GOP blueprint would remake health policy
The New York Times Share
The proposal to be unveiled by House Republicans to rein in the long-term costs of Medicaid and Medicare represents a fundamental rethinking of how the two programs work, an ambitious effort by conservatives to address the nation's fiscal challenges, and a huge political risk. More
Thomson Reuters launches new service to combat health care fraud, waste, abuse
PR Newswire Share
CLEAR, the powerful public and proprietary records service and investigative suite from Thomson Reuters, is well-regarded among law enforcement and government investigative professionals for helping nab criminals and recover missing children. The business is introducing a new version of the service to aid in the recovery of the $60 billion that the National Health Care Anti-Fraud Association estimates is lost each year to fraud. More
ikaSystems appoints Joseph Marabito as president
Ajax World Magazine Share
ikaSystems, a premier provider of enterprise-level cloud computing solutions for the health care payer market, has added Joseph Marabito to its executive team in the new role of company president. More
Premier comments on ACO rules
HealthData Management Share
Staff at provider alliance Premier Inc. actually read the rule ACO and quickly issued comment on eight major issues. What follows are the comments in full:
Beneficiary opt-out, transparency and inducements require that beneficiaries are made aware of their participation in the ACO will ensure transparency and provide consumers with appropriate, fact-based information on their health care choices. More
Florida House passes massive Medicaid overhaul bill
The Miami Herald Share
The Florida House passed a bill that would dramatically overhaul the Medicaid system, shifting patients into private managed care plans. Five years after a controversial pilot program began in Broward and Duval counties, the Florida House approved a statewide proposal to shift Medicaid beneficiaries into managed-care plans. More
Arizona governor unveils Medicaid proposal
Kaiser Health News Share
Arizona Gov. Jan Brewer is asking HHS for a five-year waiver to reduce Medicaid rolls and increase member cost-sharing but also restore some organ transplant benefits. In a request to HHS Secretary Kathleen Sebelius, Brewer sought approval for a plan to freeze Medicaid enrollment for childless adults and parents. More
Future of Medicaid in Wisconsin at crossroads
The Wisconsin Medicaid fund is facing a $1.8 billion shortfall, partly because $1 billion in federal stimulus money is ending. Gov. Scott Walker's budget proposal trims $500 million in Medicaid spending over the next two years. More
Texas House approves budget that makes sweeping cuts
Reuters via WDAF-TV Share
The Republican-dominated Texas House passed a budget for the next two fiscal years that does not add taxes or dip into the state's rainy day fund but does make sweeping cuts to education and health care. More
New Hampshire department recommends taking exchange grant
National Underwriter Share
New Hampshire Insurance Department officials say taking a $1 million federal health insurance exchange planning grant might be a good idea. The department can take the $1 million even if the state decides not to set up an exchange and, if the state decides not to set up an exchange, the HHS may simply set up an exchange for New Hampshire, officials say in an exchange planning grant memo. More
Louisiana to distribute $83 million to private hospitals that care for needy patients
Becker's Hospital Review Share
Louisiana will distribute $83 million to 27 private hospitals that care for needy patients through its Low-Income and Needy Care Collaboration Program, a program approved by Centers for Medicare and Medicaid Services, according to a news release by Gov. Bobby Jindal. More
Hudson Health Plan's cell phone-friendly website answers demand for mobile access to New York Medicaid
Swiss Army knife, an all-in-one device that functions as phone, camera and Internet portal. Now, people can use their smartphones to gain access to excellent health care services, thanks to a new mobile phone-friendly website launched by Hudson Health Plan. More
Palmetto Physician Connections brings medical homes to South Carolina Healthy Connections with new Medicaid managed care plan
Healthcare Technology Online Share
Palmetto Physician Connections, LLC. has successfully launched a new Medicaid managed care health plan in South Carolina's Healthy Connections Choices program. Under a contract with the South Carolina Department of Health and Human Services, Palmetto Physician Connections is providing health care services through a medical homes network to beneficiaries in 39 counties. More
Employment: ValueOptions job opportunity - Vice President, Medicaid sales and business development
ValueOptions, a managed care company that specializes in management for all behavioral health issues, and mental health and chemical dependency diagnoses, seeks a Vice President, Medicaid sales and business development. For a complete position description, click here. Submit applications to Katie Haddock at email@example.com by April 18. If you have any questions, please call Katie at 480.242.0442.
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, firstname.lastname@example.org
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 email@example.com. More
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 firstname.lastname@example.org. 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.
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 email@example.com