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Home   About   Policy & Advocacy   Education & Resources   Events   Contact Us Feb. 9, 2012

CMS estimates 26 states exploring capitated payment model under new duals demo    Share    Share on FacebookTwitterShare on LinkedinE-mail article
CMS estimates that 26 states are exploring pursuing a demonstration that would allow states to experiment with capitated payments to align financing between Medicare and Medicaid to improve care for dually eligible beneficiaries, according to recent guidance Medicare-Medicaid Coordination Office Director Melanie Bella and CMS Medicare chief Jonathan Blum sent to health plans interested in participating in that payment model. More

Kansas lawmaker: Fear shouldn't stop Medicaid change
The Associated Press via CBS News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Kansas shouldn't let fear of change prevent it from overhauling Medicaid, an influential legislator said, as Kansas Gov. Sam Brownback's administration stuck with plans to let private companies manage the $2.9 billion program starting next year. More

Task forces to discuss Navigant report on Georgia Medicaid
Georgia Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
State officials are creating two task forces to gather input on a consulting firm's report on the future of Georgia's Medicaid and PeachCare programs. One task force will involve medical provider groups, including representatives of hospital and physician organizations. The second grouping will review the Navigant report's recommendation to revamp services for the "aged, blind and disabled" populations. 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.

Connecticut governor proposes Medicaid changes
The Associated Press via The Boston Globe    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Connecticut Gov. Dannel P. Malloys new budget proposes to raise the eligibility threshold for low-income adults to apply for health insurance through Medicaid. It would to raise the current $1,000 asset limit for low-income adults applying for Medicaid to $25,000. More

Illinois Gov. Pat Quinn wants $2 billion in state Medicaid cuts
Chicago Sun-Times    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Illinois Gov. Pat Quinn said he plans to cut the state's Medicaid spending by $2 billion as a painful but necessary way to attack the state's budget crisis. He also echoed state House Speaker Michael Madigan's call for suburban and Downstate school districts to start contributing to their teachers' pensions instead of letting the state pick up the whole tab. More

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Washington State Medicaid to quit paying for ER visits deemed unnecessary
The Seattle Times    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Intent on cutting state budget health care costs, Medicaid officials say the program will no longer pay for any medically unnecessary emergency-room visits, even when patients or parents have reason to believe they're having an emergency. More


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Kentucky Gov. Steve Beshear announces resignation of Cabinet for Health and Family Services Secretary Janie Miller
Insurance News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Kentucky Gov. Steve Beshear announced that Cabinet for Health and Family Services Secretary Janie Miller has resigned her position, effective Feb. 29, to seek other opportunities. Sec. Miller was among Gov. Beshear's first appointments in his first term and brought a broad wealth of state government and health care program knowledge to this key area of human service programs. More

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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

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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.

Launching & Sustaining Accountable Care Organizations Conference
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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

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

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

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
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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