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Debate over Medicaid expansion a good one for insurers
The Associated Press via The Washington Post
Some of the nation's largest health insurance companies are poised to benefit from the debate over expanding Medicaid in Virginia, regardless of its outcome.
Managed care program for elderly to expand in Kansas
Kansas Health Institute
PACE, Programs for All-Inclusive Care for the Elderly, is a Medicare- and Medicaid-funded managed care program for people who are 55 or older, low-income and close to being admitted to a nursing home. The program has been a relatively small player in Kansas' efforts to help frail seniors such as Cranmer avoid expensive nursing home care but is poised to take on a much larger role.
How much can our customized solutions save you? Contact HMS today.
Texas Medicaid holds off on proposed limits for Gilead hepatitis drug
Texas is reconsidering whether to impose strict limits on Gilead Sciences' $84,000 hepatitis C treatment for patients on the state's Medicaid health plan for the poor, at the urging of outside advisers, a state official said.
House passes budget with big Medicaid changes
The House approved a fiscal 2015 budget on Thursday that would cut federal spending by $5 trillion and significantly revamp social welfare programs. The measure, which cleared the House, 219-205, is essentially a political document that has no chance of being passed in the Democratic-controlled Senate.
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.
Losing patience — and patients — with Medicaid
Most doctors in private practice lose money on Medicaid patients, because the program pays less than commercial health plans or Medicare, the federal insurance program for Americans over 65. Many physicians already don't accept Medicaid, and millions of new enrollees clamoring for appointments will strain those who do.
MACPAC eyes short-term CHIP extension to spur fixes to children's
Inside Health Policy
Congressional advisers have voted on a draft recommendation that would extend the Children's Health Insurance Program for two years to keep down costs and to pressure Congress into fixing flaws in Obamacare's treatment of children's health insurance available on the exchanges. The Medicaid and CHIP Payment and Access Commission also plans to detail what it thinks should be changed about children's coverage, including the so-called "families glitch," dental benefits and premium subsidies.
Utah governor: Sebelius resignation won't slow Medicaid expansion talks
Utah Gov. Gary Herbert said he doesn't believe the sudden resignation of U.S. Health and Human Services Secretary Kathleen Sebelius will slow down his efforts to win approval for an alternative to Medicaid expansion.
In Florida, Medicaid enrollment rises 8 percent
The Associated Press via Miami Herald
The Republican lawmakers in Florida remain opposed to expanding Medicaid, a system they've repeatedly said is too expensive and doesn't improve health outcomes. Yet the state's Medicaid rolls are expanding under the Affordable Care Act.
Enrollment numbers for expanded Medicaid with Ohio residents
more than 106,000
The Associated Press via Akron Beacon Journal
More than 106,000 living in the state of Ohio have signed up for Medicaid under an expansion of the taxpayer funded health program, while thousands of others are waiting to hear whether they are deemed eligible.
Virginia Republicans aren't blinking in showdown over Medicaid expansion
The Washington Post
Virginia Republicans were supposed to be squirming by now. For months, their opposition to expanding Medicaid under the Affordable Care Act has put them at odds with some traditional allies in the business world. But only one legislator has budged on Medicaid since the year began, and that was an expansion supporter who backed off a bit.
During LSU hospital deals review, federal Medicaid funding could be delayed
The Associated Press via The Times-Picayune
Federal officials have warned Louisiana Gov. Bobby Jindal's administration that they will withhold $307 million in Medicaid funding from the state if no agreement is quickly reached on whether the state's financing plans for the privatized LSU hospitals meet federal guidelines.
Medicaid rules reduce narcotic prescriptions in Maine
The Associated Press via The Washington Post
The severe restrictions on opioid painkillers for Medicaid patients in Maine, which require many to instead seek alternative pain management treatment for the past year, have sharply reduced the number of people obtaining highly addictive medications blamed for drug abuse and deaths around the U.S.
'Financial Burden of Medical Spending by State and the Implications of the 2014 Medicaid Expansions'
A central goal of expanding health insurance coverage in the Affordable Care Act is reducing the financial impact of healthcare expenses on low-income American families. The 2014 provisions of the ACA are likely to have an uneven impact across states in reducing the share of income individuals devote to medical out-of-pocket spending, including premiums, because a multitude of factors influence financial burden levels.
'The Availability of New Patient Appointments for Primary Care at Federally Qualified Health Centers: Findings From an Audit Study'
This brief compares the availability of primary care appointments for new patients at Federally Qualified Health
Centers and other non-FQHC providers using data from an experimental simulated patient (audit) study conducted in late 2012 and early 2013. It provides summary measures for new patient appointment rates and wait times (number of days to see a provider for callers who were offered an appointment) for Medicaid, private and uninsured (i.e., self-pay) callers seeking primary care services.
Health Partners Plans executive appointed vice chair of MHPA's board
Health Partners Plans Vice President of Government Relations and Compliance Kearline Jones was recently appointed as the vice chair of MHPA board.
Sponsorship opportunities now available for mhpa2014
"Making It Personal: Focusing on the Enrollee in the Tangled Era of Health Reform," MHPA's 2014 conference on Oct. 26-28 at the new Marriott Marquis/Walter E. Washington Convention Center in downtown Washington, D.C., will put the spotlight back on the Medicaid beneficiary. Agenda, registration and hotel information will be available soon. In the meantime, visit our sponsor page for mhpa2014 sponsorship and exhibiting opportunities.
Download slides from ProgenyHealth's Neonatal Abstinence Syndrome webinar and others free on MHPA's website
View PDFs or listen to audio for the following webinars:
View additional webinars here.
May 7 Webinar Wednesday: 'Emerging Regulatory Issues and Risk Exposures Impacting Medicaid Managed Care Plans' by Deloitte
As Medicaid coverage expands under the ACA, states — along with Medicaid health plans — are faced with the challenges of enrolling newly eligible beneficiaries through Health Insurance Exchanges, providing coverage to these individuals and coordinating delivery of care and benefits with other entities. The ACA has set forth regulatory guidelines for expansion which Medicaid health plans must follow.
As plans navigate this regulatory landscape, failure to comply with such regulations may have financial ramifications in addition to federal fines. This webinar will explore the emerging regulatory environment of Medicaid managed care plans and implications as they comply with state and federal compliance, security and privacy regulations.
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MHPA launches health insurance tax website MedicaidTaxHurts.org
Visit MedicaidTaxHurts.org for everything you need to know about the health insurance tax, including its effect on the Medicaid program and how it hits individual states.
MHPA CEO Jeff Myers to speak at Medicaid Managed Care Congress 2014,
scheduled May 19-21 in Baltimore
The Medicaid Managed Care Congress is where government officials, health plan executives and other key players of the healthcare ecosystem come together to learn from one another. Not only will you have exclusive access to industry leaders who will guide you through the 2014 healthcare evolution, you will also have unique networking opportunities to learn from case studies that will drive your business strategy forward.
Highlights include: CMS Keynote speakers, ABC News Chief White House Correspondent, Jeff Myers, MHPA's president and CEO, Jonathan Karl, 18+ health plan case studies from MajestaCare, Molina Healthcare, Cigna-Health Spring and more, eight intimate round table discussions with government officials and 12 never-before-heard presentations across three unique tracks.
Save 20 percent with your MHPA code: XP1926MHPA. Visit here to register today!
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