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MHPA's Joe Moser comments on repeal of |
annual insurer fee in Inside Health Policy
A newly proposed rule laying out how IRS will collect the controversial health insurance premium tax applied to most insurers starting in 2014 confirms that the fee applies to Medicaid managed care, Medicare Part D and Medicare Advantage plans, while Medigap and long-term care policies as well as government entities and certain nonprofit plans are exempted. The proposed rule refueled the insurance industry's lobby for Congress to pass bipartisan legislation repealing the fee. Joe Moser, interim president and CEO of Medicaid Health Plans of America, reiterates that MHPA supports a full repeal of the insurer fee but has also been working with Congress on legislation that would carve Medicaid plans out of the fee without increasing the burden on other payers.
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Medicaid pay boost slow for primary care; MHPA's Moser weighs in
Primary care providers haven't been receiving a boost in Medicaid reimbursements in 2013 as promised by the ACA, doctor groups and Medicaid plans said. Instead, states are still submitting necessary amendments to Medicaid plans to the Centers for Medicare and Medicaid Services to allow the agency to pay Medicaid primary care providers at the higher Medicare rates. Joe Moser, MHPA's interim executive director, said CMS is working with plans on the provision to address outstanding questions and the importance of getting answers to those questions to provide certainty for all those involved.
Medicaid-managed care: Providing value and quality care to
more than 29 million beneficiaries
As states make decisions regarding Medicaid expansion, it is important to keep in mind the important role that Medicaid-managed care companies play in this vital program. While some are critical, Medicaid-managed care companies continue to provide important value and quality care for more than 29 million beneficiaries.
Florida House panel opposes Medicaid expansion
Kaiser Health News
The Florida House of Representatives has signaled it won't go along with Gov. Rick Scott to expand Medicaid coverage to more than a million low-income Floridians under the Affordable Care Act. The party-line vote came shortly after a joint committee hearing on the law's financial impact on the state.
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Texans rebut Gov. Rick Perry on expansion of Medicaid
The New York Times
Hundreds of activists and uninsured Texans plan to rally at the steps of the Capitol, increasing the pressure on Gov. Rick Perry and other Republican leaders to switch their stance on expanding Medicaid, a major provision of President Barack Obama's healthcare overhaul.
Virginia panel faces contentious — possibly litigious — task as
brakeman on Medicaid expansion
The Associated Press via. The Washington Post
There are blue-ribbon commissions and task forces in Virginia government that have done little more than huddle in conference rooms and pack hundreds of pages of dense bureaucratic jargon into binders set on backroom bookshelves or in forgotten archives boxes. There they gather dust for generations. The new Medicaid Innovation and Reform Commission won't have that luxury, provided it survives its infancy.
Legislators in Arkansas seek details on Medicaid deal
The Associated Press via The Courier Online
Republican legislators who had resisted expanding Medicaid in Arkansas say they're encouraged by a new plan that would allow funds from the federal-state program to purchase private insurance for the newly eligible, but say they need more details on how such a system would work.
Key Senate panel approves Medi-Cal expansion
Los Angeles Times
A key Senate panel supported legislation that would dramatically expand Medi-Cal, the state of California's public insurance program for the poor. The proposal, authored by state Sen. Ed Hernandez and Senate leader Darrell Steinberg, is part of a legislative package that aims to help California implement President Barack Obama's healthcare overhaul.
Medi-Cal expansion will test capacity
CHCF Center for Health Reporting via San Francisco Chronicle
In less than one year, the Affordable Care Act's promise to bring healthcare to perhaps 1 million more California residents will be tested. On Jan. 1, 2014, Medi-Cal, the publicly funded health program for low-income and disabled residents, launches a huge statewide expansion.
Coventry Health Care ranked among FORTUNE's list of
'World's Most Admired Companies'
Business Wire via Yahoo Finance
Coventry Health Care Inc. is ranked third in the health insurance and managed care category of FORTUNE magazine's list of "World's Most Admired Companies" for 2013. This prestigious ranking, which is released annually, is considered the definitive report card on corporate reputations.
✓ A National Leader in providing dental benefits for Medicaid, CHIP and Medicare programs
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Iowa governor keeps focus on IowaCare, not Medicaid
The Associated Press via Times-Republican
Gov. Terry Branstad is expected to soon reveal his plans for revamping the IowaCare health program for low-income adults, sticking to an approach he holds is better for the state than the Medicaid expansion Democrats are clamoring for.
2 sides of the Medicaid expansion coin
Since the Supreme Court ruling in June 2012, states have been struggling with the decision of whether or not to expand Medicaid. The reasons, for or against, are numerous and varied. Here are what the states are anticipating, as well as what the states are concerned with.
Hard time understanding health reform law? Try figuring it out in
Tagalog, Hmong or Vietnamese
The Associated Press via The Washington Post
Understanding the law is a challenge even for governors, state lawmakers and agency officials, but delivering its message to non-English speakers who can benefit from it is shaping up as a special complication. That is especially true in states with large and diverse immigrant populations.
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
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.
Recent webinar presentations from PwC, Deloitte, AmeriHealth Mercy available free on MHPA's website
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.
'Keeping You Healthy' video: Telemedicine Program by
WellPoint / Anthem Blue Cross
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.
New compendium on diabetes care from MHPA's Center for Best Practices
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.
Annual Medicaid Managed Care Congress | May 20-22 | Baltimore Marriott Inner Harbor Hotel | Baltimore
Institute for International Research
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