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Medicaid, CHIP add 10.1 million since insurance
marketplaces opened

McClatchy
More than 10.1 million people have enrolled in Medicaid and the Children's Health Insurance Program in the first 14 months since marketplace enrollment began, the Obama administration reported Monday.

Related: please see the new report from PwC: "The Expanded State of Medicaid in the United States: Private Medicaid Health Plans Crossing the Tipping Point," which shows Medicaid enrollment grew by 9 million lives in 2014, with the number of Americans covered by private Medicaid health plans increasing even more by 9.3 million. Notably, the report found that the number on Medicaid fee-for-service actually decreased for the first time, dropping by 300,000 enrollees.
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Feb. 4 Webinar Wednesday: 'Engage Moms on Mobile Devices: How Smartphone Apps Can Improve Maternal Health'
Wildflower 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.
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Budget plan sees savings in changes to Medicaid, Medicare
The New York Times
In his new budget, President Barack Obama proposed on Monday to squeeze $399 billion over the next 10 years out of Medicare, Medicaid and other programs run by the Department of Health and Human Services. Under the proposals, many Medicare beneficiaries would have to pay more for their care and coverage. The president would, for example, introduce a copayment for new Medicare beneficiaries who receive home healthcare services, and he would collect $4 billion over 10 years by imposing a surcharge on premiums for new beneficiaries who buy generous private insurance to supplement Medicare.
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Obama's budget targets high cost of cutting-edge drugs
The Associated Press via Yahoo
With patients facing greater exposure to the high cost of new medications, President Barack Obama on Monday called for government to use its buying power to squeeze drug companies for lower prices. Obama's budget asks Congress to authorize Medicare to negotiate on behalf of its beneficiaries for so-called "specialty" drugs that require hefty copayments from patients. They include biologics, which are medications derived from natural substances, ranging from insulin to some of the latest cancer treatments.
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More governors embrace Medicaid expansion, but with changes
St. Louis Post-Dispatch
When Indiana became the latest state to expand its Medicaid program, the reaction across the health advocacy community was decidedly mixed. While the decision represented yet another step toward a goal of expanding government-funded health insurance to millions of lower-income Americans, it came at a price — one some advocates say may be too expensive to pay.
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Tennessee governor makes Insure Tennessee case to lawmakers
The Associated Press via Houston Chronicle
Tennessee Republican Gov. Bill Haslam told lawmakers Monday evening that his proposal to extend health coverage to 280,000 low-income Tennesseans is needed to improve lives and fix a "broken healthcare system." Haslam spoke after a special session was convened earlier to discuss the plan, a two-year pilot project called Insure Tennessee. The deal calls on state hospitals to pay the $74 million state share to draw down $2.8 billion dollars in federal Medicaid money to offer coverage to more uninsured Tennesseans.
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Tennessee shows how Republicans learned to embrace Obamacare
Bloomberg
Republican-led states that blocked Obamacare's Medicaid expansion have found a way to embrace it, under pressure from businesses to tap the flood of federal dollars it brings. Tennessee's Republican Gov. Bill Haslam called lawmakers into a special session this week to consider accepting federal money to extend public health-care assistance to more of the poor. Indiana announced its expansion last week. Alabama, Florida, Idaho, Utah and Wyoming are considering it. All are adding free-market, anti-welfare embellishments that backers say distance the proposals from a federal program they once spurned.
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Some Iowans will face premiums for Medicaid expansion
The Associated Press via The Des Moines Register
As Iowa's modified Medicaid expansion hits the one-year anniversary mark, some enrollees will be asked to pay small monthly premiums because they have not yet completed a required physical exam and health questionnaire. For Gov. Terry Branstad, setting these health requirements was a key provision for expanding Medicaid in Iowa using funding from President Barack Obama's health care overhaul. The state received federal approval to make modifications to the traditional Medicaid terms, including setting health requirements and charging contributions.
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Ohio budget director: Governor's spending plan provides funds to continue Medicaid expansion
The Associated Press via Fox Business
Ohio Gov. John Kasich's state budget plan would continue to fund an expansion of Medicaid as his administration seeks to charge a monthly premium to certain residents on the healthcare program, state officials said Monday. The administration would need federal approval to charge the monthly fee to low-income individuals on the federal-state Medicaid program.
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Budget crisis makes Kansas Medicaid expansion even tougher sell
Kansas Health Institute
Kansas' worsening budget problems are making it harder to generate a legislative discussion about expanding Medicaid. Rep. Tom Sloan, a moderate Republican from Lawrence, is attempting to piece together an expansion proposal that he hopes Gov. Sam Brownback and GOP conservatives might be willing to consider. He’s borrowing elements from plans crafted by conservative Republican governors in Indiana, Tennessee, Wyoming and other states that have received or are seeking federal approval for more private-sector approaches to expansion.
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Infographic: Illinois Medicaid cost estimates soar
Chicago Tribune
When state legislators voted to open up Medicaid to more people starting in 2014, they estimated it would cost the state $573 million through 2020. But higher-than-expected enrollment and higher per-member cost estimates could mean the cost to the state is north of $2 billion.
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Despite long odds, Missouri advocates continue push for
Medicaid expansion

St. Louis Public Radio
Advocates continue to push for the expansion of Medicaid to include Missourians who fall in the so-called "coverage gap." Because Missouri has so far opted out of Medicaid expansion under the Affordable Care Act, thousands of Missourians fall into a gap — they make too much money to qualify for Medicaid, but not enough to qualify for federal aid on the healthcare exchange. State legislators have made it clear that expansion is unlikely to happen this year either. But Medicaid advocate Richard von Glahn remains optimistic.
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The effect of emergency department copayments for Medicaid beneficiaries following the Deficit Reduction Act of 2005
The JAMA Network
High unemployment during the 2007-2009 Great Recession and eligibility expansions have increased the size and cost of Medicaid. To provide states with flexibility in administering the program while containing costs, the Deficit Reduction Act of 2005 (DRA) gave states the authority to impose cost-sharing strategies, including emergency department copayments for nonurgent visits. There has been no known previous longitudinal analysis of the effect of the DRA on healthcare utilization outcomes for Medicaid beneficiaries.
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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.
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Feb. 25 Webinar Wednesday: 'Health Plans Leave Money on the Table When They Fail to Effectively Audit, Track Rx Drug Claims'
Deloitte
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.
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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.

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MHPA's Myers to chair WHCC 4th Annual Medicaid and Medicare Reform Summit | March 2015 | Washington, DC
World Congress
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.
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Job opportunity: Physician contract negotiator | Chicago
Aetna
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.
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Job opportunity: Clinical director, Homecare & Managed Care
First Quality
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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Colby Horton, Vice President of Publishing, 469.420.2601
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