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Home   About   Policy & Advocacy   Education & Resources   Events   Contact Us April 7, 2011
Brief federal shutdown wouldn't faze Medicare or Medicaid
NPR via Kaiser Health News    Share   Share on FacebookTwitterShare on LinkedinE-mail article
If the current budget standoff on Capitol Hill leads to a shutdown of the federal government, recipients of the Medicare and Medicaid health programs won't have to worry. At least not for a while. That's the official word from the Office of Management and Budget, where officials have been rushing to plan for what will and won't remain operating in the federal government in case Congress fails to pass a spending bill. More

New York Gov. Cuomo urges congressional leaders to reject Medicaid block grants
Healthcare Association of New York State    Share    Share on FacebookTwitterShare on LinkedinE-mail article
New York Gov. Cuomo sent letters to the leaders of both Houses of Congress urging them to reject a budget resolution unveiled by House Republicans that would change Medicaid into a block grant program. The proposal would end the current financing partnership between the federal government and the states; instead, the federal government would give states lump sums to fund their Medicaid programs. More

Wisconsin government group concerned about Ryan budget
The Hill    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The National Association of Counties has expressed concern that the House GOP's 2012 budget plan would end up increasing the burden on local governments. "We believe that deficit reduction should not be accomplished by shifting costs to counties, imposing unfunded mandates, or pre-empting county programs or taxing authority," Larry Naake, NACo's executive director announced. More

GAO says states must improve Medicaid, CHIP care coordination
Healthcare Finance News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Many children covered under Medicaid and Children's Health Insurance Program needing care coordination and access to care networks had difficulty getting the needed services, according to a report released by the Government Accountability Office. More

AmeriHealth Mercy selects ZeOmega's Jiva Software for its Integrated Care Management Solution
VentureBeat Profiles    Share    Share on FacebookTwitterShare on LinkedinE-mail article
ZeOmega LLC, the premier provider of software solutions for collaborative care management, announced that the AmeriHealth Mercy Family of Companies, one of the largest organizations of Medicaid managed care plans and related businesses in the United States, has selected ZeOmega's integrated care management software, Jiva, to deploy its vision for integrated care management. More

HMS awarded third party liability contract by the Commonwealth of Virginia
Business Wire via Accounts Receivable Management    Share    Share on FacebookTwitterShare on LinkedinE-mail article
HMS, a wholly owned subsidiary of HMS Holdings Corp., announced that it is has been awarded a contract by the Commonwealth of Virginia, Department of Medical Assistance Services to provide third party liability services, including cost avoidance, commercial insurance recovery, Medicare disallowance and credit balance reviews. More

State budget difficulties and implementation of the Affordable Care Act are driving and shaping the Medicaid managed care market. Sellers Dorsey positions our clients for growth in the ever-changing world of Medicaid, the Affordable Care Act and more. Sellers Dorsey. Redefining the possibilities. more

MyHealthDirect raises $4 million in funding
Journal Sentinel    Share    Share on FacebookTwitterShare on LinkedinE-mail article
A Brookfield company that connects patients to health care appointments will announce it has raised $4 million of venture capital funding. MyHealthDirect raised the money from two firms: Arboretum Ventures, of Ann Arbor, Mich., and Chrysalis Ventures, of Louisville, Ky. More

New Jersey Medicaid overhaul talks set
The Press of Atlantic City    Share    Share
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Hospital and health care professionals from southern New Jersey and across the state will meet with officials to discuss a proposed Medicaid overhaul, after they told Trenton, N.J., lawmakers they were struggling to understand how the state aims to save $540 million without cutting off patients' access to primary or long-term care. More

Minnesota Health, human services bill heads for House vote    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Minnesota House debated a Republican health and human services plan that seeks to reduce state spending by $1.6 billion from projected levels over the next two years. The bill contains a number of never-before-tried changes for the state and how it would deal with some 800,000 people who rely on government-funded programs — changes that have drawn the ire of Democrats. More

South Carolina Gov. Haley signs bill on Medicaid rates
The Post and Courier    Share    Share on FacebookTwitterShare on LinkedinE-mail article
South Carolina Gov. Nikki Haley signed a law that allows the state to cut Medicaid reimbursement rates to health providers. The new law repeals a 2008 proviso, or budget law, that had prohibited the state Medicaid agency from adjusting rates, a tactic most other states have used to help close budget shortfalls and preserve programs for beneficiaries. More

Our flawed but beneficial Medicaid program
The New England Journal of Medicine    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Many U.S. governors are proposing or implementing deep cuts to their states' Medicaid programs to address budget shortfalls, and some are calling for Medicaid to be converted to a block-grant program. More

Medicaid at a crossroads
The New England Journal of Medicine    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Approximately 68 million Americans were enrolled in Medicaid at some point during 2010, when the program spent $406 billion on acute and long-term care services for its beneficiaries. More

Kaiser Family Foundation poll: Medicaid important to 59 percent of Americans
Daily Kos    Share    Share on FacebookTwitterShare on LinkedinE-mail article
If the latest Kaiser Family Foundation poll is a marker to judge by, Rep. Paul Ryan's assessment of Medicaid as "welfare" is a distinctly minority opinion. Via Suzy Khimm, the poll even surprised Drew Altman, president and CEO at KFF, finding that 59 percent of Americans say the program is important to them. More

New York officials promote use of patient-centered medical homes
Media Newswire    Share    Share on FacebookTwitterShare on LinkedinE-mail article
New York State Health Commissioner Nirav R. Shah, joined by federal and city leaders, highlighted New York state's new initiative to expand access to the "medical home" model of health care during a visit to a health center in the Bronx. More

Insuring the under and uninsured: The Health Plan Forum on Medicaid Expansion & Health Benefit Exchanges
Financial Research Associates LLC    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Reaching, Servicing, and Retaining the New Enrollee Population
July 18-19,
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PerformRX - Account Management
PerformRx provides an industry-leading account management service that enables our clients to maximize their pharmacy benefit management decisions. MORE

Employment: ValueOptions job opportunity - Vice President, Medicaid sales and business development
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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 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
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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. More

Registration now open for MHPA's Center for Best Practices' First Annual Awards Forum, keynote luncheon speaker added
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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

Save the date: Medicaid Health Plans of America's 2011 Annual Meeting is Nov. 7-8
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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
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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 Be sure to mention priority code XP1626MHPAN to receive the discount. We look forward to seeing you in Baltimore.

MHPA on Twitter, Facebook and LinkedIn
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Follow us on Twitter, become a fan of our Facebook page or see our profile on LinkedIn to get industry-related news and latest announcements.

MHPA's 2010-2011 Best Practices Compendium on sale now
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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
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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












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