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California won't require some home,
community services in duals demo
InsideHealthPolicy.com
California's latest duals demo plan does not require participating private plans to pay for certain home and community based services that are now mandatory, spurring concerns among advocates for the disabled that plans lacking experience with dually eligible beneficiaries may not realize that in the long term it may be cheaper to cover those services.
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Simpson, Bowles offer new $2.4 trillion deficit-reduction plan
The Hill
Alan Simpson and Erskine Bowles, the co-chairmen of President Barack Obama's deficit-reduction commission, unveiled a new framework that would cut deficits by $2.4 trillion over the next decade. A quarter of the deficit reduction — $600 billion — would come from healthcare savings, with Bowles and Simpson calling for lower provider payments, higher premiums for higher earners, savings from lower drug costs and "adjustments to account for an aging population."
Luring primary care docs into Medicaid
The Pew Charitable Trusts
The Affordable Care Act will usher at least 7 million more Americans into Medicaid next year, but the question of whether enough doctors will be there to welcome them is keeping some state health policymakers up at night. A report published last year in Health Affairs signaled trouble ahead. According to that study by Sandra Decker, an economist at the National Center for Health Statistics, only two out of three primary care physicians surveyed in 2011 were willing to accept new Medicaid patients.
Key legislative committee to consider Medi-Cal expansion
Los Angeles Times
A key California Assembly panel will consider legislation that would dramatically expand Medi-Cal, the state's public insurance program for the poor. The proposal, authored by Assembly Speaker John A. Perez, is part of a legislative package that aims to help California implement President Barack Obama's healthcare overhaul.
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No opposition to creating a KanCare oversight committee
Kansas Health Institute
It appears a proposal to create a new Kansas legislative committee to oversee the implementation of KanCare could have smoother sailing this year than last. A hearing on House Bill 2025 was held in the House Health and Human Services Committee and lawmakers heard it endorsed by officials from the Kansas Department of Health and Environment and the Kansas Department for Aging and Disability Services, the state's two main Medicaid agencies.
Missouri House budget plan skips Medicaid expansion
Daily Journal
Following through on Republican opposition, the top budget writer for the Missouri House outlined a spending plan that omits Gov. Jay Nixon's proposed Medicaid expansion. The plan by Budget Committee Chairman Rick Stream also provides a smaller increase for public colleges and universities, early childhood initiatives and various other programs that the Democratic governor had proposed for the 2014 fiscal year.
Mississippi Democrats push GOP for Medicaid expansion vote
The Associated Press via San Francisco Chronicle
Mississippi House Democrats said they're trying to bring pressure on Republicans to revive a Medicaid bill that's blocked in a committee. Republicans, meanwhile, say Democrats are playing politics with a government health insurance program that covers about one in every five Mississippi residents.
Study: Medicaid expansion would enrich state of Georgia
Georgia Health News
The theme of the Affordable Care Act as a job creator in Georgia gained steam after release of a report on the projected benefits of Medicaid expansion. An estimated 70,000 new jobs would be gained if Gov. Nathan Deal approved expansion of the state's Medicaid program, according to the report, from Georgia State University's Bill Custer. The study, commissioned and released by Healthcare Georgia Foundation, also said expansion would produce an economic impact statewide of $8 billion annually.
South Dakota lawmakers exploring Medicaid expansion
The Associated Press via Connecticut Post
South Dakota lawmakers, including leaders from both parties, announced they are continuing to seek more information about the possible expansion of Medicaid. A group of 19 lawmakers said they have formed a committee to learn more about the advantages and drawbacks of expanding Medicaid.
Medicaid takes a back seat in Arkansas' 89th General Assembly
The Associated Press via Arkansas Business
What happened to the Medicaid session? Despite all the talk before lawmakers gathered at the Arkansas Capitol that Medicaid's finances and future would overshadow just about every other issue, there's been scant attention paid to the $5 billion program and efforts to expand it under the federal healthcare law.
'Keeping You Healthy' video: Telemedicine Program by
WellPoint / Anthem Blue Cross
YouTube
WellPoint State Sponsored Business is the only private health plan to develop, manage and comprehensively support a statewide Telemedicine program to improve access to care in California. Telemedicine can be used by local primary care providers to obtain second opinions on difficult cases to avoid misdiagnosis and prescribing ineffective medications. It can also significantly reduce disparities and accessibility barriers. Timely access to specialty care means early identification and treatment of conditions, resulting in better health outcomes and lower health costs. Join Michael Martineau from Anthem Blue Cross and Michelle Martin from MHPA's Center for Best Practices as they discuss this innovative program.
New compendium on diabetes care from MHPA's Center for Best Practices
MHPA
Prevention of diabetes is a key area of emphasis for health plans. Medicaid health plans' variety of diabetes prevention programs that promote physical activity, encourage healthy eating and help people maintain a healthy weight are critical to stem the rising tide of diabetes. Supported by an educational grant from Roche Diagnostics, this publication offers information on best practices in diabetes care from MHPA health plans and partner organizations. Geared primarily towards Medicaid health plans, state leaders and other policymakers, it also lists resources with website links that can help readers find information about preventing and managing diabetes.
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Recent webinar presentations from PwC, Deloitte, AmeriHealth Mercy available free on MHPA's website
MHPA
View PDFs or listen to audio for "The Race to 2014: Health Reform and the 30 Million Newly Insured" by PwC, "The Fiscal Cliff, ACA, and Medicaid Managed Care" by Deloitte Consulting, "Optimizing Pharmaceutical Care in a Drug Therapy Management Program" by The AmeriHealth Mercy Family of Companies, and more.
MHPA's Amy Ingham to speak at 6th Annual Leadership Summit on Medicaid Managed Care | Feb 25-27 | Arlington, Va.
World Congress via MHPA
Payment transformation continues in Medicaid, as well as the development of integrated care delivery models industrywide. Medicaid managed care plans must continue to show their value. Attend the 6th Annual Leadership Summit on Medicaid Managed Care to learn how. MHPA members, receive a $200 discount when you register online or at 1-800-767-9499 with promo code MHPA200. Discounts are not valid on government rates.
Annual Medicaid Managed Care Congress | May 20-22 | Baltimore Marriott Inner Harbor Hotel | Baltimore
Institute for International Research
Collaborate and drive innovation to move the Medicaid industry forward. Implement the ACA, increase quality, grow membership and strengthen financials. Register with code XP1826MHPA, and save 25 percent.
MHPA on Twitter, LinkedIn and Facebook
MHPA
Follow us on Twitter, LinkedIn and Facebook to get industry-related news and the latest MHPA announcements.
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