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Medicaid rolls grew by 10 million under Obamacare
Over 10 million people enrolled in Medicaid and the children's health insurance program since Obamacare's launch a year and a half ago, the administration announced Monday. The numbers show that through the end of December 2014, 10.75 million more people are enrolled in Medicaid or the CHIP children's health program compared to before Obamacare's coverage expansion took effect in 2013, about a 19 percent increase.
Feb. 25 Webinar Wednesday: 'Health Plans Leave Money on the Table When They Fail to Effectively Audit, Track Rx Drug Claims'
The total cost of overpayments and fraud, waste and abuse (FWA) in the prescription drug claims arena can be significant. Discuss techniques that health plans and pharmacy benefit management companies can consider to root out FWA and audit for claims processing inefficiencies.
CMS pushes adjustments to Medicare Advantage, Part D star ratings to offset duals, low income
Inside Health Policy (Subscription required)
CMS officials proposed Friday, Feb. 20, a plan for changing star ratings to help Medicare Advantage plans with ratings that may be affected by serving a large population of poor beneficiaries.
State CHIP directors, governors count on funding, but timing is key
Inside Health Policy (Subscription required)
A recently released survey shows state Children's Health Insurance Program directors are counting on Congress to extend funding of the program, but timing is key as some directors say they may begin closing their programs if Congress doesn't act by spring.
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Obama delivers plea for Medicaid expansion
President Barack Obama is urging more governors to get on board with a controversial part of Obamacare that expands Medicaid for millions, stressing that its benefits are "bigger than politics."
"If your state isn't one of the 28 that has already expanded Medicaid, I'd urge you to consider it, because our team is prepared to work with you to make it happen," Obama told a group of state leaders gathered in D.C. for the National Governors Association conference.
Virginia lawmakers reject Medicaid expansion
The Washington Post
House and Senate budget negotiators announced on Monday that they have struck a deal that rejects the fee increases and Medicaid expansion sought by Virginia Gov. Terry McAuliffe but embraces some of the governor's other spending priorities for mental health and economic development.
Wyoming House defeats Medicaid expansion budget amendment
The Associated Press via Casper Star-Tribune
The Wyoming House of Representatives on Thursday rejected a proposal to expand the federal Medicaid program. Sponsor Rep. Dan Zwonitzer floated the proposed budget amendment to commit Wyoming to a two-year expansion of Medicaid. Zwonitzer said going into Thursday's hearing that he didn't expect it to pass, but he wanted to give House members on both sides of the critical issue a chance to be heard. The House voted, 41-15, to reject the amendment. Four members were excused.
Republican candidate for governor would eliminate Kentucky's
The Associated Press via Lexington Herald-Leader
Republican candidate for governor Matt Bevin said he would undo the expansion of the state of Kentucky's Medicaid system, a move that would take away health insurance from nearly 400,000 people. Bevin is the first candidate to promise this, ensuring the Affordable Care Act will play a prominent role as four Republicans try to woo the state's conservative voters ahead of the May 19 primary.
Hopes dimming for Medicaid expansion in Kansas
Kansas Health Institute
The chairman of a Kansas House committee holding three Medicaid expansion bills says he has no current plans to have hearings on any of the proposals.
"At this time I haven't scheduled anything," said Rep. Dan Hawkins, a Republican and chairman of the House Health and Human Services Committee. "Will I schedule something? I can't say right now. But right now there is nothing scheduled."
Florida hospitals seek options after CMS nixes Medicaid waiver; may pressure state to consider expansion
The CMS will not renew a Medicaid waiver in Florida expiring in June that provides more than $1 billion a year to help the state's hospitals cover uncompensated-care costs for low-income and uninsured patients. The move may put additional pressure on state Republican leaders to consider expanding Medicaid.
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Ohio governor defends state's use of Medicaid expansion money
In an interview with CNN's Gloria Borger, Ohio Gov. John Kasich responds to Kentucky Sen. Rand Paul's criticism of Ohio's use of Medicaid expansion money.
North Carolina governor: No Medicaid decision until after
Supreme Court rules
The Associated Press via The Robesonian
Republican Gov. Pat McCrory said he won't make a recommendation whether North Carolina should expand insurance to more of the uninsured through the federal healthcare law until after a U.S. Supreme Court ruling.
States strive to keep Medicaid patients out of the emergency department; Centene's Home State Health Plan featured
The Pew Charitable Trusts
Nearly half the states use higher copayments to dissuade Medicaid recipients from unnecessary visits to emergency rooms, where care is more costly. These states require patients to make the payments, which are as high as $30 per visit in Oklahoma, when it is later determined that they did not experience a true medical emergency.
MHPA's Legislative Fly-In | May 11 | Washington, DC
Join us for MHPA's Legislative Fly-In, scheduled May 11 and 12 at the Liaison Capitol Hill Hotel, to educate lawmakers on our industry and its key issues.
Click here for reservation information.
For details, please contact Nikida Levy via email or by phone at 202-857-5720.
MHPA's Myers to chair WHCC 4th Annual Medicaid and Medicare Reform Summit | March 2015 | Washington, DC
MHPA President and CEO Jeff Myers will chair the WHCC 4th Annual Medicaid and Medicare Reform Summit, a meeting that convenes executives from health plans, hospital systems and policy organizations to share, learn and discuss approaches to improve the quality of government programs and achieve payment and delivery reform. For conference details, agenda and registration, please visit here.
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Job opportunity: Physician contract negotiator | Chicago
Negotiates, re-negotiates and executes physician and/or provider contracts in accordance with company standards in order to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals. Medicaid and Medicare contracting experience strongly preferred. Enter Requisition #22158.
Job opportunity: Clinical director, Homecare & Managed Care
First Quality, a leading manufacturer of disposable home health care products, is seeking a clinical director for our Homecare & Managed Care Business. This candidate will provide leadership and have a focus on clinical education, utilization management protocols and programs and operational program development within home care and managed care markets.
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