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Obamacare's 73 percent Medicaid pay raise for
doctors is delayed
Forbes
A huge pay raise promised under the Affordable Care Act for primary care doctors who treat the nation's poor covered by Medicaid health insurance is nearly three months behind schedule and may take another three months before it kicks in, state Medicaid directors say.
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Obama wraps up his three-day Capitol Hill tour
Los Angeles Times
After a rough-and-tumble meeting with House Republicans, President Barack Obama wrapped up his Capitol Hill tour with friendlier crowds in the House and Senate, even as lawmakers signaled opposition to his budget proposals and revealed the deep divide that could prevent a deficit-reduction deal.
MHPA letter to Senate Finance Committee supporting
Tavenner as CMS Administrator
MHPA
MHPA on March 15 penned a letter to Montana Sen. Max Baucus and Utah Sen. Orrin Hatch in support of Marilyn Tavenner's renomination and confirmation as Centers for Medicare and Medicaid Services Administrator.
NGA head suggests states may be resistant to moving duals under feds
InsideHealthPolicy.com
National Governors Association Executive Director Dan Crippen says states might be resistant to a push by some Republicans to put dually eligible beneficiaries completely under the federal government's control in part because doing so could ultimately lead to a loss of resources.
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MACPAC proposes options for 12 months of Medicaid enrollment after 2014
InsideHealthPolicy.com
The Medicaid and CHIP Payment and Access Commission recommends in its March report that Congress create an option for states to allow Medicaid beneficiaries to stay on the rolls for 12 months, regardless of changes in income that often create churning. Nonprofit Medicaid-managed care plans say the proposal is a good first step, but they still seek a mandatory guarantee of 12-month eligibility, not just an option states can choose.
In Florida, Medicaid expansion may be dead, but expanding coverage isn't
Health News Florida via Kaiser Health News
Medicaid expansion for 1 million low-income adults in Florida may technically be dead after committees in both the House and Senate voted to kill it. And yet, chances for an alternative plan that would accomplish the same goals are looking up.
Report: Arkansas health plan for poor to add limited federal costs
Reuters
A recently released cost analysis shows that a state plan to move Medicaid-eligible low-income citizens in Arkansas into a "private option" under upcoming federal healthcare exchanges would result in little additional federal costs.
Missouri business groups use economic arguments to prod state
lawmakers to expand Medicaid
St. Louis Beacon
Branson, Mo., gets plenty of good press for being a magnet for millions of visitors who love country music, specialty shops and other amenities in the southwest corner of the state. But the town recently drew a different sort of attention to itself when its chamber of commerce endorsed Gov. Jay Nixon's controversial push to expand Missouri's Medicaid program.
Iowa Democrats continue Medicaid expansion push
The Associated Press via San Francisco Chronicle
Senate Democrats proposed a Medicaid expansion that would let the state of Iowa back out if federal funding fell short, but it wasn't clear whether the plan would overcome Republican Gov. Terry Branstad's opposition to growing the program in the state.
Idaho state House committee introduces proposal to expand Medicaid
The Associated Press via The Oregonian
In the wake of one bruising fight over a key provision of President Barack Obama's healthcare overhaul, Idaho's legislature may embark on another — whether or not to expand Medicaid for another 104,000 low-income people, replacing an existing program that pays the costs of the medically indigent.
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More than 90 percent of surveyed Michigan Medicaid recipients reported
easier access to primary care in 2012
PR Newswire via Toledo News Now
Survey results released by the Center for Healthcare Research & Transformation show that Michigan Medicaid recipients said that they found it easier to get primary and specialty care appointments in 2012 than they did in 2010. In fact, their level of reported ease was comparable to those with employer-sponsored coverage.
New Hampshire House voting on Medicaid expansion bill
The Associated Press Providence Journal
New Hampshire's House is scheduled to vote this week on a bill that would prohibit the state from expanding Medicaid under the federal healthcare law. New Hampshire's current program covers low-income children, parents with children, pregnant women, elders and people with disabilities.
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DST Health Solutions announces 'Health Insurance Marketplaces' webinar series
PR Newswire
DST Health Solutions, a leading provider of technology solutions and services to health plans, integrated delivery systems and healthcare providers, has announced it will host a four-session educational webinar series titled "Health Insurance Marketplaces — What You Need to Know, NOW!" The series will address topics such as mission critical capabilities, health plan staff model changes, the expanding role of care management and the '3 Rs' — reinsurance, risk corridors and risk adjustment.
Truven Health Analytics study: Surge in share of Medicaid spending on
hospital-based treatment of mental health and substance abuse
Business Wire
Medicaid spending accounted for almost one-quarter of treatment spending for mental health and substance abuse conditions in specialty hospitals or in specialty behavioral health units of community hospitals in 2005, according to a new study from Truven Health Analytics, formerly the Healthcare business of Thomson Reuters.
2012-2013 Best Practices Compendium On Sale Now
MHPA
MHPA's 2012-2013 Best Practices Compendium is the sixth edition of our annual publication that contains Medicaid health plans' best practices, as well as helpful resource information. Get yours today ($25 for members, $30 for non-members). To order, call 202-857-5720, or email us.
The Duals dilemma — identifying effective care management approaches to support meaningful improvement: A free webinar by Deloitte Consulting | March 27 at 3 p.m. EST
MHPA
Individuals eligible for both Medicare and Medicaid coverage represent one of the highest cost populations to care for in the U.S., with a diverse array of care management requirements. As the Centers for Medicare and Medicaid Services initiates demonstrations to test care integration and financing for dual eligibles, health plans are positioning for the opportunity to serve this new population while simultaneously grappling with the many new capabilities that they will need to effectively manage care for these new members. This presentation will address some of the critical care management decisions that health plan leaders should be thinking about.
'NICU Costs, Trends, Effective Management Solutions': A free webinar by Progeny Health | April 10 at 3 p.m. EST
MHPA
Medical costs for a baby born in the neonatal intensive care unit are considerably higher than they are for a healthy newborn. With preterm deliveries on the rise and issues with overutilization, the high costs associated with babies in the NICU are impacting payers more than ever. "NICU Costs, Trends and Effective Management Solutions" focuses on managing the care of this medically complex population. Ellen Stang, MD, the president and CEO of ProgenyHealth, will discuss a collaborative approach to NICU care management that delivers quality outcomes and reduces costs.
Recent webinar presentations from PwC, Deloitte, AmeriHealth Mercy available free on MHPA's website
MHPA
View PDFs or listen to audio for "The Race to 2014: Health Reform and the 30 Million Newly Insured" by PwC, "The Fiscal Cliff, ACA, and Medicaid Managed Care" by Deloitte Consulting, "Optimizing Pharmaceutical Care in a Drug Therapy Management Program" by The AmeriHealth Mercy Family of Companies, and more.
'Keeping You Healthy' video: Telemedicine Program by
WellPoint / Anthem Blue Cross
YouTube
WellPoint State Sponsored Business is the only private health plan to develop, manage and comprehensively support a statewide Telemedicine program to improve access to care in California. Telemedicine can be used by local primary care providers to obtain second opinions on difficult cases to avoid misdiagnosis and prescribing ineffective medications. It can also significantly reduce disparities and accessibility barriers. Timely access to specialty care means early identification and treatment of conditions, resulting in better health outcomes and lower health costs. Join Michael Martineau from Anthem Blue Cross and Michelle Martin from MHPA's Center for Best Practices as they discuss this innovative program.
Annual Medicaid Managed Care Congress | May 20-22 | Baltimore Marriott Inner Harbor Hotel | Baltimore
Institute for International Research
Collaborate and drive innovation to move the Medicaid industry forward. Implement the ACA, increase quality, grow membership and strengthen financials. Register with code XP1826MHPA, and save 25 percent.
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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