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Home   About   Policy & Advocacy   Education & Resources   Events   Contact Us Mar. 8, 2012


BRT proposal: Repeal health law's industry taxes    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Business Roundtable on called for repeal of the health law's medical device, insurance and pharmaceutical taxes and enactment of medical liability reform as part of its recommendations to the president and Congress on ways to promote economic growth. BRT's Taking Action for America proposal — which also calls on Congress to balance the budget within five years by building upon prior bipartisan deficit reduction proposals — comes one day after the president told the BRT there is a need for continued reforms to the health system because it is still too expensive and the country must be able to sustain its aging population. More

Altegra Health, First 'Third-Party Submitter'

Altegra Health is the first ‘Third-Party Submitter’ to receive certification in Encounter Data Front End Testing from the Centers for Medicare and Medicaid Services (CMS). This certification reflects our expertise in encounter reporting, risk adjustment analytics, and data management. Altegra Health continues to be a health care services leader.

Hot off the Presses: MHPA's Best Practices Compendium for Serious Mental Illness
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
This compendium of best practices from MHPA member organizations is a collection of real-world programs aimed at caring for beneficiaries with serious mental illness (SMI). The compendium covers key areas in mental health care including strategies that:

• Improve identification of members with SMI
• Increase appropriate treatment for SMI
• Improve long-term medication adherence
• Reduce mental health-related ER use
• Reduce mental health-related preventable hospital admissions
• Address cultural and ethnic disparities in behavioral health care
• Improve coordination of care for SMI when services are carved out
• Improving reimbursement for SMI care to providers
• Enhance care coordination by using peers and other providers

Download a free PDF copy of MHPA's Best Practices Compendium in Serious Mental Illness or request a shiny new print copy at 202.857.5720 or

Passport Health Plan expands use of McKesson's Network Performance Management Solutions
Pharmacy Choice    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Passport Health Plan, a provider-sponsored Medicaid managed care plan serving approximately 170,000 members in the Commonwealth of Kentucky, has selected McKesson's Integrated Provider Management platform (formerly from Portico Systems) to create a single integrated solution for managing its provider enrollment, contracting and credentialing processes. The plan currently uses Provider Contracting from McKesson/Portico; this agreement adds the Provider Information Management and Credentialing components of the IPM platform, which simplifies the design, maintenance, reimbursement and performance management of provider networks to reduce medical, administrative and IT costs. More

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CMS eyed applying Medicaid primary care pay bump to some services not paid for by Medicare    Share    Share on FacebookTwitterShare on LinkedinE-mail article
CMS officials previously signaled that a provision of the health reform law requiring states to pay at least Medicare rates for certain primary care services under Medicaid in 2013 and 2014 would apply to some pediatric service codes that are billed for in Medicaid and not recognized by Medicare for payment, according to a source closely following the issue. Physicians are anxiously awaiting to see if that position is reflected in the agency's upcoming Medicaid primary care payment proposed rule, now undergoing White House review. More


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Louisiana: Cassidy eyes per capita caps for states as part of Medicaid reform proposal    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Rep. Bill Cassidy, R-La., offered glimpses of a Medicaid reform proposal he is working on that would replace the current state-federal match system with an approach setting per capita caps for states based on the costs of particular population groups within the Medicaid program, plus bonus payments for states that achieve certain quality outcomes. More

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Idaho bill spends $1.5 million to restore Medicaid cuts
The Associated Press via The Times-Picayune    Share    Share on FacebookTwitterShare on LinkedinE-mail article
A bill in the Idaho House would restore a sliver of the cuts made to Idaho's health insurance program for the poor, elderly and disabled. State spending on Idaho's Medicaid program was reduced by roughly $35 million in the 2011 session as lawmakers worked to balance the budget in the economic downturn. A bill advanced  by the House Health and Welfare Committee spends $1.5 million in state funding to restore some of the Medicaid cuts. More

Announcing the 2012 Best Practices Awards Forum nominees
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The MHPA Center for Best Practices Second Annual Awards Forum will be from 8 a.m.-1:30 p.m. at the U.S. Chamber of Commerce, 1615 H St., NW, Washington, D.C. This event of industry CEOs, CMOs and other key personnel will honor health plans for implementing innovative and effective best practices that have improved the health of Medicaid enrollees. Award categories include innovation, technology, outreach, children's health and cultural competency. To see the list of nominees, click here. For more information and to register, click here.

MHPA Center for Best Practices Insights Webinar Series: First webinar on Monday, March 12
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
In keeping with its mission of educating Medicaid health plans, the MHPA Center for Best Practices brings you the 2012 Insights Webinar Series, a course of 20 online presentations on emerging trends and important issues facing the Medicaid managed care industry. Geared specifically for Medicaid health plans, these expert-led webinars provide subscribers with the tools they need to improve their operations while maintaining high quality care for enrollees.

From March 12 — Dec. 17, you'll have the opportunity to sit in on up to 20 one-hour presentations on the following issues:
- Hot Trends and Topics
- Improve Your Operations
- Risk Adjustment
- Clinical Best Practices
- Compliance Issues
- Dual Eligibles

For details, including a complete list of webinar titles and subscription rates, click here.

MHPA's new Keeping You Healthy video: Chopper Check
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Tooth decay is a significant problem in young children. The situation is made worse for those kids on Medicaid by barriers that keep them from getting dental care. This problem hits home for MHPA member Health Partners of Philadelphia, where about half of their enrollees are children. Watch Carol Smolij, vice president of Clinical and Regulatory Operations at Health Partners of Philadelphia and Judy Gelinas, drector of Community Oral Health Initiatives at St. Christopher's Foundation for Children, discuss the Chopper Check program on MHPA's Center for Best Practices new Keeping You Healthy video on You Tube. More

20th Annual Medicaid Managed Care Congress
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Join MHPA as we partner with IIR's 20th Annual Medicaid Managed Care Congress, May 1-May 2 at the Hilton Baltimore. MHPA's president & CEO, Thomas Johnson and over 350 State Officials, Health Plan executives and CMS will share insights on how to improve quality, achieve better health outcomes and control costs. Don't miss Thomas's sessions on the Opportunities for the New Basic Health Plan option and as part of the closing panel discussion.
• State Snapshots providing insight into states that are making moves in the Medicaid managed care space. Hear from Pennsylvania, New Jersey, Texas and Washington, D.C.
• Realigned Track Sessions based on in-depth analysis of our audience to better meet your needs.
• Full Day Summits on Medicaid Managed Care 101 and Dual Eligibles to go deeper into these hot topics.
• Political commentary from speaker Paul Begala from CNN and Newsweek, as he presents potential outcomes for the upcoming presidential elections and the future of Medicaid managed care.

Download the Brochure
to learn more about the 40 speakers, 35 sessions, 4 pre-conference workshops, and numerous networking opportunities. Because of our partnership, MHPA members can receive 25 percent off the standard registration rate. Just mention priority code XP1726MHPA when registering. Register online, by calling 888.670.8200, or emailing The hotel block expires on March 30, so be sure to book early.

Banner advertising available with MHPA NewsBriefs
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Now you can ensure that your message gets out to the Medicaid managed care industry. For rate information, contact James Debois for opportunities 469.420.2618 or email at

MHPA on Twitter, Facebook and LinkedIn
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Follow us on Twitter, and Facebook and LinkedIn to get industry-related news and the latest MHPA announcements.
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