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CMS estimates 26 states exploring capitated payment model under new duals demo
InsideHealthPolicy.com
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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.
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Kansas lawmaker: Fear shouldn't stop Medicaid change
The Associated Press via CBS News
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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.
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Task forces to discuss Navigant report on Georgia Medicaid
Georgia Health News
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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.
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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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Connecticut governor proposes Medicaid changes
The Associated Press via The Boston Globe
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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.
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Illinois Gov. Pat Quinn wants $2 billion in state Medicaid cuts
Chicago Sun-Times
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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.
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HMS has the only comprehensive pre-payment claim solution on the market:
• Forensic editing
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• SIU
• Ongoing monitoring of State-specific regulations
www.hms.com |
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Washington State Medicaid to quit paying for ER visits deemed unnecessary
The Seattle Times
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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.
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• Comprehensive InSight™ risk analysis
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Kentucky Gov. Steve Beshear announces resignation of Cabinet for Health and Family Services Secretary Janie Miller
Insurance News
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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.
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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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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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