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Home   About   Policy & Advocacy   Education & Resources   Events   Contact Us Mar. 13, 2012


Save money on MHPA's Insights Webinars: Register now for the 2012 Best Practices Awards Forum
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Register for the MHPA Center for Best Practices Second Annual Awards Forum (8 a.m.-1:30 p.m. at the U.S. Chamber of Commerce, Washington, D.C.) and receive 15 percent off MHPA's Insights Webinars (20-webinar series package) or 25 percent off an Insights individual webinar. Contact Suzanne Austin at 202.857.5720 or to take advantage of this special deal. 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.

HHS exchange rules get mixed initial reviews as stakeholders continue to drill down    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The health insurance exchange regulations issued by HHS recently leave many key decisions — such as whether an exchange should be active or passive and what marketing standards should apply — to the states, but also provide long-awaited details on other issues, such as clarifying that a "navigator" does not need to be licensed and requiring that at least one voting member of an exchange board be a consumer representative. More

Exchanges can work with private entities to hike enrollment in qualified health plans, final rule confirms    Share    Share on FacebookTwitterShare on LinkedinE-mail article
HHS is giving exchanges the discretion to let outside Wweb-based entities help enroll people, including those who qualify for the health reform law's premium tax credits and cost-sharing subsidies, into qualified health plans, according to the department's final rule on the establishment of exchanges and qualified health plans recently released. More

MedPAC members worry about auto-enrolling duals in Medicaid managed care    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Several of Congress' Medicare advisers, including the MedPAC chair and vice chair, said that they are worried about proposals to let states automatically enroll dual eligibles into Medicaid managed care, which puts those commissioners at odds with health insurance companies and some members of Congress' Medicaid advisory board. More

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Horizon NJ Health rates as New Jersey's top Medicaid managed care plan
Insurance Broadcasting    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Horizon NJ Health, a subsidiary of Horizon Blue Cross Blue Shield of New Jersey, is the highest rated Medicaid managed care plan among all of the state's participating Medicaid plans. According to the NJ FamilyCare/Medicaid "HMO Performance Report" released, Horizon NJ Health received a 92 percent overall performance score, the highest of all New Jersey's Medicaid managed care plans and the only plan to improve its overall score from previous reports. More

The WellCare Community Foundation donates $50,000 to American Red Cross for Kentucky tornado relief
PRLog    Share    Share on FacebookTwitterShare on LinkedinE-mail article
On Monday, March 12, Michael Minor, state president of WellCare of Kentucky, presented a check for $50,000 to the American Red Cross to help Kentucky communities affected by the devastating tornadoes that swept across the commonwealth on March 2. More

Health care reform: States may test HHS power
Politico    Share    Share on FacebookTwitterShare on LinkedinE-mail article
If the Supreme Court upholds the health care reform law, can a state keep fighting its implementation? The law is very clear: The Department of Health and Human Services has the power to set up a federal health insurance exchange in states that don't set up their own. More


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Health Care Act offers Roberts a signature case
The New York Times    Share    Share on FacebookTwitterShare on LinkedinE-mail article
When Chief Justice John G. Roberts Jr. takes his usual center seat on the Supreme Court bench, he will begin presiding over an extraordinary three days of arguments that will determine the fate of President Barack Obama's sweeping health care law. More

Closer look: Illinois Medicaid birth coverage fact of life
Chicago Sun-Times    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Among the facts of life when trying to balance the Illinois budget is this: Medicaid plays a huge role in paying for childbirth in Illinois. It's not going to change any time soon and illustrates why lawmakers may have so much difficulty reining in spending this year. More

As US health care changes near, Wisconsin Medicaid costs still unknown
The Journal Sentinel    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Whether federal health care reform will require Wisconsin to spend more or less money on Medicaid should be a fairly simple question nearly two years after Congress passed the historic law. More

Improving Lives. Reducing Costs.
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Kansas: Committee to examine KanCare
Kansas Health Institute    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The House Health and Human Services Committee is scheduled to hold hearings on a bill that would exempt long-term care services for the developmentally disabled from the managed care provisions in KanCare, Kansas Gov. Sam Brownback's Medicaid reform plan. More

House advances Kansas Medicaid eligibility bill
Kansas Health Institute    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Kansas House advanced a measure that would let prospective Medicaid beneficiaries assign their life insurance policies to the state in order to meet the program's eligibility standards. More

Healing Medi-Cal
Los Angeles Times    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Like many states, California is struggling to pay for the health insurance it offers poor residents. The ranks of the Medi-Cal program grew by more than 12 percent after the economy tanked, and rising health care costs increased the fiscal burden. More

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
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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
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Follow us on Twitter, and Facebook and LinkedIn to get industry-related news and the latest MHPA announcements.
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