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Montana House blasts Medicaid expansion bill to
floor for debate

The Associated Press via The Baltimore Sun
The Montana House of Representatives voted Wednesday to blast a Republican lawmaker's Medicaid expansion bill to the floor after two hours of back and forth over procedural rules as conservative Republicans attempted to derail the measure. Eleven Republicans joined all 41 Democrats to bring the measure out of the House Human Services Committee by a 52-48 vote.
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Meet the group blocking Obamacare's Medicaid expansion
Washington Examiner
Meet the group persuading states to block Medicaid expansion. The Washington, D.C.-based advocacy group Americans for Prosperity has poured more money and resources than anyone else into convincing Republicans around the country to repel state efforts to grow the federal health insurance program for the low-income and disabled.
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Nebraska Medicaid expansion dead for the year
Lincoln Journal Star
Nebraskans who may have depended on state senators this year to expand Medicaid saw a swift end Wednesday to their hopes. Supporters of expansion couldn't even hang on for an eight-hour filibuster. The Medicaid Redesign Act essentially died after senators failed to adopt an amendment on a 22-24 vote. The amendment was necessary to change the makeup of the proposed Medicaid Redesign Task Force and ensure the bill was constitutional.
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Gilead's $1,000 pill is hard for states to swallow
The Wall Street Journal
A pricey pill made by Gilead Sciences Inc. caused Medicaid spending on hepatitis C treatments to soar last year, even as most states restricted access to the drug, leaving many low-income patients untreated. State Medicaid programs spent $1.33 billion on hepatitis C therapies through the third quarter of last year, or nearly as much as the states spent in the previous three years combined, a The Wall Street Journal analysis of federal data shows.
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Reinventing the way Medicaid delivers care
Harvard Business Review
Some 68 million Americans receive coverage through Medicaid, the federal-state health plan for lower-income Americans, making it the single-largest source of health coverage in the United States. Much of the growth in health insurance coverage under Obamacare comes from the expansion of Medicaid. Yet the Medicaid program has changed little since it was first created in 1965. In most settings, it has mimicked the design and dysfunction of other health insurance programs.
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April 15 Webinar Wednesday: 'The Role of Medicaid Managed Care Organizations in State Innovation Models'
Deloitte
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.

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April 29 Webinar Wednesday: 'One Member, One Community, One Day at a Time: Guiding Principles for Person-Centered Care'
Project Transition
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.
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Did you miss Webinar Wednesday: 'Medication Monitoring & Pharmacogenetic Testing (PGT): Helping Clinicians to Individualize Safer Opioid Management' by Millennium Health?
MHPA
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.

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MHPA's Legislative Fly-In | May 11 | Washington, DC
MHPA
Join us for MHPA's Legislative Fly-In, scheduled May 11 and 12 at the Liaison Capitol Hill Hotel, to educate lawmakers on our industry and its key issues.

Click here for reservation information.

For details, please contact Nikida Levy via email or by phone at 202-857-5720.

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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.
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Job opportunity: RN, manager, prior authorization | Detroit
Aetna
Aetna seeks experienced RN with managed care, leadership and prior authorization expertise. Reinforces clinical philosophy, programs, policies and procedures. Ensures implementation of tactics to meet strategic direction for cost and quality outcomes. Creates direction and communicates a business case for change by focusing on and addressing key priorities to achieve business results. Identifies opportunities to implement best practice approaches and introduce innovations to better improve outcomes. Visit here and search for requisition #24937BR to learn more and apply.
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Job opportunity: Clinical director, Homecare & Managed Care
First Quality
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.
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MHPA's Industry NewsBrief
Colby Horton, Vice President of Publishing, 469.420.2601
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Damon Sayles, Senior Editor, 469.420.2662   
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