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MHPA's Moser speaks up for Medicaid health plans in
The Washington Post

The Washington Post
Some say Florida Gov. Rick Scott's plan to expand Medicaid will be an experiment with a free-market twist: The federal government tentatively approved his application to fully privatize the federal-state program for the poor. But other states that have put nearly all their Medicaid recipients in managed care include Arizona, Tennessee, Kentucky and Pennsylvania, according to Joe Moser, interim executive director of Medicaid Health Plans of America. "It's a proven model and not a new concept," he said.
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Governors' DC summit dominated by Medicaid and the sequester
NPR
When the nation's governors gathered in Washington, D.C., for their annual winter meeting, the gathering's official theme was about efforts to hire people with disabilities. But out of the public eye, at the sessions for "governors only," the discussion reportedly was dominated by two more pressing issues of the day — whether or not to expand the Medicaid program as part of the Affordable Care Act and the potential upcoming budget cuts set for the end of the week, known as the sequester.
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GOP governors turn pragmatic as election nears
McClatchy
Faced with tough re-elections and constituents clamoring for government services, Republican governors in some big swing states are turning pragmatic, pulling away from the conservative line that helped them win in 2010. The clearest sign of the shift comes from seven Republican governors who have agreed to expand the Medicaid program, a key feature of President Barack Obama's healthcare law that some bitterly opposed when winning their seats.
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Obama administration: States can cut back on Medicaid payments
The New York Times
The Obama administration said that states could cut Medicaid payments to many doctors and other healthcare providers to hold down costs in the program, which insures 60 million low-income people and will soon cover many more under the new healthcare law. The administration's position, set forth in a federal appeals court in California, has broad national implications as it comes as the White House is trying to persuade states to expand Medicaid as part of the new law.
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Why Republican governors are saying yes to Medicaid,
no to Obamacare's exchanges

The Washington Post
In the span of a month, some of Obamacare's most ardent opponents have come to embrace one of the law's most crucial programs: The Medicaid expansion. With seven Republican governors now signed up, most recently Florida's Rick Scott, Republican-led states now account for nearly one-third of those expected to take the federal government's money to expand Medicaid up to 133 percent of the federal poverty line.
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Missouri House GOP lawmakers defeat Medicaid expansion
The Associated Press via WBNS-TV
Missouri House Republicans gave a resounding "no" to Democratic plans to expand Medicaid coverage in a strategic preview to the unveiling of an alternative plan touted to transform the state's healthcare program for the poor into "the most free-market-based Medicaid system in the entire country." Two separate House committees simultaneously heard arguments for — and then rejected — proposals to adopt a central component of President Barack Obama's healthcare law that could have eventually extended government-funded Medicaid coverage to an additional 300,000 lower-income adults in Missouri.
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Virginia reforms at 'front end' of Medicaid expansion
Richmond Times-Dispatch
Virginia will embark on a series of major reforms to its Medicaid program as a required prelude to extending coverage to as many as 400,000 uninsured Virginians by the middle of 2014. The House of Delegates and Senate voted overwhelmingly to adopt amendments to the state budget that include the ability to reform and expand the joint federal-state healthcare program for the poor, subject to certification by a special legislative committee that benchmarks for reforms have been met.
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Some on Virginia Medicaid panel skeptical of expansion
The Virginian-Pilot
Proponents of growing Virginia's Medicaid program who think they prevailed because expansion language is in the state budget bill approved may want to hold off on celebrating. Reason being, some of the six House of Delegates members named to the new Medicaid Innovation and Reform Commission formed to oversee expansion, contingent on federal approval of cost-containing reforms, are skeptical about adding people to the Medicaid rolls.
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North Dakota House committee approves Medicaid expansion
The Associated Press via WDAY-TV
A North Dakota House committee has endorsed a measure to expand Medicaid to cover more uninsured North Dakotans. The House Human Services Committee voted 12-1 to expand the program as part of the federal healthcare overhaul. The full House is expected to consider the bill.
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Iowa governor affirms no Medicaid expansion
The Associated Press via Modern Healthcare
Iowa Gov. Terry Branstad said that he has told U.S. Secretary of Health and Human Services Kathleen Sebelius that he will not expand Medicaid in Iowa. Branstad met with Sebelius in Washington, and the governor said he again rejected an expansion of Medicaid in Iowa. Branstad said he pressed Sebelius for a federal waiver to continue IowaCare, a healthcare program that provides limited benefits to 70,000 low income adults in the state. That program is set to expire later in 2013.
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Democrats seek vote on Medicaid in Indiana
South Bend Tribune
The Indiana House's top Democrat urged his Republican colleagues to consider expanding Medicaid before a key legislative deadline, calling it one of the most important job-creating needs this year. House Minority Leader Scott Pelath called on GOP leaders a day after Republican Gov. Mike Pence hit the brakes on legislation that would expand Medicaid in the state. Drafted by a bipartisan group of House members, the legislation calls for expanding the federally funded program but using the same principles as the Healthy Indiana Plan, including requiring enrollees to pay a monthly fee.
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Senate OKs bills to give assembly say on Medicaid in Kentucky
The Associated Press via San Francisco Chronicle
The Senate approved two bills that would give the legislature more say on the federal health care overhaul's role in Kentucky. The measures would allow lawmakers to vote on whether Kentucky expands the Medicaid program and sets up a state-run marketplace to sell insurance to individuals and small businesses.
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Budget committee hears resolution opposing Medicaid expansion in Kansas
Kansas Health Institute
Expanding the Kansas Medicaid program is the "morally right thing to do," according to a spokesman for Via Christi Health, the state's largest medical provider — and if the state says no to it, the financial costs to the health system would "be greater than if we say yes." Keven Hoppock of Via Christi, a Catholic non-profit based in Wichita, was among the spokespersons for major medical providers who testified against House Concurrent Resolution 5013, which would declare that the "will of the Kansas Legislature is that the state of Kansas not expand Medicaid above its current eligibility levels."
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Breast cancer drug targets tumor cells, spares healthy ones
KABC-TV
The Food and Drug Administration has approved a new breast cancer drug that targets tumor cells while sparing healthy ones. The first-of-its-kind drug, called Kadcyla from Roche, combines the established drug Herceptin with a powerful chemotherapy drug and a third chemical that links the two medicines together. That chemical keeps the mixture intact until it binds to a cancer cell, delivering a strong dose of anti-tumor poison.
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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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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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'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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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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