a Republican governor to take up the Obamacare Medicaid expansion, though Pence won some concessions that could give him conservative bragging rights. For instance, people eligible for the Indiana program would have to contribute to a health savings account — and some will lose their coverage and get locked out for six months if they don't pay up.
Republican governors are using Obamacare to make
Medicaid more conservative
Indiana Gov. Mike Pence really hates Obamacare. He refused to set up an insurance exchange and, while serving in Congress, voted repeatedly for repeal. But Pence — alongside 13 other Republican governors — has found something Obamacare is good for: Forcing the Obama administration to agree to conservative Medicaid reforms they might not otherwise consider. Governors have the final say over whether their states expand Medicaid to millions of Americans — and haven't been shy about using that leverage with the Obama administration. Pence demanded that, if he were to sign onto the Medicaid expansion, it would only happen if he could use Indiana's controversial, Bush-era Medicaid experiment as a vehicle.
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More states lean toward Medicaid expansion
The Pew Charitable Trusts
The federal government has approved Indiana's plan to expand Medicaid under the Affordable Care Act, increasing the number of expansion states to 28, plus the District of Columbia. With enrollment starting Feb. 1, Indiana's plan could add an estimated 350,000 low-income adults to the nearly 5 million expected to enroll in the 27 states that expanded Medicaid last year.
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Wyoming headed toward Medicaid expansion
The Washington Post
Lawmakers in Wyoming are working toward an agreement that would allow the state to accept hundreds of millions of federal dollars to expand the state's Medicaid program. Members of the Republican-dominated legislature will meet to craft a compromise between two competing measures that would allow an estimated 17,600 low-income Wyoming residents to gain coverage.
UnitedHealth said to pick Gilead's Harvoni as hepatitis C drug
UnitedHealth Group Inc., the biggest U.S. health insurer by sales, picked Gilead Sciences Inc.'s Harvoni as its preferred hepatitis C treatment, according to a person familiar with the matter. The decision applies to UnitedHealth's fully insured commercial customers, as well as to Medicaid and Medicare members. The Minnetonka, Minnesota-based insurer has about 45 million U.S. health-plan customers, though not all follow the company's drug picks.
Missouri to drop expensive hepatitis C drug Sovaldi, use alternative
St. Louis Post-Dispatch
Missouri's Medicaid program has a found a way to lower the astronomical price tag for drugs used to treat low-income patients with hepatitis C. The state has teamed with 24 other states to negotiate a lower price for a medication called Viekira Pak.
North Carolina health directors eye future warily
North Carolina Health News
At the annual meeting of North Carolina's state health directors last week in Raleigh, small knots of people gathered in the halls and the backs of conference rooms, all discussing the same question: How will public health survive the coming changes in healthcare financing? One of the biggest concerns voiced by health directors both off and on the record centered around the future of North Carolina's Medicaid program.
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.
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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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