This message contains images. If you don't see images, click here to view.
Click here to advertise in this news brief.
  Mobile version   RSS   Subscribe   Unsubscribe
Home   About   Policy & Advocacy   Education & Resources   Events   Contact Us Feb. 14, 2012

President's Medicare, Medicaid cost-saving plan assailed by hospitals, nursing homes, drug industry    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Medicare and Medicaid provider payment cuts proposed by the president were quickly assailed by hospital and nursing home groups, which charged the proposals would devastate industries already beaten by a weak economy and small margins and could threaten access to care for the nation's most vulnerable residents. More

President's Medicare/Medicaid cuts rely on blended rate, drug rebates, post-acute facility hits    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The president's plan to save $364 billion under Medicare and Medicaid relies on hard provider cuts and some proposed structural reforms — a move that long-term care providers promptly protested would cut back benefits and hurt states. More

MHPA's new Keeping You Healthy video: Chopper Check
Health Partners of Philadelphia    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Tooth decay is a significant problem in young children. The situation is made worse for those kids on Medicaid by barriers that keep them from getting dental care. This problem hits home for MHPA member Health Partners of Philadelphia, where about half of their enrollees are children. Watch Carol Smolij, Vice President of Clinical and Regulatory Operations at Health Partners of Philadelphia and Judy Gelinas, Director of Community Oral Health Initiatives at St. Christopher's Foundation for Children, discuss the Chopper Check program on MHPA's Center for Best Practices new Keeping You Healthy video on Youtube. More

Independence Blue Cross, others to buy Massachusetts firm
Philadelphia Enquirer    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Independence Blue Cross is joining with two other Blue Cross health insurers and a St. Louis software company to buy a Massachusetts firm that has what the buyers called the nation's largest real-time communication network for physicians, hospitals, and health insurers. 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.

People with disabilities and Medicaid managed care: Key issues to consider
Kaiser Family Foundation    Share    Share on FacebookTwitterShare on LinkedinE-mail article
As many states expand their use of managed care in Medicaid, a growing number of beneficiaries with disabilities are being enrolled in risk-based managed care arrangements for at least some of their care. More

Obama administration defends health care Medicaid law
Reuters    Share    Share on FacebookTwitterShare on LinkedinE-mail article
In a written brief filed with the U.S. Supreme Court, the attorneys disagreed with the argument by 26 states that have challenged the law that the Medicaid expansion was unprecedented and will impose a significant, onerous financial burden on the states. More

Rule on Medicaid Rx reimbursement is scrutinized
Chain Drug Review    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The federal government's proposed rule on Medicaid pharmacy reimbursement using the average manufacturer price model is being closely examined by the National Association of Chain Drug Stores. More

Fraud's #1 Enemy!

HMS has the only comprehensive pre-payment claim solution on the market:

• Forensic editing
• Predictive modeling
• Ongoing monitoring of State-specific regulations

Feds deny part of Florida Medicaid proposal
The Associated Press via The Miami Herald    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Republican lawmakers' quest to expand a Medicaid privatization program statewide was dealt a blow after federal health officials said the state could not impose $10 monthly premiums on Medicaid beneficiaries. More

Mississippi proposed Medicaid changes could affect enrollment
Mississippi Public Broadcasting    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Mississippi lawmakers are looking at ways of trimming and cutting the cost of the state's Medicaid program. Currently 1 in 4 Mississippi is on Medicaid. MPB's Jeffrey Hess reports on proposed changes to the program that could come this legislative session. More

Illinois Governor Quinn's Medicaid goal faces hurdles
The Daily American    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Civic Federation of Chicago recently warned that the twin perils of rising pension and Medicaid costs could result in the state of Illinois facing a backlog of nearly $35 billion in unpaid bills in five years. More

New Jersey: More than $100 million of Christie's would-be Medicaid savings in jeopardy
Statehouse Bureau    Share    Share on FacebookTwitterShare on LinkedinE-mail article
New Jersey Governor Chris Christie's plan to spend $300 million less on Medicaid this year has hit a snag with the federal government that jeopardizes about $107 million of the savings he anticipated in the current state budget. More


• Comprehensive InSight™ risk analysis
• Direct access to pricing actuaries
• Partnership solutions for health care reform
• Medical management programs and services
• Capital management

Centene's Texas subsidiary awarded Excellent Accreditation rating by National Committee for Quality Assurance
PRNewswire via The Salinas Californian    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Centene Corporation announced that Superior HealthPlan, its wholly-owned Texas subsidiary, has received an Excellent Accreditation rating by the National Committee for Quality Assurance. Superior HealthPlan is the first Medicaid plan in Texas to earn an Excellent Accreditation rating by NCQA. More

InComm acquires restricted spend payment company Medagate Corporation
PRNewswire via Pharmacy Choice    Share    Share on FacebookTwitterShare on LinkedinE-mail article
InComm, a leading prepaid product and transaction services company, announced that it has acquired Medagate Corporation, the company that powers OTCNetwork?, the only national closed loop over-the-counter health care benefits payments platform. More

Exploring the value of mobile health
Healthcare Information and Management Systems    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Mobile health has the potential to revolutionize health care by transforming the provider-patient relationship. A Pew Research Center study conducted in 2010 found that four out of five adults in the United States currently own a cell phone. More

Improving Lives. Reducing Costs.
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.

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

A hybrid Conference and Internet event

Philadelphia Marriott Downtown

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    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

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

Banner advertising available with MHPA NewsBriefs
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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

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.

20th Annual Medicaid Managed Care Congress
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Join MHPA as we partner with IIR's 20th Annual Medicaid Managed Care Congress, May 1-May 2 at the Hilton Baltimore. MHPA's president and CEO, Thomas Johnson and over 350 State Officials, Health Plan executives and CMS will share insights on how to improve quality, achieve better health outcomes and control costs. Don't miss Thomas's sessions on the Opportunities for the New Basic Health Plan option and as part of the closing panel discussion.
• State Snapshots providing insight into states that are making moves in the Medicaid managed care space. Hear from Pennsylvania, New Jersey, Texas and Washington, D.C.
• Realigned Track Sessions based on in-depth analysis of our audience to better meet your needs.
• Full Day Summits on Medicaid Managed Care 101 and Dual Eligibles to go deeper into these hot topics.
• Political commentary from speaker Paul Begala from CNN and Newsweek, as he presents potential outcomes for the upcoming presidential elections and the future of Medicaid managed care.

Download the Brochure to learn more about the 40 speakers, 35 sessions, 4 pre-conference workshops, and numerous networking opportunities. Because of our partnership, MHPA members can receive 25 percent off the standard registration rate. Just mention priority code XP1726MHPA when registering. Register online, by calling 888.670.8200, or emailing The hotel block expires on March 30, so be sure to book early.
More connections mean higher capitation rates.
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

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.
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.


















MHPA's Industry NewsBrief
Colby Horton, Vice President of Publications, 469.420.2601   Download media kit
Ralph Ayyad, Content Editor, 469.420.2638   Contribute news
This edition of the MHPA's Industry NewsBrief was sent to ##Email##. To unsubscribe, click here. Did someone forward this edition to you? Subscribe here -- it's free!
Recent issues
Feb. 14, 2012
Feb. 9, 2012
Feb. 7, 2012
Feb. 2, 2012

7701 Las Colinas Ridge, Ste. 800, Irving, TX 75063