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MHPA applauds Florida news on Medicaid expansion,
move to managed care

MHPA
Joe Moser, interim executive director of Medicaid Health Plans of America, the leading trade association solely focused on representing Medicaid health plans, issued the following statement after the dual announcements of Florida's decision to accept federal money to expand Medicaid and CMS' approval of the state's Medicaid managed care waiver.
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Scott shocker in Florida: Let's expand Medicaid
Health News Florida
Hospitals, consumer groups and Democrats celebrated as they recovered from shock over Florida Gov. Rick Scott's change of heart on Medicaid expansion. Tea Party leaders tweeted moans about betrayal. Legislators reminded Scott it's not over yet.
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The GOP split on Obamacare
Politico
The next stage of Obamacare is shaping up into a fight between two camps of Republican governors sure to duke it out in the 2016 presidential primary — ideologues versus pragmatists. The ideological purists are big-name Southern governors who have all said no to major pieces of the law, even turning down free federal cash to expand Medicaid in their states. The more pragmatic governors are rising Republican stars in the rest of the country who've embraced pieces of the law or left the door open to doing so if there seems to be a political upside in their state.
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Business owners urge Congress to take
Medicaid, Medicare, Social Security cuts off the table

The Washington Post
Paloma Clothing in Portland, Ore., has weathered several recessions, but co-owner Mike Roach says the most recent downturn has had by far the greatest impact on his customers, driving down spending by individuals at every income level. While consumers have started showing slightly more confidence to start the year, Roach warns that it's still "a very fragile confidence" — one that could be shattered if policymakers trim too much from what he calls the nation's "social safety net" in their attempts to balance the federal budget.
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In Arizona, poorest, sickest patients get coordinated care
Kaiser Health News and NPR
Can for-profit health insurance companies be trusted to take care of the nation's sickest and most expensive patients? Many states, under an effort supported by the Obama administration, are planning to let the companies manage healthcare for those elderly and disabled people covered by both Medicare and Medicaid.
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McDonnell: Don't expand Medicaid in Virginia until costs are cut
The Associated Press via The Virginian-Pilot
Virginia Gov. Bob McDonnell warned state legislative negotiators not to expand Medicaid in Virginia without major federal and state cost reductions first. McDonnell wrote to the legislature's top budget chiefs — Senate Finance Committee chairman Walter A. Stosch and House Appropriations Committee chairman Lacey E. Putney — as they and 10 other negotiators grappled with Medicaid expansion, the largest remaining obstacle to reaching a budget compromise in time for a final adjournment.
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LAO: California state-based expansion makes more sense
California Healthline
After conducting a review of the two choices California officials are considering for optional Medi-Cal expansion, the state Legislative Analyst's Office strongly recommended the state-based option, rather than a county-based plan. The Assembly Committee on Health convened the first hearing of the legislative special session on healthcare reform and passed the first component of it.
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Despite rejection, Wyoming studies Medicaid expansion
The Associated Press via San Francisco Chronicle
Despite the Wyoming Legislature's recent rejection of a plan to extend Medicaid coverage to 17,600 additional low-income adults, the state's Department of Health continues to study the possibility. Expanding Medicaid is a cornerstone of the Affordable Care Act, and the federal government has pledged to initially pay the total cost of the optional expansion that lawmakers rejected last month.
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Interactive: Economic impact of Medicaid expansion by Texas legislative district
The Texas Tribune
Expanding Medicaid to cover poor adults is incredibly unpopular among most Texas Republicans, and Gov. Rick Perry has vowed the key tenet of the federal Affordable Care Act won't be rolled out. But proposals to do it have gained traction among some fiscal conservatives who argue the economic benefits of expanding Medicaid could outweigh the political backlash.
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Big firms win multimillion-dollar contracts to build insurance marketplaces
Kaiser Health News
President Barack Obama's health law has been criticized as a "government takeover"” of healthcare, but private companies are building the underpinnings of the online health insurance marketplaces that are a key element of the law — and winning contracts worth hundreds of millions to do so.
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California lawmakers to consider rules for health insurance market
Los Angeles Times
Lawmakers are set to consider new rules for California's health insurance market — including a requirement for insurers to cover consumers who have preexisting medical conditions — and limits on how much they can charge based on age. The proposals, scheduled to be taken up by the Assembly and Senate health committees, are part of a legislative package that aims to help California implement President Barack Obama's healthcare overhaul.
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The Duals dilemma — identifying effective care management approaches to support meaningful improvement: A free webinar by Deloitte Consulting | March 27 at 3 p.m. EST
MHPA
Individuals eligible for both Medicare and Medicaid coverage represent one of the highest cost populations to care for in the U.S., with a diverse array of care management requirements. As the Centers for Medicare and Medicaid Services initiates demonstrations to test care integration and financing for dual eligibles, health plans are positioning for the opportunity to serve this new population while simultaneously grappling with the many new capabilities that they will need to effectively manage care for these new members. This presentation will address some of the critical care management decisions that health plan leaders should be thinking about.
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'Keeping You Healthy' video: Telemedicine Program by
WellPoint / Anthem Blue Cross

YouTube
VideoBrief 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.
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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.
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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.
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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.
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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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