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. 16, 2012

UnitedHealth launching Apple-like cloud service for care coordination
FierceHealthPayer    Share    Share on FacebookTwitterShare on LinkedinE-mail article
UnitedHealth's Optum unit is launching a new health care cloud-computing platform, which stores information and applications on remote servers accessed through a secure Internet connection, to help share medical data among health care professionals in hopes of improving care coordination. More

UnitedHealth, Comcast create reality show to help prevent diabetes
The Hartford Courant    Share    Share on FacebookTwitterShare on LinkedinE-mail article
UnitedHealth Group and Comcast Corp. are conducting a social experiment that involves people at risk of having diabetes volunteering to watch video-on-demand programming with health and wellness coaching. More

MHPA's new Keeping You Healthy video: Chopper Check
MHPA    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

Arizona Supreme Court lets AHCCCS cuts stand
The Arizona Republic    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Arizona Supreme Court on declined to review an appeal challenging cuts to the state's Medicaid program, letting stand an enrollment freeze that has locked thousands of poor residents out of government-paid health insurance. 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.

Feds look into Minnesota's premium rates for poor
Star Tribune    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The federal government has launched an investigation into whether Minnesota has set premium rates too high on health insurance coverage for low-income people, officials said recently. More

Georgia state health budgets bring relief, some pain
Georgia Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Usually at the midpoint of a Georgia General Assembly session, health care industry groups are scrambling to prevent deep cuts in the budgets of Medicaid and other government programs. More

Health and Human Services head offers to help Maine change Medicaid
Bangor Daily News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Health and Human Services Secretary Kathleen Sebelius told members of the U.S. Senate Finance Committee that she has told Maine Govenor Paul LePage what the state's options are to change Medicaid and offered to send a team to help the state craft a plan that will pass federal muster. More

Louisiana Federal Agency approves Medicaid contract
KTBS-TV    Share    Share on FacebookTwitterShare on LinkedinE-mail article
A proposed $185 million contract with a firm to handle Louisiana's Medicaid claims processing has been approved by the federal government's health agency. 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

Technology helps government recoup $4 billion in Medicare, Medicaid fraud
Healthcare IT News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The efforts to curtail health care fraud have returned $4.1 billion to U.S. taxpayers in 2011, according to a new report from the U.S. Department of Health and Human Services and the Department of Justice. The fraud-fighting techniques employed by the government are largely supported by new information technology. More

Centene Corporation to present at Citi 2012 Healthcare Conference
PRNewswire via    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Centene Corporation announced it will present at the 2012 Citi Global Healthcare Conference, to be held Feb. 27-29, at the Waldorf Astoria in New York City. More

Medicaid expert and CEO of Genesee Health Plan of Michigan, Linda Hamacher joins host Richard Yadon on Medicaid Matters Feb. 28, at 1 p.m. EST.
Free Press Release    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Medicaid expert and CEO of Genesee Health Plan will be the guest on the Feb. 28th Medicaid Matters Talk Show. This exclusive interview will highlight the innovative programs and policies that Ms. Hamacher's group has been implementing in the state of Michigan in regard to providing care to Medicaid recipients. More


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

URAC spells success for San Antonio Health care Company
24-7 Press Release    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Carenet Healthcare Services, a performance-driven organization providing results that improve today's health care cost, access to care and quality issues, successfully completed its recent URAC review. More

Sebelius: Much of CMS' budget hike covers one-time costs for Federal Exchange    Share    Share on FacebookTwitterShare on LinkedinE-mail article
HHS Secretary Kathleen Sebelius sought to emphasize that much of the CMS funding bump in the president's fiscal 2013 budget that will be used to implement insurance exchanges goes toward "one-time costs" for the federally facilitated exchange, after Senate Finance Committee members asked during a hearing about the funding and states' progress in setting up the new insurance marketplaces. More

Alaska takes biggest step yet toward exchange
NPR with Kaiser Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Alaska has opposed the federal health law so adamantly that it is the only state that chose not to even apply for a $1 million grant the federal government was passing out to states to plan a health insurance exchange. But that doesn't necessarily mean there won't be an online marketplace to buy insurance in Alaska. 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

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    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 Health care 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 health care organizations who wish to implement practical strategies to identify and address racial and ethnic disparities in health care, 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.

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 & 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.

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.
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 %%emailaddr%%. To unsubscribe, click here. Did someone forward this edition to you? Subscribe here -- it's free!
Recent issues
Feb. 16, 2012
Feb. 14, 2012
Feb. 9, 2012
Feb. 7, 2012

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