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Senate GOP budget plan repeals ACA, turns Medicaid to block grants
The New York Times
Senate Republicans on Wednesday released an austere budget that maintains strict caps on military spending and cuts trillions of dollars from healthcare and welfare, sending a rebuff to their House colleagues. House Republicans are trying to evade the spending caps by adding close to $40 billion to military spending through an "emergency" war funding account that is not subject to the limits. Not only did Senate budget writers not follow suit, but they also included language in their budget requiring 60 votes in the Senate on any measure that used that approach.
Obama: House GOP budget falls short
The Wall Street Journal
The House Republican budget proposal got a chilly reception at the White House on Tuesday, with President Barack Obama saying that it failed to make necessary investments in the country's future.
Washington senator's pay parity bill creates stricter
managed care guidelines
Inside Health Policy (Subscription required)
Washington Sen. Patty Murray reintroduced legislation to extend for two years an expired Affordable Care Act provision that required state Medicaid programs to pay doctors the higher Medicare rates, and some sources say this year's version gives CMS more power to determine how much Medicaid managed care organizations reimburse doctors.
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House women's caucus urges extension of health program for kids
Bipartisan leaders of the Congressional Caucus for Women's Issues on Wednesday urged House lawmakers to extend a federal program that provides health insurance to 8 million low-income children. Funding for the Children's Health Insurance Program will expire at the end of September if Congress does not renew it.
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Missouri Medicaid turns to wellness incentives
Kaiser Health News
The next round of contracts awarded to companies to manage health care for thousands of Missouri Medicaid recipients includes a new focus: patient wellness. Consumer wellness incentives are trending throughout the health insurance market, most notably in employer-sponsored plans. Now, Missouri is getting in on the action on behalf of its roughly 400,000 managed care customers.
New signups for Indiana healthcare program reach 100,000
The Associated Press via WISH-TV
Indiana's expanded healthcare program for low-income residents has enrolled more than 100,000 new people in the two months since it received federal approval. Gov. Mike Pence said Wednesday that signups for the new Healthy Indiana Plan are off to a good start.
Montana senator unveils new bill to expand Medicaid
The Associated Press via Great Falls Tribune
With the governor's Medicaid expansion proposal defeated, Montana lawmaker unveiled another health coverage plan Tuesday that seeks to reduce the number of people in poverty and, over time, reduce the number of people who qualify for Medicaid. The Montana Health and Economic Livelihood Partnership (HELP) Act was introduced by Republican Sen. Ed Buttrey in a news conference at the Capitol. It would accept federal funds to expand Medicaid eligibility to people with incomes at or below 138 percent of the federal poverty level — about $16,200 per year for an individual in 2015 — but coverage would also come with various strings attached.
Alaska governor plans bill on Medicaid expansion, overhaul
Fairbanks Daily News-Miner
After weeks of saying he wouldn't, Alaska Gov. Bill Walker reversed course and on Tuesday answered legislators' demands that he introduce his own bill to expand Medicaid. Walker's legislation would expand Medicaid eligibility to some 40,000 Alaskans by accepting $146 million from the federal government through the Affordable Care Act. It also puts forward some reforms to the program.
Kansas Medicaid expansion proponents preparing to make their case
Kansas Health Institute
Supporters of expanding Medicaid in Kansas are finally getting an opportunity to make their case to lawmakers. Republican legislative leaders opposed to expansion have blocked hearings on the issue for two years. They agreed to allow hearings this year only after supporters in the Kansas House threatened to force an immediate vote on the floor.
Key panel gives Georgia doctors a pay raise for Medicaid
Georgia Health News
A state Senate panel gave Georgia primary care doctors a potential financial boost Wednesday, putting millions of dollars into the state budget for a pay raise to deliver services to Medicaid patients. The Senate Appropriations Committee passed a budget that awards $5.9 million in state funds for a Medicaid pay raise to ob/gyns, and $13.6 million to internists, pediatricians and family medicine physicians.
March 25 Webinar Wednesday: 'AAAHC Health Plan Accreditation with a Spotlight on Chronic Disease Management'
Learn how AAAHC Health Plan Accreditation can help health plans demonstrate their commitment to improving healthcare quality and how health plans can benefit from AAAHC's collaborative accreditation process. This webinar will be presented in partnership with the Care Copilot Institute (CCI), part of Allina Health, pursuing a mission to transform care delivery through the use of lay healthcare workers.
April 1 Webinar Wednesday: 'Medication Monitoring & Pharmacogenetic Testing (PGT): Helping Clinicians to Individualize Safer Opioid Management'
Opioid side effects and the effect of poly pharmacy have been highlighted recently in the media. Clearly, there are challenges to safely treating chronic pain in the midst of the national crisis of prescription drug abuse. This case-based webinar will highlight clinical and research experiences of integrating UDT & PGT to help improve care for the treatment of chronic pain and common co-morbidities such as anxiety and depression.
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Did you miss Webinar Wednesday: 'Continence Management for Managed Care: Cost Containment through Better Care' by Medline?
To request a copy of the presentation or for additional information, please contact Rob O'Brien, or visit here.
For copies of other past webinars, visit here.
Pay for success, social impact bonds: Request for proposals
Green & Healthy Homes Initiative
The Green & Healthy Homes Initiative released a request for proposals from asthma-related service providers to develop asthma social impact bond/pay for success projects. GHHI and its partner Calvert Foundation will provide technical assistance to five selected service providers in the catchment areas of the previously selected healthcare organizations:
An informational webinar will be held on Friday, March 20. Please review the RFP; proposals are due April 8.
- Baystate Health (Springfield, MA)
- Le Bonheur Children's Hospital (Memphis, TN)
- Monroe Plan for Medical Care (Buffalo/Rochester, NY)
- Spectrum Health (Grand Rapids, MI)
- University of Utah Health Plans (Salt Lake, UT)
MHPA's Myers to chair WHCC 4th Annual Medicaid and Medicare Reform Summit | March 2015 | Washington, DC
MHPA President and CEO Jeff Myers will chair the WHCC 4th Annual Medicaid and Medicare Reform Summit, a meeting that convenes executives from health plans, hospital systems and policy organizations to share, learn and discuss approaches to improve the quality of government programs and achieve payment and delivery reform. For conference details, agenda and registration, please visit here.
MHPA's Legislative Fly-In | May 11 | Washington, DC
Join us for MHPA's Legislative Fly-In, scheduled May 11 and 12 at the Liaison Capitol Hill Hotel, to educate lawmakers on our industry and its key issues.
Click here for reservation information.
For details, please contact Nikida Levy via email or by phone at 202-857-5720.
Medicaid Managed Care Congress: May 20-22 in Baltimore
Medicaid Managed Care Congress
At the Medicaid Managed Care Congress, government officials, health plan executives and other key players of the healthcare ecosystem come together to hear new case studies from industry peers and expert insights from state and federal regulatory bodies. This event will discuss the successes and challenges of implementation of major ACA provisions, delivery reform and payment reform and states pursuing better value. Use code XP2026MHPAB for a 15 percent discount.
Job opportunity: Clinical director, Homecare & Managed Care
First Quality, a leading manufacturer of disposable home healthcare products, is seeking a clinical director for our Homecare & Managed Care Business. This candidate will provide leadership and have a focus on clinical education, utilization management protocols and programs and operational program development within homecare and managed care markets.
Job opportunity: Physician contract negotiator | Chicago
Negotiates, re-negotiates and executes physician and/or provider contracts in accordance with company standards in order to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals. Medicaid and Medicare contracting experience strongly preferred. Enter Requisition #22158.
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