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Avalere analysis finds 2.4 million to 3.5 million new Medicaid enrollees as a result of the Affordable Care Act
Avalere Health LLC
A new analysis from Avalere Health estimates that from October 2013 through January 2014, between 2.4 million and 3.5 million people have newly enrolled in Medicaid as a result of the Affordable Care Act. This includes between 1.3 million and 1.7 million people who newly enrolled in the month of January.
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Webinar Wednesday with Avalere — '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 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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In budget proposal, Obama to seek more money for anti-poverty programs
The Washington Post
The Obama administration budget will set the stage for an election-year debate over government's role in creating economic opportunity, with President Barack Obama calling for more federal spending to help the poor and Republicans charging that such programs waste money and foster dependency.
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Obama budget will extend Medicaid primary care pay bump in wake of
provider lobby

Inside Health Policy
The Obama administration's 2015 budget will extend for another year the ACA's payment hike for Medicaid primary care providers at a cost of $5.44 billion for a provision that will also extend to physician assistants and nurse practitioners, according to a White House summary of the budget. The move follows a concerted lobby by primary care providers for the extension, which they told White House officials in a private meeting late last year is particularly important in light of insurers' moves toward narrow provider networks.
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Could new hepatitis C drugs bust state budgets?
The Pew Charitable Trusts
Two new medications to treat the deadly epidemic of hepatitis C promise millions of Americans a better chance of a cure, shorter periods of treatment and fewer side effects than older drugs. They also threaten to bust state budgets and raise private insurance rates.
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There's a life-saving hepatitis C drug, but you may not be able to afford it
Kaiser Health News and The Daily Beast
There's a new drug regimen being touted as a potential cure for a dangerous liver virus that causes hepatitis C. But it costs $84,000 — or $1,000 a pill. And that price tag is prompting outrage from some consumers and a scramble by insurers to figure out which patients should get the drug — and who pays for it.
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North Carolina seeks to move Medicaid population to ACOs
Inside Health Policy
North Carolina hopes to beginning moving its Medicaid population to accountable care organizations beginning in July 2015, and Gov. Pat McCrory recommended to the Medicaid Reform Advisory Committee that North Carolina Medicaid be revamped using shared savings instead of capitated managed care focused on care coordination and budget predictability. The NC Department of Health and Human Services said that to implement shared-risk ACOs, DMA will need CMS approval of a state plan amendment and possibly a program waiver.
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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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State Medicaid programs face millions in new fees
Governing
As states prepare their budgets for the next fiscal year, many are facing millions of dollars in new Medicaid fees under the Affordable Care Act. Starting this year, the health insurance industry will pay an $8 billion annual fee, which will grow to $14.3 billion in 2018 and keep pace with premium growth thereafter.
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Tough road for states seeking customized Medicaid expansion
Kaiser Health News
Of the 25 states that already have expanded Medicaid under the Affordable Care Act, all but Arkansas, Iowa and Michigan simply added newly eligible adults to their existing Medicaid programs. That was the easiest approach. In contrast, the states that haven't yet expanded Medicaid but are considering doing so want to tailor the program to fit their own priorities — and that will take time.
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Full Medicaid expansion in Utah rejected by governor
The Associated Press via The Washington Post
Utah Gov. Gary Herbert has announced that he wants to reject a full Medicaid expansion that would enroll more people in the government program and, instead, seek federal dollars to cover low-income residents in private plans.
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Wyoming legislature passes Medicaid expansion study
The Associated Press via Houston Chronicle
Both houses of the Wyoming legislature passed a budget bill calling on Gov. Matt Mead and other Wyoming officials to investigate whether they can reach an agreement with the federal government to expand Medicaid on the state's terms.
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Medicaid expansion complicates Virginia budget negotiations
The Washington Post
House and Senate budget negotiators are both incredibly close and hopelessly deadlocked as a deadline looms for reconciling rival state spending plans. Both chambers have passed two-year, $96 billion blueprints that are in step with each other on 99.9 percent of spending. House leaders say the differences — the House plan is more generous to higher education, for instance, while the Senate gives more to K-12 — are easy fixes.
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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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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.

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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 appears 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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Maryland Medicaid recipients may stay in system even if they don't qualify
The Baltimore Sun
Maryland must spend as much as $30.5 million more to provide Medicaid coverage to Marylanders because the state's glitch-riddled health exchange website can't tell whether they are still eligible. It's another problem exacerbated by the software that has been causing headaches since the exchange website launched on Oct. 1 for those trying to get into the expanded Medicaid program or buy private insurance with subsidies.
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Arkansas private-option opponents looking for an exit plan
The Associated Press via Modern Healthcare
Opponents of Arkansas' compromise Medicaid expansion, Heading into an upcoming legislative session, vowed to push for an exit plan for a program they see as no different from Obamacare. Now, they may be the ones in need of an exit strategy.
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Feds to fine Florida over limit on Medicaid patients' ER visits
Tampa Bay Times
Florida has been limiting Medicaid patients to six emergency room visits a year even though federal officials consider such a cap illegal. As a result, the federal government intends to penalize the state by withholding a portion of Medicaid funding.
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TRENDING ARTICLES
Missed our previous issues? See which articles your colleagues read most.

    Governors urge feds to bolster state health reforms; MHPA comments on MLTSS (Inside Health Policy)
MHPA reacts to North Carolina governor's announcement on Medicaid overhaul (MHPA)
MHPA finds issues with GAO Medicaid spending report, offers improvements (MHPA)
Republicans seek political cover to accept Medicaid expansion money (The Washington Post)
Maine governor continues Medicaid expansion attack (The Associated Press via Providence Journal)

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


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

MHPA
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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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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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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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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