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Rule proposed on providing mental health 'parity' in |
Kaiser Health News
A federal law that passed in 2008 was supposed to ensure that when patients had insurance benefits for mental health and addiction treatment, the coverage was on par with what they received for medical and surgical care. But until now, the government had only spelled out how the law applied to commercial plans.
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Last-minute lobbying threatens $200 billion Medicare package
Lawmakers and lobbyists representing children's insurance advocates, seniors' healthcare providers and other specialty groups are pressing to amend a $200 billion Medicare package the Senate hopes to send to President Barack Obama's desk next week.
Florida governor says he no longer supports expanding Medicaid
The Washington Post
A little more than two years ago, Florida Gov. Rick Scott made an announcement that shocked the political world. The Republican, who had spent a portion of his personal fortune to oppose Obamacare when it was being drafted in Congress, now supported expanding Medicaid in his state. And it wasn't just the policy announcement itself. It was the emotional way in which Scott described his conversion from Obamacare hater to Medicaid expansion supporter, speaking about the loss of his mother just months earlier. Expanding Medicaid to nearly 1 million low-income adults was just a matter of doing what's right, he said in February 2013.
Feds not suspending talks with Florida
The Baltimore Sun
Federal health officials said Thursday that they are still negotiating with the state over the potential loss of more than $1 billion for Florida hospitals, despite assertions that talks were being halted. Officials at the Centers for Medicare and Medicaid Services have "not stopped conversations with the state of Florida," spokesman Aaron Albright said.
Florida House leaders threaten budget battle over Medicaid expansion
Tampa Bay Times
The Florida House overwhelmingly approved a $76.2 billion budget Thursday that was more than $4 billion less than the Florida Senate plan passed a day earlier, a discrepancy largely due to the House's staunch refusal to expand Medicaid.
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MHPA welcomes North Carolina's Cardinal Innovations Healthcare
Solutions as newest member plan
Cardinal Innovations Healthcare Solutions is a managed behavioral healthcare organization that manages all Medicaid, state and local funding for mental health, intellectual and developmental disability and substance use/addiction services for 2.4 million individuals in North Carolina. Learn more about MHPAs newest member health plan at www.cardinalinnovations.org.
Medicaid, budget, lands bill among things to watch in the Alaska Legislature
The Associated Press via The Tribune
As the Alaska Legislature enters the final two weeks of the scheduled 90-day session, one of the major unresolved issues is whether consensus can be reached on a Medicaid expansion and reform package.
Hearing on Montana Medicaid-expansion bill set for Tuesday; Democrats load up 'silver bullet'
The Montana Standard
The sole surviving bill to expand Medicaid in Montana has its first hearing in a House committee next Tuesday — and Democrats already are angling to move it to the floor and bypass the committee. Rep. Art Wittich, the chairman of the House Human Services Committee, says Senate Bill 405 will be heard before the panel Tuesday at the Capitol.
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Montana governor, legislators tour Benefis, talk Medicaid
Great Falls Tribune
For his Medicaid expansion plan to be successful, membership will decrease, Sen. Ed Buttrey said Thursday at a roundtable on his HELP Act at Benefis Health System. The Great Falls Republican's bill, whose full name is Montana Health and Economic Livelihood Partnership, would accept federal funds to expand Medicaid coverage to people whose income is below 138 percent of poverty level.
Court OKs New Jersey Medicaid denial for legal immigrants
The Associated Press via The Baltimore Sun
New Jersey's top court says the state may legally deny Medicaid benefits to adult noncitizens who are in the United States legally but have been here less than five years. The state Supreme Court in a split decision released Monday affirmed a lower court ruling allowing the denial. The justices did not issue a new opinion in the case.
Judge orders Ohio to reinstate Medicaid for those in lawsuit
The Associated Press via The Baltimore Sun
A federal judge ordered Ohio officials on Thursday to reinstate Medicaid benefits for people in a lawsuit but denied a request to expand such relief to tens of thousands of others being terminated from the program.
Shifts in earnings for consumers near Medicaid line can threaten coverage
Kaiser Health News
Low-income consumers whose earnings fluctuate or family circumstances change over the course of the year risk losing their health coverage if they shift between eligibility for Medicaid and coverage on the health insurance exchanges. That "churning" isn't new to Medicaid, but the health law's addition of millions of customers whose incomes hover near the Medicaid line raises concerns about how well the insurance marketplaces can handle the flux.
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Pay for success, social impact bonds: Request for proposals
Green & Healthy Homes Initiative
The Green & Healthy Homes Initiative released a request for proposals from asthma-related service providers to develop asthma social impact bond/pay for success projects. GHHI and its partner Calvert Foundation will provide technical assistance to five selected service providers in the catchment areas of the previously selected healthcare organizations:
Please review the RFP; proposals are due Wednesday, April 8.
- Baystate Health (Springfield, MA)
- Le Bonheur Children's Hospital (Memphis, TN)
- Monroe Plan for Medical Care (Buffalo/Rochester, NY)
- Spectrum Health (Grand Rapids, MI)
- University of Utah Health Plans (Salt Lake, UT)
April 15 Webinar Wednesday: 'The Role of Medicaid Managed Care Organizations in State Innovation Models'
The State Innovation Model grants are being widely used to develop and test multipayer payment and service delivery reform. These models can have a significant effect on Medicaid managed care organizations (MCOs). This webinar will explore the potential roles of Medicaid MCOs in a State Innovation Model (SIM) driven reform initiative.
Please join Director Randolph Gordon and Specialist Leader Jim Hardy for Deloitte Consulting LLP who will discuss challenges related to provider contracting, care management, information technology, market positioning and strategies for success.
April 29 Webinar Wednesday: 'One Member, One Community, One Day at a Time: Guiding Principles for Person-Centered Care'
Focus on implementing organizational and individual change from a strength-based perspective with a focus on the concepts of "One Member, One Community, One Day at a Time." Join Luke Crabtree, chief executive officer at Project Transition, who will provide concepts and tools that support professionals working directly with persons with serious mental illness and co-occurring disorders, including the identification of strengths in the change implementation process and data use to show positive outcomes in behavioral health.
Did you miss Webinar Wednesday: 'Medication Monitoring & Pharmacogenetic Testing (PGT): Helping Clinicians to Individualize Safer Opioid Management' by Millennium Health?
To request a copy of the presentation or for additional information, please contact Naissan Hussainzada, or visit www.millenniumhealth.com.
For copies of other past webinars, visit here.
Medicaid Managed Care Congress: May 20-22 in Baltimore
Medicaid Managed Care Congress
At the Medicaid Managed Care Congress, government officials, health plan executives and other key players of the healthcare ecosystem come together to hear new case studies from industry peers and expert insights from state and federal regulatory bodies. This event will discuss the successes and challenges of implementation of major ACA provisions, delivery reform and payment reform and states pursuing better value. Use code XP2026MHPAB for a 15-percent discount.
Job opportunity: Clinical director, Homecare & Managed Care
First Quality, a leading manufacturer of disposable home healthcare products, is seeking a clinical director for our Homecare & Managed Care Business. This candidate will provide leadership and have a focus on clinical education, utilization management protocols and programs and operational program development within homecare and managed care markets.
Job opportunity: Physician contract negotiator | Chicago
Negotiates, re-negotiates and executes physician and/or provider contracts in accordance with company standards in order to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals. Medicaid and Medicare contracting experience strongly preferred. Enter Requisition #22158.
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