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Home   About   Policy & Advocacy   Education & Resources   Events   Contact Us Apr. 3, 2012


MHPA


MHPA supports National Minority Health Month
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April 3, 2012 – Washington, D.C. – Medicaid Health Plans of America and its member companies fully support the Department of Health and Human Services Office of Minority Health's National Minority Health Month and their work to eliminate differences in the quality health care of minorities. More



Reducing fraud, waste and abuse at your Managed Medicaid Plan — Webinar this Thursday, April 5 at 3 pm ET
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Thomson Reuters works with over 20 state Medicaid agencies, CMS and several commercial payers to identify and reduce fraud, waste and abuse. They will share successes, strategies and insights into how managed Medicaid plans can reduce fraud, waste and abuse and maximize their value. They 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 achieved by their clients in this area.

For the reduced member price of $69 ($79 for non-members), you can listen to over an hour of expert advice on how to apply this valuable information to your plan. To register click here.

For group pricing or other questions, please contact Suzanne Austin at 202-857-5720 or saustin@mhpa.org


The health reform ruling: 4 likely scenarios
Politico    Share    Share on FacebookTwitterShare on LinkedinE-mail article
One day in June, the Supreme Court will declare whether President Barack Obama's health care reform law is constitutional. The next day, both parties will have to pick up the pieces. More

Health insurers move ahead, with or without individual mandate
National Public Radio with Kaiser Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
For the health policy world, the Supreme Court's tough questioning of the individual mandate was a seismic event. But in Hartford, Conn., the city sometimes called the epicenter of the insurance industry, David Cordani isn't quaking. More

Driving engagement, reducing healthcare costs

Healthx is the leading developer of portals and applications for the healthcare market. Over 130 payers and 39,000 groups, representing over 12 million individual lives, use our technology solutions. From our member and provider portals to our
mobile applications, we help payers increase constituent engagement while reducing costs. Visit www.healthx.com.


Insurance industry says Clement's individual-mandate alternatives unworkable
InsideHealthPolicy.com    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Former U.S. Solicitor General Paul Clement alluded to alternatives to the individual mandate while simultaneously trying to kill that provision during health reform law Supreme Court arguments, but an insurance industry source said Clement's ideas are unworkable. More

MedPAC to vote on Medicare benefit redesign; discuss duals care
InsideHealthPolicy.com    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Medicare Payment Advisory Commission will likely vote on recommendations for redesigning Medicare benefits that will be included in the report to Congress, according to a MedPAC release.  More

LIBERTY Dental Plan

A national leader in providing dental benefits for Medicaid, CHIP and Medicare programs;

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Central Louisiana on deck for state's Medicaid changes
The Town Talk    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The second phase of change to Louisiana's Medicaid program began recently, and the next phase will involve Medicaid recipients in Central Louisiana. The Louisiana Department of Health and Hospitals launched the second phase of the Bayou Health program in Geographic Service Area B. That includes the Acadiana, Capital area and south-central Louisiana regions. More

Ironing out details of duals conversion
California Healthline    Share    Share on FacebookTwitterShare on LinkedinE-mail article
State officials met with stakeholders in Sacramento, Calif., to answer questions and work out the final details of the duals demonstration project — an ambitious plan to enroll an estimated 700,000 dual-eligible Californians in 10 counties into Medi-Cal managed care. More

Improving Lives. Reducing Costs.
Health Integrated, the leading innovation partner for health plans, provides evidence- based solutions to achieve health management goals for clinical outcomes, quality measures and cost containment.

Our expertise with vulnerable populations and 360-degree view of the impact of bio-psycho-social risk factors on health makes us the perfect partner for Medicaid and Medicare plans.

www.healthintegrated.com


Ohio wants to better coordinate Medicare, Medicaid care
The Associated Press via Springfield News-Sun    Share    Share on FacebookTwitterShare on LinkedinE-mail article
A proposal to better coordinate medical care for some of Ohio's sickest, most expensive and difficult to treat patients should lead to more people getting services at home and community-based settings, rather than in more costly nursing homes or other institutions, the state's Medicaid director said recently. More

Wisconsin gets OK for some Medicaid cuts
Appleton Post Crescent    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Wisconsin governor Scott Walker's administration received preliminary approval from the federal government for some Medicaid cuts it sought to balance a budget shortfall. More

Preparing for increased churn in patient eligibility in 2014
Healthcare Financial Management Association    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Medicaid churn is not a new challenge for health care finance leaders. However, shifts in patient eligibility for Medicaid and other subsidized coverage is expected to increase substantially after three core elements of the Affordable Care Act — insurance exchanges, expanded Medicaid coverage, and insurance subsidies — go into effect in 2014. More

GHG Forum 2012: Access the Agenda Now

Gorman Health Group is the leading solutions provider in Government programs. Join us June 12 & 13 in Washington, D.C. for a conference event designed for teams from cross-functional operational areas. Register your team now. MORE.


Uncovering kids: 89,000 poor Pennsylvania kids slashed from Medicaid
The Philadelphia Inquirer    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Kheli Muhammad was trying to schedule a routine pediatrician's appointment last summer when she discovered that her 2-year-old son, who has a congenital heart disorder, had been kicked off the Medicaid rolls. More

Health care providers search for remedy if Illinois cuts Medicaid
Rockford Register Star    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Hospitals and health care agencies, already hurting because of delayed reimbursements, are facing added budget pressure from the state's ongoing efforts to trim $2.7 billion from its Medicaid program. More

KanCare 'carve out' killed on House floor
The Topeka Capital-Journal    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Advocates for the developmentally disabled have clamored to be excluded from the governor's Medicaid managed care plan for months. An amendment that would have done that failed to get an up-or-down vote on the House floor. More

Magellan Health Services expands radiology benefits management collaboration nationwide with Coventry Health Care
Businesswire via Pharmacy Choice    Share    Share on FacebookTwitterShare on LinkedinE-mail article
NIA, a subsidiary of Magellan Health Services Inc., announced that it has entered into a binding letter of agreement to extend the term of its existing radiology benefits contracts with Coventry Health Care through Dec. 31, 2015, and established an expanded national preferred relationship providing new market opportunities. More




WellCare's 'Ohana Health Plan awarded New Health Plan Accreditation Status by NCQA
Reuters via Yahoo Finance    Share    Share on FacebookTwitterShare on LinkedinE-mail article
WellCare Health Plans, Inc. announced that 'Ohana Health Plan, a health plan offered by WellCare Health Insurance of Arizona, Inc., has been awarded New Health Plan Accreditation status from the National Committee for Quality Assurance. NCQA's New Health Plan Accreditation Program applies to health plans that are less than 36 months old. More

Generic pileup: New releases, Medicaid changes on collision course
Pharmacy Choice    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The patent cliff is here. With it comes an onslaught of blockbuster brand-name drugs whose market exclusivity runs out, thus clearing the way for significantly lower-price prescription drugs which represent newfound revenue and profit for retail pharmacies and billions in health care savings for their 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.




New Webinar from AISHealth.com: 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 AISHealth.com, 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.
Highlights:
• 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 register@iirusa.com. 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 jdebois@multiview.com.

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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