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Resistance builds to managed care for dual eligibles
American Medical News
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Ophthalmologist Victor Gonzalez, stood in front of a crowd of hundreds of physicians and patients in McAllen, Texas, and spoke in stark terms about what is happening as the state changes and cuts coverage for dual-eligible patients: those old or disabled enough for Medicare, and poor enough for Medicaid.
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New program for diabetes patients puts text messaging to work
Healthcare IT News
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Chartered Health Plan, the oldest Medicaid managed care organization in the District of Columbia, is launching a new text messaging program for 50 of its members to help them better manage diabetes, which requires regular care to avoid costly complications.
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HMS awarded Recovery Audit Contractor Contract by the state of Nevada
Pharmacy Choice
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HMS, a wholly owned subsidiary of HMS Holdings Corp., announced that it has been awarded a contract by the Nevada Department of Health Care Financing and Policy to serve as the State's Recovery Audit Contractor.
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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.
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Obama administration diverts $500 million to IRS to implement health care reform law
The Hill
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The Obama administration is quietly diverting roughly $500 million to the IRS to help implement the president's health care law. The money is only part of the IRS's total implementation spending, and it is being provided outside the normal appropriations process.
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Arizona gets OK to expand health coverage to kids
Kaiser Health News
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Nearly 22,000 poor kids in Arizona will gain health insurance coverage under a Medicaid deal the state has reached with the Obama administration, federal officials said recently.
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A national leader in providing dental benefits for Medicaid, CHIP and Medicare programs;
• Nationwide Network
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• Predictable Costs with Quality Programs |
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Kansas: Counties weighing in on KanCare
Kansas Health Institute
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County officials across Kansas are raising doubts about KanCare, Gov. Sam Brownback's plan for letting insurance companies manage the state's $2.8 billion Medicaid program.
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Illinois new interactive map shows numbers to be insured
Pharmacy Choice
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A survey within the U.S. Census Bureau determined that the Health Care Reform Act allows tens of thousands more Metro East residents to get health coverage in 2014. The numbers came through the American Community Survey, which is part of the bipartisan government agency, the U.S. Census Bureau.
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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
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Proposed ICD-10 delay elicits mixed reaction from health industry
FierceHealthIT
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The health care industry had a mixed response to the recent proposal by the Centers for Medicare & Medicaid Services to delay the deadline for ICD-10 implementation from Oct. 1, 2013 to Oct. 1, 2014.
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Medicaid hack update: 500,000 records and 280,000 Social Security number's stolen
ZDNet
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Utah's Medicaid hack estimate has grown a second time. This time we have gone from over 180,000 Medicaid and Children's Health Insurance Plan recipients having their personal information stolen to a grand total of 780,000 affected.
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The Second Annual Awards Forum is only 3 weeks away!
MHPA
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Is your plan nominated for a best practices award? Attend the Awards Forum and show your support! Register now for the April 30 meeting of industry CEOs, COOs, CMOs and other key health plan personnel at the U.S. Chamber of Commerce (1615 H Street, NW, Washington, D.C.). Attendees will be treated to presentations by Dr. Ken Thorpe of Emory University and executive director of The Partnership to Fight Chronic Disease, Joel Menges, COO of and Dr. Amy Boutwell, founder of Collaborative Healthcare Strategies, and a range of other experts sharing their most effective best practice methods.
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New Webinar from AISHealth.com: Dual Eligibles: State Initiatives and Growth Opportunities for Health Plans
AIS Health
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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.
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Next Insights Webinar: Cost of Care for Hemophilia Patients: When in Doubt, Carve Them Out — April 23, 2012
MHPA
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By Baxter Healthcare Corporation. As states move to managed Medicaid, it is beneficial for all stakeholders to understand the potential impact of the rare and unique disease state, hemophilia. Through this webinar, an expert will share his/her experience of the uniqueness of the hemophilia disease state. The speaker will discuss clinical and economic considerations in the management of members with hemophilia.
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Are you maximizing your capitation revenue? How do you know? — Wednesday June 6, 2012 at 1:30 pm ET, A free webinar by DataWing Software
MHPA
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Have you ever paid claims for ineligible members? Reconciling your capitation payments can help.
During this hour presentation, DataWing Software will cover:
• Where does the data come from and why there are discrepancies
• How do I know that our MCO has an issue
• Ideas from other MCO's on how they address the challenge
• Technology solution to solve this challenge
Register for this free webinar
Partnership for reducing readmissions and length of stay — Thursday June 14 at 1:00 pm ET, A free webinar by VITAS Innovative Hospice Care
MHPA
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The Hospital Readmission Reduction Program is intended to reduce hospital readmissions by aligning them with payment incentives. Hospice and palliative care programs can help providers reduce hospital readmissions by providing comprehensive care to patients. They improve discharge planning and increase coordination of care while being cost effective. This results in improved quality patient care and increased patient/family satisfaction.
Register for this free webinar
Introducing the Best Practices Compendium for Serious Mental Illness (SMI)
MHPA
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Medicaid health plans are part of the solution for improving quality of care for people with serious mental illness. This new compendium highlights challenges in delivering mental health services for people with SMI, outlines important treatment recommendations and identifies examples of cutting edge approaches used by Medicaid health plans to address needs of people with SMI.
Download a free PDF copy or request a print copy at 202.857.5720 or info@mhpa.org.
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MHPA's New Keeping you Healthy video: Healthy You, Healthy Me by Amerihealth Mercy Health Plan
MHPA
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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
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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
MHPA
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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
MHPA
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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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Firstsource’s advanced IVR technology helps achieve a 34% live connect rate, up from 14 to 18% with traditional dialers. As a result, we dramatically improve member contacts and results for disability transfers, member retention/recertification, SSI benefits and member wellness programs and initiatives. For a better, faster way to connect, contact Firstsource at 877-926-7370. MORE
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Epstein Becker Green is uncompromising in its pursuit of legal excellence and client service in its areas of practice: Health Care and Life Sciences, Labor and Employment, Litigation, Corporate Services, and Employee Benefits. The Firm was founded to serve the health care industry and has been at the forefront of health care legal developments since 1973.
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VITAS Innovative Hospice Care®, a pioneer and leader in the hospice movement since 1978, provides a special form of care for people with life-limiting illnesses.
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