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Governors urge feds to bolster state health reforms, let states share in savings; MHPA comments on MLTSS state plan option
Inside Health Policy
The National Governors Association on Feb. 24 urged Congress to let states share in federal Medicare and Medicaid savings from state healthcare transformation initiatives, and offer states higher federal matches for health homes, Medicaid ACOs and other integrated care models that result in federal savings.

NGA also urged CMS to streamline the Medicaid waiver process as part of a series of recommendations on ways the federal government and states could better collaborate on delivery and payment reform.
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Governors suggesting that Obamacare here to stay
The Associated Press via The Washington Post
While governors from Connecticut to Louisiana recently sparred over how best to improve the nation's economy, governors of both the Democrat and Republican parties shared a far more pragmatic outlook on the controversial program — Obamacare — as millions of their constituents begin to be covered. Governors suggest that President Barack Obama's healthcare overhaul is here to stay.
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Republicans seek political cover to accept Medicaid expansion money
The Washington Post
In the bitterly partisan debate over the Affordable Care Act, few House members criticized the proposed legislation as harshly or as often as then-Rep. Mike Pence. But now, nearly four years after the measure passed on a party-line vote, Pence, now Indiana's governor, is asking the federal government for ACA money to expand a program that provides coverage to low-income Hoosiers. But he wants to do it outside the confines of the healthcare law.
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Pro-Medicaid GOP governors well placed for re-election
Politico
Conservative activists threatened revenge for Republican governors who boosted Obamacare. Now it looks like they were mostly blowing smoke. Around the country, Republicans who defied the base and embraced Obamacare's massive expansion of Medicaid are better positioned for re-election than those who did not. None has garnered a serious primary challenge so far, and even Democrats have struggled to field strong contenders to take them on.
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MHPA finds issues with GAO Medicaid spending report, offers improvements
MHPA
MHPA appreciates the work the U.S. Government Accountability Office is doing to analyze areas of high spending in the Medicaid program, such as their report "Medicaid: Demographics and Service Usage of Certain High-Expenditure Beneficiaries" released on Feb. 19. Unfortunately, the report doesn't adequately capture important information about Medicaid managed care and makes it appear that risk-based, capitated managed care, which provides superior patient-centered care coordination and cost savings, is on par with disjointed noncomprehensive "managed care" models, such as Primary Care Case Management.
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mhpa2014 sponsorship opportunities now available
MHPA
Save Oct. 26-28 for mhpa2014 at the new Marriott Marquis/Walter E. Washington Convention Center in downtown Washington, D.C. Our conference, "Making It Personal: Focusing on the Enrollee in the Tangled Era of Health Reform," will put the spotlight back on the Medicaid beneficiary. Agenda, registration and hotel information will be available soon. In the meantime, visit our sponsor page for mhpa2014 sponsorship and exhibiting opportunities.
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Health centers see threat from 'Private Option' Medicaid
Politico and Kaiser Health News
In a sleepy Mississippi River Delta town in eastern Arkansas, the community health center that opened in 2012 stands out among the downtown's mostly abandoned buildings constructed over a half century earlier. The 15,000-square-foot brick building with its two-story lobby and green awnings was paid for through a $2.8 million grant from the Affordable Care Act — a federal investment designed to ensure the nonprofit clinic could treat hundreds of additional patients, many of whom would gain health coverage under Obamacare.
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Arkansas lawmakers to vote on funds for alternative to Obamacare
Reuters
Arkansas lawmakers will try once again to provide funding for the state's Private Option medical insurance plan that has drawn interest from lawmakers in other states as an alternative to Obamacare.
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Arkansas governor: Medicaid fight all about 'arithmetic'
Kaiser Health News
VideoBriefArkansas Gov. Mike Beebe says his strategy to win over state lawmakers skeptical about continuing the state's Medicaid expansion is to show them the money. "It's arithmetic, it's not even math," Beebe said at a media briefing sponsored by Kaiser Health News and Health Affairs.
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Medicaid funds: Virginia House, Senate split
The Associated Press via The Washington Post
The House and Senate in the state of Virginia cast opposing votes on whether to accept federal Medicaid funds in order to provide health insurance to as much as 400,000 low-income residents. The House, controlled by the GOP, voted 67-32 against expanding Medicaid eligibility. The Senate, controlled by the GOP with the support of a few Republicans, voted 23-17 for the expanded coverage.
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Medicaid expansion: Virginia business groups clashing
The Associated Press via The Washington Post
The Virginia Chamber of Commerce and state business leaders renewed their call for Republican House lawmakers to accept billions in federal Medicaid funds, saying it would be a boost for the state's economy.
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Proposal to expand Medicaid rejected by Mississippi House
The Associated Press via Sun Herald
The Mississippi House has voted against expanding Medicaid to more than 230,000 uninsured working poor residents. Rep. Cecil Brown pushed for expansion as the House considered House Bill 1481, an early version of the Medicaid budget for the year that begins July 1.
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Loophole in healthcare law may put Medi-Cal patients' assets at risk
Los Angeles Times
A provision in the Affordable Care Act may leave the financial assets of some Medi-Cal enrollees vulnerable to federal collection. Despite government assurances that the vast majority of Medi-Cal patients need not worry about the state trying to claim their assets, growing numbers of new enrollees under Obamacare are voicing concerns after reading warnings on healthcare notices that after their deaths the state "must seek repayment of Medi-Cal benefits" for services provided once they turn 55.
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Assembly Democrats seek to restore cuts to Medi-Cal funding
Los Angeles Times
Two Assembly Democrats want to restore funding for California's healthcare program for the poor, laying the groundwork for another debate over how to make the best use of the state's financial recovery. The proposal, A.B. 1805, would reverse a 10 percent cut to reimbursements to doctors and other healthcare providers who treat Medi-Cal patients.
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Low-income Floridians fall into Medical expansion gap
The Associated Press via San Francisco Chronicle
Approximately 1 million uninsured Floridians who often heard affordable health insurance was just around the corner for them thanks to President Barack Obama's new law are finding a harsh reality — they're too poor to qualify.
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FEATURED ARTICLE
TRENDING ARTICLE
MOST POPULAR ARTICLE
The ACA and recent Section 1115 Medicaid demonstration waivers
The Henry J. Kaiser
Family Foundation

Under the Affordable Care Act, Medicaid plays a key role in efforts to reduce the number of uninsured by expanding eligibility to nearly all low income adults with incomes at or below 138 percent FPL ($16,105 per year for an individual in 2014); however, the Supreme Court ruling on the ACA effectively made the expansion a state option.

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Prisoners, ex-cons swell Medicaid rolls
Cincinnati Enquirer
Landing time in an Ohio prison could also soon get you help enrolling into health care coverage under Obamacare. Ohio is among a small but growing number of states working to enroll prisoners in Medicaid when they get sick and as they are being released. The move could save the state nearly $18 million this year alone in costs of providing health care to prisoners — money that would be shifted onto the federal government’s tab.

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Virginia Medicaid plan panned by Arkansas lawmakers
The Associated Press via
The Washington Post

The verbal spat between Democratic and Republican lawmakers over whether to accept federal Medicaid funds to provide health insurance to low-income residents continued at the Capitol, as members from both parties accused the other of being out-of-touch obstructionists.

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View MHPA's video ad of the health insurer tax's effect on states
MHPA via YouTube
Milliman's report shows the Affordable Care Act health insurer tax will drain $13.6 billion from those states that use managed Medicaid to care for their neediest residents. Thirty-seven states will be hit, resulting in limited options for Medicaid beneficiaries via reduced access to services and benefits.
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See related story: Read more about the tax here (MHPA)


Webinar Wednesdays are back with 'Opportunities for Issuers Participating in Exchanges and Medicaid: Developing Your Strategy' | March 5 at 3 p.m. ET
MHPA
Join us and MHPA partner Avalere Health in a discussion on current state efforts addressing churn and how plans can participate; the alignment between Qualified Health Plans and Alternative Benefit Plans; and potential challenges for plans participating in these markets.
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March 19 Webinar Wednesday — 'Challenges in Managing Medicaid MCO Populations: New Strategies and Technology' by Deloitte
MHPA
Medicaid expansion and an increased focus on the care and costs associated with dual eligibles are providing Medicaid Managed Care Organizations with new opportunities to provide comprehensive care across multiple populations. This discussion will highlight the challenges associated with serving these populations and will also recommend a data paradigm to support the integration of data sources to support care management and control costs.
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MHPA CEO Jeff Myers to speak at Medicaid Managed Care Congress 2014,
scheduled May 19-21 in Baltimore

Medicaid Managed Care Congress
The Medicaid Managed Care Congress is where government officials, health plan executives and other key players of the healthcare ecosystem come together to learn from one another. Not only will you have exclusive access to industry leaders who will guide you through the 2014 healthcare evolution, you will also have unique networking opportunities to learn from case studies that will drive your business strategy forward.

Highlights include: CMS Keynote speakers, ABC News Chief White House Correspondent, Jeff Myers, MHPA's president and CEO, Jonathan Karl, 18+ health plan case studies from MajestaCare, Molina Healthcare, Cigna-Health Spring and more, eight intimate round table discussions with government officials and 12 never-before-heard presentations across three unique tracks.

Save 20 percent with your MHPA code: XP1926MHPA. Visit here to register today!

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TRENDING ARTICLES
Missed our previous issues? See which articles your colleagues read most.

    Avalere Health 2014 Industry Outlook (Avalere Health)
Maryland Medicaid head leaving as program adds clients (The Associated Press via The Washington Post)
Colorful quotes from MHPA's Jeff Myers on the health insurance tax (The Daily Caller)
Health Partners No. 1 in Pennsylvania for satisfaction with child's health plan (Health Partners Plans)
Virginia Medicaid plan panned by Arkansas lawmakers (The Associated Press via The Washington Post)

Don't be left behind. Click here to see what else you missed.


2013-2014 Best Practices Compendium on sale
MHPA
MHPA's Best Practices Compendium is our annual compilation of exemplary programs run by Medicaid health plans and their partners that help improve member lives. It's also a valuable reference tool that features a listing of the current state Medicaid directors and an MHPA member health plan/vendor resource directory. Get yours today ($25 for members, $30 for nonmembers). To order, call 202-857-5720, or email us here.
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Recent webinar presentations from Navigant, PwC, Lilly and others available free on MHPA website
MHPA
View PDFs or listen to audio for the following webinars: Additional webinars can be viewed here.
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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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MHPA's Industry NewsBrief
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