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Omada Health
How are you helping your members with obesity-related conditions make lasting lifestyle change? In this webinar, you will learn about Omada's Prevent for Underserved Populations program and how Prevent is helping people reduce their risk for chronic disease by losing weight and keeping it off.
With input from Medicaid members, the program has been designed specifically for underserved populations and includes low literacy curriculum and content sensitive to economic insecurity, food access, and neighborhood safety. With Prevent's value-based pricing model, you only pay when members engage and lose weight. Prevent can help you engage members, increase satisfaction, improve population health outcomes and save your health plan money.
To register, click here.
WyoFile
The Wyoming House and Senate budget bills introduced this week exclude Medicaid expansion, one of Gov. Matt Mead's signature budget items, and rely instead on a patchwork of healthcare measures. Medicaid expansion proponents failed to get the program back into the budget Monday, after the Joint Appropriations Committee stripped it from the Department of Health account in January. Mead estimated that expanding Medicaid would save the Department of Health $10 million while the status quo would cost another $23 million — a total win for Wyoming of $33 million.
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The New York Times
Michigan Gov. Rick Snyder is asking the federal government to expand Medicaid coverage to people under 21 and pregnant women who have been exposed to Flint's lead-contaminated water. In a statement released Sunday, Snyder says about 15,000 more Flint residents would benefit if the government approves the request. The governor says the state would help by lining up doctors and behavioral health specialists and providing other services.
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The New York Times
The former governor who made Kentucky a national leader in health care expansion under the Affordable Care Act is moving to protect that legacy from his successor, who has set out to dismantle parts of it. Steven L. Beshear, the former Democratic governor, announced on Thursday the creation of a nonprofit group, Save Kentucky Healthcare, to marshal opposition to changes being made by Gov. Matt Bevin, a Republican who took office in December.
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Enterprising healthcare. Cost containment solutions.
How can we help you? Contact us today.
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KSL-TV
It was a different cast of characters testifying about the need for Medicaid expansion in Utah Thursday. What is typically an unending list of patients pleading with lawmakers to give them access to health insurance, Thursday's meeting was filled with organizational executives, local religious leaders, doctors and other providers, professors and experts, economists and general advocates for Utah's uninsured.
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The Washington Post
Virginia voters want hospitals to pay for Medicaid expansion, don't want businesses to deny service to gay customers and do support background checks at gun shows, a new poll shows. Christopher Newport University's Judy Ford Wason Center for Public Policy surveyed voters on hot-button issues before the General Assembly. Results show Republicans, Democrats and presidential hopeful Donald Trump each know something about what Virginia voters want.
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With an emphasis on innovative initiatives and data-driven solutions, DentaQuest is partnering with health plans to fundamentally change the way oral health is delivered in America. Integrating preventive oral health programs not only offers members a wider portfolio of choice - it is also a proven driver of cost control.
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USA Today
U.S. pharmaceutical giant Pfizer has reached an agreement to pay $784.6 million to resolve unpaid Medicaid rebates. The long-running case involves practices relating to the calculation of Medicaid rebates by drug maker Wyeth for its drug Protonix between 2001 and 2006. Pfizer acquired Wyeth in 2009. Pfizer shares were up 0.18 percent to $29.54 Tuesday.
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MHPA
Last year, the Medicaid Health Plans of America (MHPA) and the Institute for Medicaid Innovation (IMI) received nearly 100 submissions for consideration in the annual best practices compendium. An electronic version of the compendium is now available at the Institute for Medicaid Innovation (IMI)'s landing page.
This year, we have two opportunities, as outlined below, for you to submit best practices.
CHildhood Obesity Prevent & Treatment (CHOPT) for Medicaid
The Institute, in partnership with MHPA and ACAP, was awarded an RWJF grant specific to childhood obesity prevention and treatment that we have named CHOPT for Medicaid. As part of the project, we are conducting an environmental scan (questionnaire for health plans) and soliciting examples of best practices.
The following is the timeline for participating in this project.
Feb. 22: Questionnaire DUE
March 21: Best Practices Submission Form DUE (NOTE: Submissions from MHPA members are automatically sent for review and inclusion in the annual compendium.)
Oct. 28: Childhood Obesity Summit (D.C.)
2016-2017 Medicaid Managed Care Best Practices Compendium
The categories for this year's compendium remain the same; women's and maternal health, child health, behavioral health, long-term care and transitions of care and expansion population. However, the deadlines for submission are earlier due to MHPA's annual conference occurring in September, instead of November as last year.
The following is the timeline for this year's submission cycle.
March 1: Best Practices Submission Form Emailed to Plans
April 30: Best Practices Submission Form DUE
Sept. 21: Release of Compendium and Announcement of Awards at MHPA Conference (D.C.)
Women's Reproductive Health Project
The Institute is also leading a women's reproductive health project that is funded by the Kaiser Family Foundation. We will be administering a questionnaire developed by your colleagues at Medicaid health plans that will include an opportunity to briefly identify innovative and promising best practices, develop an issue brief, and host a policy briefing with Kaiser. We encourage your participation in the following ways:
April 12: Questionnaire Emailed to Plans
May 16: Questionnaire DUE
TBD: Kaiser and Institute Joint Policy Briefing (D.C.)
Please send your submissions and any questions to Jennifer Moore.
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Missed last week's issue? See which articles your colleagues read most.
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Don't be left behind. Click here to see what else you missed.
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MHPA
Thanks again to all who attended and who participated in this great recap of MHPA's annual conference. (download conference presentations here).
Next up: Save the date for mhpa2016 from Sept. 21-23!
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