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Home   About   Policy & Advocacy   Education & Resources   Events   Contact Us March 17, 2011
Report: Unemployment adds 9 million uninsured in US    Share   Share on FacebookTwitterShare on LinkedinE-mail article
The millions of Americans who lost their jobs and their health benefits during the recession often had no way to regain affordable health coverage, leaving them and their families at risk of financial ruin, according to a new report from The Commonwealth Fund. More

Pending Medicaid rate regulation raises GOP concerns
The Hill    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Republican lawmakers are increasingly concerned about a pending regulation that will seek to clarify what states can do with their Medicaid rates. Several medical providers have sued states, claiming that low reimbursement rates violate the Medicaid statute because beneficiaries can't access care if there are too few providers. More

Independent CRS report confirms HHS has authority to waive burdensome Medicaid requirements in new health law
The United States Senate Committee on Finance    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Sen. Orrin Hatch, R-Utah, Ranking Member of the Senate Finance Committee, called on Health and Human Services Secretary Kathleen Sebelius to heed to the calls of governors representing cash-strapped states and waive the onerous maintenance-of-effort restrictions that were included in the stimulus and in the new health law. More

Arizona Senate approves Republican budget plan
The Associated Press via Yuma Sun    Share    Share on FacebookTwitterShare on LinkedinE-mail
The Arizona Senate approved a budget-balancing plan with spending cuts in health care, education and other services that majority Republicans called overdue to fit state spending to state revenue. The Senate approved the main bill and most of the others in the 13-bill package on 21-9 votes with all Republicans voting in favor. More

Ohio's budget's impact starts to sink in
Dayton Daily News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Some workers were told their jobs would be eliminated, one day after Ohio Gov. John Kasich submitted his two year $55.5 billion budget that proposes cuts to local governments, school districts and colleges and universities and privatizes some functions of state government to generate revenue. More

Georgia seeking federal waiver on insurance rules
Georgia Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail
Georgia State Insurance Commissioner Ralph Hudgens is requesting an exemption from a federal health reform requirement that insurers spend at least 80 percent of their premium dollars on medical care. The exemption sought would apply to health insurance policies for individuals. More

Georgia's governor pulls health exchange bill after tea party objects
The Atlanta Journal-Constitution    Share    Share on FacebookTwitterShare on LinkedinE-mail article
A last-minute tea party protest prompted Georgia Gov. Nathan Deal to shelve legislation that would have planned for a Georgia health insurance exchange. The new federal health care law gives every state the option of designing its own insurance marketplace, and the legislation would have created a commission to recommend an approach for Georgia. More

New Jersey Senate panel hears pleas to restore funding cuts
Philadelphia Inquirer    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The number of Camden, N.J., students involved in after-school activities and tutoring through New Jersey After 3 program fell from 850 to 150 after state budget cuts, and the program would lose all its state funding under Gov. Christie's recently proposed spending plan. More

Medicaid data mining proposed
Healthcare Info Security    Share    Share on FacebookTwitterShare on LinkedinE-mail article
To ramp up efforts to detect Medicaid fraud, the Department of Health and Human Services is proposing a rule that would enable states to use federal matching funds to support Medicaid claims data mining. Current law prohibits use of the federal funds for state Medicaid fraud control units. More

Medicaid, independent data and assessment
TMCnet    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Sen. Chuck Grassley, R-Iowa, issued a statment about the Medicaid and CHIP Payment and Access Commission. The commission was created through the Children's Health Insurance Reauthorization Act, which Grassley had a significant role in developing as then-Ranking Member of the Senate Committee on Finance. More

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

Call for Childhood Asthma Best Practices from MHPA member health plans: Deadline extended to March 21
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
MHPA's Center for Best Practices is producing a new compendium on childhood asthma and is seeking best practices in this area from its member plans. MHPA member health plans interested in submitting any of their programs related to childhood asthma should download and complete the submission form and return to Liza Greenberg at March 21.

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

Save the date: Medicaid Health Plans of America's 2011 Annual Meeting is Nov. 7-8
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
MHPA's Annual Meeting will be held at Hyatt Regency Capitol Hill, Washington, D.C. This year's lineup of distinguished speakers includes Donna E. Shalala, former U.S. Secretary of Health and Human Services, and current president of the University of Miami, and Donna Brazile, renowned political advisor and media commentator. Also for your entertainment, The Capitol Steps, an American political satire troupe, will be performing. Stay tuned for more details as they develop.

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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