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Home   About   Policy & Advocacy   Education & Resources   Events   Contact Us Mar. 27, 2012


Your guide to what happened at the Supreme Court, day 1
Kaiser Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The first day's arguments focused on the Anti-Injunction Act and whether the court can rule on the case before a penalty is imposed on those who do not have health insurance. More

Sara Rosenbaum on day 1 of the SCOTUS health reform arguments: What was that Medicaid discussion?
Health Affairs Blog    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The first objection from the Justices to Long's argument was the not-surprising argument that the AIA is designed to stop individuals from bringing facial tax challenges, rather than the courts hearing them. More

The health reform law's Medicaid expansion: A guide to the Supreme Court arguments
Kaiser Family Foundation    Share    Share on FacebookTwitterShare on LinkedinE-mail article
One significant element of the pending U.S. Supreme Court case challenging the Affordable Care Act is the constitutionality of the law's Medicaid expansion. This provision of the law requires states that choose to participate in the Medicaid program to cover nearly all adults under age 65 with household incomes at or below 133 percent of the federal poverty level as of January 2014. 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.

Medicaid is the big sleeper at the Supreme Court
Mother Jones    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The way the ACA is written, unless states comply with these expansions, they stand to lose all Medicaid funding. Florida, along with 26 other states, is bringing a case to court based on the Constitution's Spending Clause. More

Health law accelerates industry changes
Kaiser Health News with USA Today    Share    Share on FacebookTwitterShare on LinkedinE-mail article
After 34 years in private practice, Indianapolis orthopedic surgeon Philip Ireland gave up his independence. He became an employee of Indiana University Health, which has been gobbling up hospitals and physician practices around the state to give it greater leverage with health insurers, boost referrals and improve care. More

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GOP leaders not predicting SCOTUS health care decision
The Hill    Share    Share on FacebookTwitterShare on LinkedinE-mail article
House Republican leaders aren't predicting whether the Supreme Court will uphold President Barack Obama's health care overhaul, but they are using oral arguments on the landmark case to highlight the law's unpopularity. More

Many states may miss duals demo deadline despite strong desire to participate    Share    Share on FacebookTwitterShare on LinkedinE-mail article
It looks as if many of the states that planned to take part in the "duals" demonstration, which aligns payment between Medicare and Medicaid for residents covered by both of those programs, will have to sit out the demo because they cannot meet the deadlines, sources tracking the demo say. More


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Scott & White Health Plan awards payment integrity services contract to HMS
News Rx    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 Scott & White Health Plan to provide a variety of payment integrity services on behalf of the plan's Medicaid members, including coordination of benefits; overpayment recovery; subrogation; and fraud, waste and abuse. More

New York eyes $18 billon of Medicaid savings to be split with US
Reuters    Share    Share on FacebookTwitterShare on LinkedinE-mail article
By the end of 2012, the state plans to ask the federal government to give it a waiver that will let it run the program more flexibly and allow it to start reaping these savings, said Michael Moran, a spokesman for the state Department of Health. More

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Arizona moves forward on health law
The Arizona Republic    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The U.S. Supreme Court is opening its debate on whether the nation's new health care law is constitutional. Regardless of its legality, the law already has delivered significant changes in how hundreds of thousands of Arizonans get care. And despite Arizona Gov. Jan Brewer's opposition to the law, millions of dollars are earmarked for the next steps in implementing it. More

Why historic SCOTUS case doesn't really matter for Massachusetts
CommonHealth    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The health care battle that begins in the U.S. Supreme Court is one of the most important of our lifetime. But the direct effect on Massachusetts, which created the framework for the federal Affordable Care Act, is minimal, at best. More

Alabama Medicaid commissioner resigns
The Montgomery Advertiser    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Dr. Bob Mullins, the head of Alabama's Medicaid Agency, has resigned from his position following controversies over Medicaid's budget. More

500,000 more in Michigan to be eligible for Medicaid coverage
Detroit Free Press    Share    Share on FacebookTwitterShare on LinkedinE-mail article
A half-million people from Michigan will be eligible for Medicaid, the government-funded health program for poor people, when the most sweeping provisions of the Patient Protection and Affordable Care Act take effect in 2014. More

Feds to test paying for Medicaid patients with psychiatric emergencies
Kaiser Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
A group of states is testing whether Medicaid patients who seek emergency psychiatric care at private psychiatric hospitals are better off if the federal government picks up part of the costs. Right now, the federal government does not help states pay for inpatient psychiatric care for many Medicaid patients — a longstanding policy meant to discourage states from cost-shifting to the federal government and institutionalizing patients. More

Insights Webinar: Fraud, Waste and Abuse for Managed Medicaid Plans, April 5 by Thomson Reuters
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Thomson Reuters works with over 20 state Medicaid agencies, CMS and several commercial payers to identify and reduce fraud, waste and abuse. We will share successes, strategies and insights into how managed Medicaid plans can reduce fraud, waste and abuse and maximize their value. We will outline, enumerate and categorize the various kinds of fraud patterns in the Medicaid market, and will show specific results in collection, prosecution and prevention that have been achieved by our clients in this area. Click here to register.

Save money on MHPA's Insights Webinars: Register now for the 2012 Best Practices Awards Forum
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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

New Webinar from Dual Eligibles: State Initiatives and Growth Opportunities for Health Plans
AIS Health    Share    Share on FacebookTwitterShare on LinkedinE-mail article
In the past year, the federal and state governments have developed huge new initiatives to expand integrated care delivery for Medicare-Medicaid dual eligibles and, in the process, created big near-term growth opportunities for health plans. During this April 12 Webinar from, hear Thomas Johnson, from Medicaid Health Plans of America, and Gary Jacobs, from Universal American Corporation, detail how states' dual initiatives will transform both what they do and how they do it. You'll also hear directly from California's top duals consultant, Peter Harbage, of Harbage Consulting, about the state's process and intentions. More

MHPA's New Keeping you Healthy video: Healthy You, Healthy Me by Amerihealth Mercy Health Plan
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Today's children are the most overweight generation in the history of the U.S. According to the National Center for Health Statistics, the prevalence of overweight children and youth has more than tripled over the last 35 years. In addition to the increase in type II diabetes in children, overweight children also have increased the rates of diagnosed hypertension and asthma. To combat this epidemic, AmeriHealth Mercy Health Plan partnered with the Neighborhood Center in Harrisburg, Pa., to create our "Healthy You, Healthy Me" Childhood Obesity Program. Watch the YouTube video here.

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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