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New Hampshire Senate votes to expand health
insurance coverage
The New York Times
The state of New Hamipshire's Republican-dominated Senate voted to expand healthcare coverage to an estimated 50,000 adults using Medicaid funding made available through the Affordable Care Act. The bill moves to the House, which has passed similar legislation. Gov. Maggie Hassan, a Democrat, praised the bill, calling it "a New Hampshire-specific solution to making sure that we can have healthcare coverage for working men and women throughout the state who haven't had it before."
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The Partnership for Medicaid's 'Oregon: Experiment to Experience' | Friday, March 14 | Capitol Hill, Washington, DC
America’s Essential Hospitals
As Congress considers reforms to the Medicaid system in the upcoming year, we examine efforts undertaken at the state level to make the best use of limited resources. This briefing will offer rare insight into the reforms in Oregon to date, with presentations from state policy leaders, researchers and Oregon Health Plan beneficiaries. It will also detail a new partnership proposal for a nationwide framework for quality measurement in the Medicaid program.
Business groups split on Medicaid expansion
Kaiser Health News
With several states weighing whether to expand Medicaid under the federal health law, supporters are looking to powerful business groups to help sway skeptical state legislators. But those groups are split on the issue — just like the public at large.
SHOWCASE
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How much can our customized solutions save you? Contact HMS today.
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Democrats see healthcare opening on Medicaid
The Hill
States run by Republican governors and legislatures are slowly adopting the Medicaid expansion under Obamacare, boosting Democratic hopes they can run on the issue in the midterm elections.
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.
PRODUCT SHOWCASE
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Healthx is the leading developer of portals and applications for the healthcare market. Over 130 payers and 39,000 groups, representing over 12 million individual lives, use our technology solutions. From our member and provider portals to our
mobile applications, we help payers increase constituent engagement while reducing costs. Visit www.healthx.com.
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Virginia General Assembly adjourns without budget or Medicaid expansion
The Washington Post
Virginia's General Assembly wrapped up its 60-day session without passing a budget or expanding Medicaid, leaving Gov. Terry McAuliffe's biggest priority in limbo and raising the specter of a protracted standoff that could shutter state government.
What's next for Pennsylvania's Medicaid expansion?
Kaiser Health News
Pennsylvania Gov. Tom Corbett has backed away from a controversial work search requirement in his Medicaid overhaul proposal that's now under federal review. Even so, experts say it's unclear whether that move will be enough for the plan to gain final approval.
Proposed Medicaid work requirements questioned at Missouri hearing
St. Louis Post-Dispatch
Measures intended to require new working-age Medicaid recipients to participate in the workforce drew questions at a House committee hearing. The hearing focused solely on the cost-saving and "reform" elements of a proposal put forward by Rep. Noel Torpey.
With Missouri Medicaid expansion in limbo, some lawmakers see promise in collaborating with critics
St. Louis Public Radio
Missouri Sen. Rob Schaaf is a force to be reckoned with when it comes to healthcare policy. But some believe that this staunch opponent of Medicaid expansion holds the key to ending the legislative impasse over it.
Senate to Utah governor: Negotiate state Medicaid plan
The Salt Lake Tribune
Any decision on how Utah will provide health coverage to tens of thousands of its poorest residents seems to be months off and rests largely in the hands of Gov. Gary Herbert after the House and Senate reached an apparent impasse on the issue.
Sebelius urges deal to expand Medicaid in Georgia
The Atlanta Journal-Constitution
With time running short before the end of open enrollment for the Health Insurance Marketplace, Health and Human Services Secretary Kathleen Sebelius urged Georgians to explore their coverage options before it's too late.
Battle of Medicaid bills meets predictable end in Arizona
The Arizona Republic
The battle of the Medicaid bills met a predictable end in the Arizona House of Representatives: Speaker Andy Tobin's bill passed, while a measure from his congressional opponent Adam Kwasman quietly disappeared.
In Florida, it's 'all about hope' — and $51 billion
Health News Florida
A lot of money — $200 million a month or $7 million a day — could be used to buy health coverage for Florida's poor. But it all could go to some other state, said advocates who held a Capitol press conference with the message: "Take the Money!" The money in question is the estimated $51 billion over 10 years that is sitting in Washington D.C., to be sent to Florida to buy health coverage for the poor.
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4 states maneuver on Medicaid expansion
The Washington Post
Faced with the prospect of tens of millions — if not hundreds of millions — in federal funding, states are racing to find politically palatable ways to expand Medicaid. There are four states moving toward — or, in one case, away from — expanding Medicaid to cover those earning up to 138 percent of the federal poverty line.
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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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Newly eligible stuck in Medi-Cal backlog in Sonoma County
California Health Report
Late in 2013, a self-employed Santa Rosa, Calif., mother found herself navigating the Covered California website in search of affordable health coverage. After filling in the required information — a frustratingly slow process — she discovered that she and her partner qualified for Medi-Cal, the state's Medicaid program for low-income residents. The Affordable Care Act, known as Obamacare, allows states to expand Medicaid. The news turned out to be a blessing and a curse.
Medi-Cal patients face hurdles to specialists in Northern California
California Health Report
Unlike many specialists in Northern California, neurosurgeon Jeff Lobosky accepts Medi-Cal, California's insurance program for the poor. But the Chico, Calif., doctor has been forced to turn away some Medi-Cal patients this year because of the influx of new enrollees under the Affordable Care Act. This conundrum is just one of many that doctors and patients in the Chico area and statewide are facing as Obamacare rolls out.
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.
April 2 Webinar Wednesday: 'Coordinating Non-Clinical Care for High-Risk Members' by MTM
MTM
For organizations struggling to connect nonclinical care for dual eligibles, individuals with special needs and other high risk populations, MTM, Inc.'s coordination-focused approach for home and community based services leverages extensive provider networks. MTM's approach supports health plan care managers in coordinating and connecting effective nonclinical care that improves member health outcomes while achieving plan savings. MTM's President and CEO Alaina Maciá and Vice President of Business Development Aaron Crowell will demonstrate how MTM can help fulfill your biggest challenges in coordinating care.
Missed our previous issues? See which articles your colleagues read most.
Recent webinar presentations from Avalere (3/5), Navigant, PwC 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 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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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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