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Week ahead: States to make their case against health care law
The Hill
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This week marks another key deadline in the legal battle over President Barack Obama's health care law, and the clock is still ticking as Congress searches for a way to avoid massive cuts in Medicare's payments to doctors.
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Advocates to HHS: Keep states from using grandfathered plans to set essential benefit standards
InsideHealthPolicy.com
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Several beneficiary advocates are calling on HHS to prohibit states from using grandfathered health plans to set their essential health benefit benchmarks, in particular out of concern for coverage of preventive services and what the selection of a grandfathered plan to serve as an EHB benchmark would mean for Medicaid and Basic Health Plan enrollees' coverage, sources say.
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Amerigroup now serving members Louisiana
PRNewswire via FierceHealthPayer
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Amerigroup Louisiana is one of five health plans selected by the state to serve more than 865,000 managed care beneficiaries in Louisiana under the state health plan, Bayou Health.
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Obama blocks California from charging for care in Medicaid
Bloomberg
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The Obama administration blocked an effort by California to charge Medicaid patients for emergency room visits and hospital stays and allow health care providers to turn away those who couldn't pay.
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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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71 percent of Florida voters oppose Medicaid reimbursement cuts to hospitals
PRNewswire via The Street
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Seventy-one percent of Florida voters say Medicaid is an important program that should be maintained and oppose the deep reimbursement cuts to Florida's hospitals that Florida Gov. Rick Scott and legislative leaders are proposing this session, a new poll shows.
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New Jersey Assembly panel moves forward with key component of health care reform
MSNBC
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New Jersey lawmakers took a step toward implementing a major component of President Barack Obama's health care reform law as an Assembly panel moved legislation to establish a New Jersey health insurance exchange.
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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 requests 100,000 more people for Medicaid
First Electric Newspaper
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Illinois could add 100,000 new enrollees to its Medicaid rolls soon. The Illinois Department of Healthcare and Family Services, which administers Medicaid, asked the federal government to approve accelerating the expansion of the state-federal health insurance program under the federal Patient Protection and Affordable Care Act.
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Illinois Medicaid official sees 'crisis'
The Associated Press via Northwest Herald
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Given the state of Illinois financial predicament, lawmakers will need to consider every possible strategy for cutting the state's Medicaid budget this year, Illinois Department of Healthcare and Family Services Director Julie Hamos says.
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• Comprehensive InSight™ risk analysis
• Direct access to pricing actuaries
• Partnership solutions for health care reform
• Medical management programs and services
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Kansas Blue Cross won't bid on Medicaid, stirring fears
Bioscience Technology
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Kansas Gov. Sam Brownback's efforts to overhaul Medicaid hit a rough spot after the state's largest health insurance company decided not to bid on a contract to help manage the program, leaving some lawmakers and advocates increasingly uneasy.
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Medagate and Ready Wireless: Creating value through Medicaid wireless programs
Healthcare BizDev
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Medagate Corporation, the company that powers OTCNetwork, the only national over-the-counter health care benefit payments platform, announced a WebEx with Ready Wireless to discuss strategies to leverage Medicaid wireless programs.
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OIG: Cutting Medicare and Medicaid fraud still a top concern
McKnight's Long Term Care News
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Eliminating Medicare and Medicaid fraud should be a priority for the Department of Health and Human Services as it works to implement health care reform programs, according to a new report.
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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 starts tomorrow
Medicaid Innovations 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
See MHPA president and CEO Thomas Johnson's Keynote "Federal and State Level Strategies for Medicaid" at the Medicaid Innovations Forum.
Presentation will include the overall direction of Medicaid and Medicaid Managed Care, Accountable Care Organizations, serving dual eligibles and a forecast for growth.
For more information click here.
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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