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Home   About   Policy & Advocacy   Education & Resources   Events   Contact Us Jan. 31, 2012

Congressional Budget Office expects health spending to double
The Hill    Share    Share on FacebookTwitterShare on LinkedinE-mail article
CBO'S economic outlook predicts that federal spending on Medicare, Medicaid and other health care programs will climb to $1.8 trillion — or about 7 percent of the entire economy — by 2022. More

Kansas governor has no plans to slow Medicaid overhaul
The Associated Press via CBS News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Kansas asked the federal government to waive some of its rules so that the state can overhaul its $2.9 billion Medicaid program, despite concerns among legislators that Kansas Governor Sam Brownback is moving too quickly to turn all of it over to private health insurance companies. More

Centene Corporation to present at UBS 2012 Healthcare Conference    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Centene Corporation announced it will present at the UBS 22nd Annual Global Healthcare Services Conference, to be held Feb. 7-8, at the Grand Hyatt New York. More

Altegra Health, First 'Third-Party Submitter'

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.

US says: Medicaid prescription drug rule saves $17.7 billion
Bloomberg    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Medicaid spending on prescription drugs will fall about $17.7 billion over five years under a rule that shifts more of the cost to drugmakers and pharmacies, the Centers for Medicare and Medicaid Services said. More

Facing pharmacy pressure, CMS proposes rule for calculating Medicaid Rx reimbursement caps    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Following months of pressure from pharmacies, CMS issued a proposed rule that explains how drug makers should calculate Average Manufacturer Prices, which in turn is used to determine caps on Medicaid generic-drug reimbursement, called Federal Upper Limits. More

CMS releases list of largest health plan options by state
Becker's Hospital Review    Share    Share on FacebookTwitterShare on LinkedinE-mail article
CMS and its Center for Consumer Information and Insurance Oversight have released a document that lists the three largest health plans by enrollment in each state. CMS and CCIIO created the document to provide a better understanding on essential health benefits under the Patient Protection and Affordable Care Act. More

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Judge blocks cut to health care for poor Californians
Los Angeles Times    Share    Share on FacebookTwitterShare on LinkedinE-mail article
California's budget is once again getting tied up in the federal court system. U.S. District Court Judge Christina Snyder said she will temporarily block a 10 percent cut in Medi-Cal payments to doctors, dentists and other health care providers. More

Texas will not receive health care waiver
The Hill    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Health and Human Services Department denied Texas's request for an adjustment to new rules under the health care reform law that govern insurers' spending. More

Florida plans to slash Medicaid funds ahead of health reform
Government Health IT    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Florida Governor Rick Scott wants to rein in state spending and has proposed using Medicaid as the major tool with which to fill in its $2 billion shortfall. Scott released his proposed budget for 2012-13 in which he plans to cut $2 billion from Medicaid payments to hospitals. The cuts will also pay for slight increases in education and small business tax credits. More


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Nebraska bill would halt planned cuts to Medicaid
San Francisco Chronicle    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The State of Nebraska should reinstate planned cuts to the Medicaid program to better serve children and low income families, several health care advocates say. More

Maine's Medicaid cuts not likely to receive CMS approval
Becker's Hospital Review    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Because CMS does not sanction Medicaid program waivers due to budgetary reasons, it is unlikely that Maine's recent Medicaid proposal will be approved, according to a letter from CMS.  Maine Governor Paul LePage recently proposed to save $66 million in Medicaid costs over the next 18 months by eliminating coverage for 65,000 state residents. More

Health law is a family affair for CMS' Tavenner
Kaiser Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Marilyn Tavenner, the president's nominee to head the Centers for Medicare and Medicaid Services, was already hoarse when she began her speech at the Care Innovation Summit in Washington, D.C. However, that did not stop Tavenner, the agency's acting administrator, from delivering a laundry list of the 2010 health law's benefits and achievements, including a particularly personal one. More

Improving Lives. Reducing Costs.
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.

Registration open for Second Annual Awards Forum
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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. More

MHPA's new Keeping You Healthy video: Improving Blood Lead Screening in 2-year-olds
UnitedHealthcare Community Plan    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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. More

Live webinar: Managed Medicaid state-by-state update
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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.

Population Health and Care Coordination Colloquium
Population Health Colloquium    Share    Share on FacebookTwitterShare on LinkedinE-mail article
North Carolina Medicaid medical homes: The numbers don't add up, period.
Sunday Feb. 26, 2012

A hybrid Conference and Internet event

Philadelphia Marriott Downtown

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    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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
•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    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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

The Disparities Solutions Center at Massachusetts General Hospital is now accepting applications for the 2012-2013 Disparities Leadership Program
Massachusetts General Hospital    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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. More

MHPA on Twitter, Facebook and LinkedIn
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Follow us on Twitter, and Facebook and LinkedIn to get industry-related news and the latest MHPA announcements.

Banner advertising available with MHPA NewsBriefs
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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
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