UPMC for you makes NCQA's Top 10 Medicaid Health Insurance Plans
The National Committee for Quality Assurance Share
The National Committee for Quality Assurance ranked 104 Medicaid health plans based on clinical performance, member satisfaction and NCQA Accreditation. NCQA's Health Insurance Plan Rankings 2010-2011 used NCQA's established rankings methodology, which has been used and widely recognized since 2005. More
Medicaid wasting money on non generics
The Hill Share
States and the federal government could have saved as much as $329 million in 2009 if they'd more often paid for generic drugs for Medicaid beneficiaries, according to a new report by Alex Brill of the conservative American Enterprise Institute. More
Critics slam cost of FDA-approved drug to prevent preterm births
The Washington Post Share
When a drug to prevent babies from being born too early won federal approval, many doctors, pregnant women and others cheered the step as a major advance against a heartbreaking tragedy. Then they saw the price tag. More
MedStar, UnitedHealthcare still talking
Washington Business Journal Share
MedStar Health and UnitedHealthcare's Medicaid managed care business are still negotiating payment rates in Washington, D.C., after agreeing to a short-term contract extension through May. More
Sen. Rockefeller: Cutting Medicaid won't fix budget
Roll Call Share
Amid the larger scuffle on budget-cutting this year, some in Congress are looking for convenient excuses to roll back programs designed to give low-income Americans a hand up in life. Proposed cuts from the House are a direct attack on working Americans—but they are just a warm-up. More
Illinois Medicaid program holds steady in face of cuts nationwide
Illinois Statehouse News Share
States across the nation are ratcheting down Medicaid services and eligibility to hold down costs, but Illinois officials are standing by Medicaid reforms passed in January that Republicans claim just skim the surface. More
Trade groups want to halt reform law until courts decide
The Hill Share
A group of more than 250 trade associations are backing a senator's plan to halt health care reform implementation until legal challenges are completely settled. The StartOver! Coalition, which includes the U.S. Chamber of Commerce and the National Association of Manufacturers, says it is "prudent" to block implementation efforts as the courts hash out the constitutionality of health care reform. More
Democrats: Potential cuts to Medicaid outlined by administration 'cruel'
The Hill Share
An Obama administration letter outlining potential Medicaid cuts to help states balance their budgets was "cruel" and "disappointing," according to several prominent Democrats. The lawmakers are concerned the letter will encourage states to clip health coverage for some of the country's poorest people amid a poor economy when they could use the benefits most. More
Idaho Senate passes $35 million Medicaid cut
In 2012, Idaho will spend $35 million less for low-income health care as the state's Medicaid budget is reduced to just over $2.3 billion. Senate lawmakers finalized the cuts after months of planning and public testimony. The bill is now expected to be signed by Gov. Butch Otter. More
Gov. Cuomo: 'It's a new day in New York'
The Associated Press via Times Herald-Record Share
New York Gov. Andrew Cuomo said the tentative $132.5 billion state budget deal he struck with legislative leaders was nothing less than historic for its spending cuts as well as its timeliness. More
Indiana lawmakers wringing budget savings to fill Medicaid gap
Evansville Courier & Press Share
As lawmakers work to develop Indiana's next two-year spending plan, they are moving toward a mostly bare-bones budget that keeps funding levels for education, public safety and other agencies flat. But there is one major hole that must be filled with new money: Medicaid. More
The Centers for Medicare and Medicaid Services plans insurance database
Healthcare IT News Share
The Centers for Medicare and Medicaid Services plans to develop a health insurance assistance database to keep track of consumer questions about the health reform law. Over time, the system will help the agency uncover suspicious patterns where insurance plans may not meet provisions of the law. More
Senate finance leaders in both parties want more fraud reports
Becker's ASC Review Share
Both the Democratic and Republican leaders of the Senate Finance Committee are asking the Obama administration to issue more progress reports on efforts to crack down on fraud, waste and abuse of Medicare and Medicaid providers, according to a report by The Hill. More
Centene and the Alliance for Health Reform sponsor April April 4 hill lunch briefing on children's health and health coverage
Alliance for Health Reform Share
This briefing will examine issues in children's health and health coverage, including the effects of various provisions in the Children's Health Insurance Program Reauthorization Act and the Patient Protection and Affordable Care Act and the role of states in carrying them out. A distinguished panel will address such questions as: Who are the at-risk kids? How are states faring with enrollment and retention? Are state budget issues creating a dilemma for kids' coverage programs? Will states be able to maintain programs when the enhanced federal match under the American Recovery and Reinvestment Act of 2009 runs out in June? How will children and families be affected once major parts of the ACA become effective in 2014? What are the critical health issues affecting children? What initiatives are in place to keep kids healthy?
Panelists include Vikki Wachino, director of Family and Children's Health Programs Group, CMS; Jocelyn Guyer, Georgetown's Center for Children and Families; Cathy Caldwell, director, Bureau of Children's Health Insurance, Alabama Department of Public Health; and Dr. Mary Mason, chief medical officer, Centene Corporation. Ed Howard of the Alliance will moderate. More
MHPA Center for Best Practices kicks off 'Keeping You Healthy' Video Series
Each month the Medicaid Health Plans of America Center for Best Practices "Keeping You Healthy" Video Series will feature a Medicaid health plan best practice that has affected the lives of the people they serve. Its first installment is the "Lose to Win Type II Diabetes and Obesity Education Program" by Keystone Mercy Health Plan. Click here to view the video on YouTube.
TMG Health sponsors free webinar: 'The Outlook for Medicare & Medicaid - A View From Wall Street'
Carl McDonald, of CITI Investments will present 2 p.m. EDT April 6.
Description: TMG Health sponsors a complimentary webinar featuring Carl McDonald, of CITI Investments, speaking on "The Outlook for Medicare & Medicaid - A View From Wall Street." Carl will address the following topics:
- The effect from an improved Medicare reimbursement outlook
- Medicare enrollment trends for 2011 & 2012
- The potential for mergers & acquisitions
- The state Medicaid opportunity and what health reform in 2014 means
- The effect of state budgets on plans
To register: www.tmghealth.com
Contact: John Montague: 610.878.9111 x206, email@example.com
Registration now open for MHPA's Center for Best Practices' First Annual Awards Forum, keynote luncheon speaker added
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 firstname.lastname@example.org.
Save the date: Medicaid Health Plans of America's 2011 Annual Meeting is Nov. 7-8
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 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 email@example.com. Be sure to mention priority code XP1626MHPAN to receive the discount. We look forward to seeing you in Baltimore.
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MHPA's 2010-2011 Best Practices Compendium on sale now
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?
Go to the MHPA website at www.mhpa.org 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
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 firstname.lastname@example.org