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Home   About   Policy & Advocacy   Education & Resources   Events   Contact Us March 15, 2011
United Healthcare pledges $250,000 to books from birth
The Memphis Daily News    Share   Share on FacebookTwitterShare on LinkedinE-mail article
Before an audience of young children, elected officials and nonprofit leaders at the Urban Child Institute, United Healthcare Community Plan CEO Scott Bowers presented the Governor's Books from Birth Foundation with an oversized check, symbolizing his company's $250,000 pledge to support early childhood reading. More

HealthPlus awards overpayment recovery and cost avoidance contract to HMS
BusinessWire via MarketWatch    Share    Share on FacebookTwitterShare on LinkedinE-mail article
HMS, a wholly owned subsidiary of HMS Holdings Corp., announced that it has been awarded a contract by Health Plus of New York to perform full source overpayment recovery and cost avoidance services. The contract runs for two years, with the option to extend for future years. More

Obama cost-cut plan: Aid sickest
Politico    Share    Share on FacebookTwitterShare on LinkedinE-mail article
As governors have been sounding the alarm about a collective $175 billion shortfall in state Medicaid budgets in the coming fiscal year, the Obama administration is looking to reduce the gap by improving the treatment of just 2.9 million of Medicaid's 58 million enrollees. More

Preemie birth preventive spikes from $10 to $1,500
The Associated Press via The Washington Times    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The price of preventing preterm labor is about to go through the roof. A drug for high-risk pregnant women has cost about $10 to $20 per injection. The price will shoot up to $1,500 a dose, meaning the total cost during a pregnancy could be as much as $30,000. More

Debate stirring over idea of merging health plan oversight agencies
California Healthline    Share    Share on FacebookTwitterShare on LinkedinE-mail article
As California works to reduce state spending and implement the federal health reform law, policymakers and advocates are debating whether to combine the two state agencies that regulate health plans, the Sacramento Business Journal reports. California is the only state with two agencies that oversee health insurers. More

$5.2 billion spending plan up for debate in South Carolina House
Anderson Independent Mail    Share    Share on FacebookTwitterShare on LinkedinE-mail article
South Carolina legislators will begin a debate on the state's $5 billion spending plan. The debate comes after legislators approved plans to reduce spending on some education programs while increasing money for others. For instance, physical education programs lost money but public charter schools would have more. More

Beshear, Williams spar over Medicaid
Daily Independent    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Two powerful men who want to run Kentucky have squared off over how to solve a Medicaid shortfall, each blaming the other for the impasse, accusing the other of politicizing the issue and each denying his position is motivated by politics. More

Haley Barbour draws fire for Medicaid changes in Mississippi
Kaiser Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Mississippi Gov. Haley Barbour raised eyebrows in Washington recently when he said some Medicaid recipients in his state drive BMWs. But back home, Barbour's critics weren't surprised. "He's had a frontal assault on Medicaid since he came into office" in 2004, says state Rep. Stephen Holland, a Democrat and chairman of the House Public Health and Human Services committee. More

Sebelius: No further study needed for Arizona Medicaid cuts
The Hill    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Arizona can enact Medicaid enrollment reductions as planned despite a progressive Democrat's recent request to scrutinize the cuts, the Obama administration's top health official announced. More

More than 120 ideas submitted for changing Kansas Medicaid
Kansas Health Institute    Share    Share on FacebookTwitterShare on LinkedinE-mail
The Kansas Health Policy Authority is expected to soon publish on its website more than 100 proposals for curbing state Medicaid costs. The ideas were solicited by Lt. Gov. Jeff Colyer, who is leading a Brownback administration team tasked with remaking Kansas Medicaid. More

Idaho House Democratic leader: Medicaid cuts are 'drocanian and short-sighted'
Idaho Statesman    Share    Share on FacebookTwitterShare on LinkedinE-mail article
House Minority Leader, Rep. John Rusche, (D-Idaho) called proposed cuts to Medicaid "draconian and short-sighted." House bill 260 passed the House Health and Welfare Committee on a party-line vote. At its core, this bill is fiscally irresponsible, and even worse, gut-wrenchingly heartless. More

Government: Older Americans not receiving recommended preventive services
Becker's ASC Review    Share    Share on FacebookTwitterShare on LinkedinE-mail article
There are critical gaps between older Americans who receive potentially lifesaving preventive services and those who do not, according to a new report from agencies of the U.S. Department of Health and Human Services.  More

PerformRX - Account Management
PerformRx provides an industry-leading account management service that enables our clients to maximize their pharmacy benefit management decisions. MORE

Registration now open for MHPA's Center for Best Practices' First Annual Awards Forum, keynote luncheon speaker added
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Registration for the MHPA Center for Best Practices First Annual Awards Forum on May 18 is now open. The event at the Academy for Educational Development, 1825 Connecticut Ave., Washington, D.C is a one-day event of industry CEOs, CFOs, CMOs and other key personnel who will discuss and honor health plans for implementing innovative best practices which have improved the health of Medicaid enrollees through high-quality care. The event will feature MSNBC Political Analyst Karen Finney as keynote luncheon speaker, an array of presenters sharing their best practice methods, an awards ceremony and a sponsor expo. To register or sponsor, please click here or contact Thanh Buscarini at 202.857.5728 or More

19th Annual Medicaid Managed Care Congress, May 18-20, Baltimore
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
MHPA colleagues receive discounted rates.

Medicaid Managed Care organizations are facing their toughest challenges yet with the onset of health care reform and the rise in newly approved eligibles. Attend the 19th Annual Medicaid Managed Care Congress, and hear from President & CEO, Thomas L. Johnson as well as over 40 of the nation's top Medicaid Managed Care government officials and health plan executives as they discuss strategies to help health plans overcome their most pressing needs while improving quality and controlling costs. Our distinguished speaking faculty includes:

• Keynote: Richard Gilfillan, MD, Acting Director of the Center for Medicare and Medicaid Innovation, Center for Medicare and Medicaid Services

• Thomas L. Johnson, President & CEO, Medicaid Health Plans of America

• Edwina Rogers, Executive Director, Patient Centered Primary Care Collaborative

• Philip Bonaparte, MD, Chief Medical Officer, Horizon NJ Health

• Kevin Hayden, President, State Sponsored Business Division, WellPoint and Vice-Chair, MHPA Board of Directors

• Charlotte MacBeth, MBA, MHA, JD, President & CEO, MDwise

As a MHPA member, receive 25 percent off the standard registration rate with priority code XP1626MHPAN. Register online, by calling 888.670.8200, or e-mailing Be sure to mention priority code XP1626MHPAN to receive the discount. We look forward to seeing you in Baltimore.

MHPA on Twitter, Facebook and LinkedIn
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Follow us on Twitter, become a fan of our Facebook page or see our profile on LinkedIn to get industry-related news and latest announcements.

MHPA's 2010-2011 Best Practices Compendium on sale now
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Buy your copy of MHPA's 2010-2011 Best Practices Compendium, our recently-released booklet containing the industry's best practices, key managed care statistical data as well as helpful resource information, for a low member price of $15. Call 202.857.5720 to order your copy today.

Have a conference or event you want to publicize?
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Go to the MHPA website at under "conferences and events" and add your event to the MHPA calendar. We will then publicize it in our MHPA Industry Update.

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 e-mail at

MHPA welcomes US Advisors as supporting member
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Medicaid Health Plans of America has added U.S. Advisors as its newest supporting member.

As one of the largest brokers/consultants in Managed Care Reinsurance, U.S. Advisors offers unique services, models and analysis to assist HMOs in receiving the best coverage and cost for Medicaid, Medicare and Commercial memberships nationally. Coverage is tailored to state Medicaid requirements.

Their experience and expertise since 1984 allows HMOs to capitalize on the total reinsurance marketplace and receive multiple choices from major U.S. reinsurers.

 Services and savings extend to:

• Capital surplus relief
• RX management of PBMs
• Stop loss reinsurance
• Catastrophic claims management
• Organ transplants (including 1st dollar)

Funding options are tailored to customers' risk appetite and budget to achieve the most effective cost. For more information about U.S. Advisors, visit
Terry Chesser, ARM
Principal U.S. Advisors, Inc. - Managing Your Risk
783 Old Hickory Blvd., Suite 310 West
Brentwood, TN 37027
615.263.5901 (Direct)
615.807.4880 (Direct Fax)

Richard Polay, Principal
U.S. Advisors, Inc. – Managing Your Risk
111 Second Avenue NE, Suite 906
St. Petersburg, FL 33701
727.823.4577 (Direct)
727. 823.4666 (Fax)












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