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Home   About   Policy & Advocacy   Education & Resources   Events   Contact Us Feb. 23, 2012

CMS' final rule on Medicaid waivers extends transparency requirements to dual-eligible demos    Share    Share on FacebookTwitterShare on LinkedinE-mail article
CMS' long-awaited Medicaid waiver rule not only increases transparency in the process used by CMS and states to negotiate Medicaid demonstration projects but also extends the new requirements to dual eligible financial arrangements being tested by the agency's Medicare-Medicaid coordination shop. More

Centene wins Missouri Medicaid contract
St. Louis Post-Dispatch    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Centene Corp. has won a major contract to manage health care for Medicaid beneficiaries across Missouri, the Clayton-based company recently announced. The firm will share the business with two other companies, Missouri Care Inc., a subsidiary of Aetna Inc., and Health Care USA, a subsidiary of Maryland-based Coventry Healthcare Inc., state officials said. More

Court action could prolong health care fight
USA Today    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Next month's challenge to the Obama-sponsored health care law could affect the care available to most Americans, alter the balance of power between Washington and the states and remain a flash point through this presidential campaign. More

SCOTUS punts on California Medicaid lawsuit
Politico    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Supreme Court is punting on a key question about when Medicaid providers and beneficiaries have the right to sue over cuts to the federal-state health care program. That was the major question at the heart of Douglas v. Independent Living Center, in which provider and consumer groups claimed that California violated federal law by cutting Medicaid provider payment rates. 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.

New Mexico proposes to overhaul Medicaid program
The Associated Press via San Francisco Chronicle    Share    Share on FacebookTwitterShare on LinkedinE-mail article
New Mexico Gov. Susana Martinez's administration is proposing to overhaul a program that provides health care to a fourth of the state's population, and the changes could require some needy New Mexicans to dig into their pockets to pay a fee if they go to an emergency room for medical care that's not considered an emergency. More

Illinois's 'toughest' budget may cut $2.7 billion from Medicaid
Bloomberg    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Illinois Governor Pat Quinn will propose a $33.8 billion spending plan that would cut $2.7 billion from the Medicaid program, which provides health care for the poor. It's the "toughest budget," Jack Lavin, Quinn's chief of staff, told reporters in Springfield, Ill., capital of the fifth-most-populous U.S. state. The plan, an increase from the current $33 billion, would close two prisons and four mental-health facilities, he said. The state faces a backlog of $9 billion in unpaid bills. More

Illinois to tighten Medicaid eligibility
Pharmacy Choice    Share    Share on FacebookTwitterShare on LinkedinE-mail article
New enrollment restrictions for Medicaid in Illinois, effective March 1, include electronic cross-checks on residency and income data, officials said. State officials developed the new rules after a year of talks with federal health counterparts to try to determine whether the 2010 health care law's "maintenance of effort" requirement that bars states from doing anything that would reduce the number of people who qualify for Medicaid would include any measure that would reduce the pool of Medicaid recipients through more vigorous checking, reported. More

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Major Medi-Cal changes raise questions
California Watch    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Sweeping changes for the state's medical program for the needy are taking shape, even as legislative advisers and advocates raise major questions. Changes include more seniors being routed to managed care programs, a reinvention of how hospitals are paid and the collapse of two state agencies that currently serve beneficiaries. More

Maine Medicaid costs above average
The Associated Press via Houston Chronicle    Share    Share on FacebookTwitterShare on LinkedinE-mail article
In his relentless demands for steep Medicaid cuts, Gov. Paul LePage has said Maine spends far more per capita than other states on Medicaid and is high above the national average. Whether you support or oppose LePage's cost-cutting proposals, he's right. More

Georgia drug-testing bill would break new ground
Georgia Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Georgia could become the first state to require drug testing of Medicaid applicants, if a Senate bill becomes law. That's according to a Department of Community Health official, who was asked by a state senator at a legislative hearing whether other states have such a requirement.  More


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UnitedHealth Group and Fort Bend Independent School District launch "JOIN for ME" program to fight childhood obesity
Business Wire via Green Technology World    Share    Share on FacebookTwitterShare on LinkedinE-mail article
UnitedHealth Group is collaborating with Fort Bend Independent School District on a 12-month program designed to help kids who struggle with extra weight reach healthier weights and reduce the risk of many related health concerns. More

Cognosante showcases new product at HIMSS12
Business Wire via Pharmacy Choice    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Cognosante, a leading provider of IT services to health care organizations is showcasing a new health care transformation solution while exhibiting at the 2012 Annual HIMSS Conference and Exhibition, Feb. 20-24, at the Venetian Sands Expo Center in Las Vegas. More

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Introducing the MHPA Center for Best Practices Insights Webinar Series
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
In keeping with its mission of educating Medicaid health plans, the MHPA Center for Best Practices brings you the 2012 Insights Webinar Series, a course of 20 online presentations on emerging trends and important issues facing the Medicaid managed care industry. Geared specifically for Medicaid health plans, these expert-led webinars provide subscribers with the tools they need to improve their operations while maintaining high quality care for enrollees.

From March 12 — Dec. 17, you'll have the opportunity to sit in on up to 20 one-hour presentations on the following issues:
- Hot Trends and Topics
- Improve Your Operations
- Risk Adjustment
- Clinical Best Practices
- Compliance Issues
- Dual Eligibles

For details, including a complete list of webinar titles and subscription rates, click here.

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

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

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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.

NCQA briefing on new HEDIS Schizophrenia measures for Medicaid - public comments due March 14
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Tuesday, March 06, 3:00 p.m. — 4:00 p.m. Conference Dial-in Number: 760.569.0100 Participant Access Code: 510735#

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.
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