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New Medicaid report finds health reform law insurer fee costly to states
MHPA
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A new report from actuarial consulting firm Milliman, Inc., shows a provision of the health reform law intended to tax health insurance companies to help fund coverage expansions, will be paid entirely by state Medicaid programs for the portion assessed to Medicaid managed care organizations.
Click here for Kaiser Health News article.
Click here to read the MHPA press release and access the report.
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States under pressure as health law deadlines approach
Kaiser Health News
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The health law's biggest changes don't take effect until 2014, when states and insurers must be ready to begin signing up an estimated 32 million people in Medicaid and private insurance. But a successful rollout in two years hinges on critical decisions that states must make — and take quick action on — this year.
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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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Louisiana Medicaid overhaul begins its first day in operation
The Times-Picayune
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The first leg of Louisiana Gov. Bobby Jindal's Medicaid overhaul goes live, with more than 180,000 southeast Louisiana residents, most of them children, being shifted from the state-run insurance program to private insurance networks.
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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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Illinois to struggle with exploding Medicaid costs
The Daily Journal
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Illinois' difficulties reining in its pension costs are expected to pale in comparison to its efforts to control Medicaid, the state's other big expense. A new report released from the Civic Federation, a Chicago-based nonpartisan policy group that focuses on state spending, predicts Illinois' Medicaid costs will skyrocket over the next five years.
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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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Report says: Wisconsin Medicaid programs face $141 million shortfall
The Journal Sentinel
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Wisconsin's health programs for the poor have a $141 million shortfall in state money over the next year and a half, new estimates show. So far, Wisconsin Gov. Scott Walker's administration has saving plans that would more than cover that potential deficit in the state's Medicaid health programs.
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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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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.
Launching & Sustaining Accountable Care Organizations Conference
MHPA
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April 19-20,
Washington, D.C.
Incorporating Cost-Sharing Measures in a Changing Healthcare Landscape to Strengthen the Business Model and Ensure Long-Term Success
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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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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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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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