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Arkansas House approves Medicaid expansion
Arkansas Times
The Arkansas House has voted, 77-23, to approve the appropriation bill, HB 1219, to pay for a federally financed expansion of Medicaid health insurance coverage under President Barack Obama's healthcare legislation.
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AmeriHealth Mercy becomes AmeriHealth Caritas
GlobeNewswire via The Wall Street Journal
AmeriHealth Mercy Family of Companies, a national leader in Medicaid managed care and other health care solutions for the underserved, has announced that it has chosen AmeriHealth Caritas as its new company name. "Caritas" is Latin for "charity" and embodies the 30-year legacy of caring that AmeriHealth has established in several states and communities across the country.
Webinar Wednesday: 'Opioid Dependence — A Chronic Relapsing Brain Disease,' a free webinar by Reckitt Benckiser | April 17 | 3 p.m. EST
MHPA
Joe Volpicelli, M.D., executive director at the Institute of Addiction Medicine and staff physician at Chestnut Hill Hospital, will help payers, patients and their communities better understand the chronic nature of opioid dependence.
Arizona drops out of duals demo, eyes greater leverage of D-SNPs
InsideHealthPolicy.com
Arizona has informed CMS it will drop out of the agency's high-profile financial alignment demonstration that seeks to integrate and improve care for beneficiaries dually eligible for Medicare and Medicaid. Arizona will instead work with other states to leverage successes with dual eligible specials needs plans.
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Minnesota Senate bill proposes HMO surcharge
St. Paul Pioneer Press
A Senate budget bill put forward would slow the growth in spending for health and human service programs primarily by placing a surcharge on HMOs in Minnesota. The bill also would repeal an agreement reached two years ago to end a special state tax on healthcare providers in 2020.
Despite health challenges, southern states resist Medicaid expansion
McClatchy
Roughly 300,000 Mississippi residents likely will qualify for Medicaid next year when the healthcare overhaul extends coverage to adults who earn up to 138 percent of the federal poverty level. But Mississippi and eight other contiguous southern states, all led by Republican governors, have decided not to implement the Medicaid expansion, even though the federal government has pledged to pay all medical costs for the newly eligible enrollees in 2014, 2015 and 2016 and no less than 90 percent of their costs thereafter.
Senators appointed to commission that will monitor Virginia Medicaid reforms
The Associated Press via The Washington Post
Senate Finance Committee chairman Walter Stosch has named Sens. Emmett Hanger, Janet Howell, Louise Lucas and John Watkins as the last four voting members to the Medicaid Innovation and Reform Commission. They have been appointed to a state commission that will oversee Medicaid reform and expansion in Virginia.
Maryland governor to sign Medicaid expansion, HIX funding
Healthcare Payer News
Maryland Gov. Martin O'Malley is expected to sign legislation expanding Medicaid eligibility and funding the state health insurance exchange with funds from an existing insurance tax.
The Maryland Health Progress Act, which recently passed the state House and Senate, would be one of the final steps in the O'Malley Administration's health reform plans and implementation of the Affordable Care Act.
New Florida report finds hidden savings in Medicaid expansion
Health News Florida
State lawmakers may have overlooked more than $430 million in yearly savings for Florida taxpayers by not accepting the federal dollars promised through the Affordable Care Act. The savings, says the Medicaid director at Florida's Agency for Health Care Administration, come from the Obama administration's recent pledge to pay the full cost of "medically needy" recipients annually.
Florida governor slams House health plan
The Associated Press via Herald-Tribune
Florida Gov. Rick Scott voiced his concerns about a Florida House proposal that would pass up billions of federal dollars to provide healthcare coverage to more than 100,000 uninsured Floridians in an alternative to expanding Medicaid under the federal health law.
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Iowa state treasurer attacks Branstad health plan
The Associated Press via Times-Republican
Michael Fitzgerald, Iowa's state treasurer, has waded into a partisan debate over whether to expand Medicaid in Iowa. Fitzgerald described Gov. Terry Branstad's alternative proposal as a "bad financial deal."
Michigan panels reject governor's Medicaid expansion
The Associated Press via The Macomb Daily
Republican-led legislative panels have rejected Gov. Rick Snyder's plan to expand Medicaid eligibility to 320,000 Michigan residents next year. The panels, however, left open the option of reversing course in coming months if changes can be made to the health insurance program for the needy.
Nebraska Medicaid backers will add safeguards to bill
The Associated Press via Fremont Tribune
Nebraska supporters of the expansion of Medicaid said they are willing to include cost safeguards within the bill, including a mandatory review of the program if its expenses were to skyrocket and a possible requirement that the state withdraw if the federal government fails to fund it as promised.
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Aetna job opportunity: Director of medical management for
Delaware Physicians Care
Aetna
Aetna is looking for a new director of medical management for Delaware Physicians Care. The position oversees the implementation and on-going execution of the strategic and operational business plan for the business segment's clinical operations, inbound/outbound call queue, implementation and/or plan sponsor operations. The position also coordinates business segment policies and procedures in support of financial, operational and service requirements.
'Blurring Boundaries: Considering the Role of Medicaid-oriented Health Plans in 2014 and Beyond,' a free webinar by Deloitte Consulting | April 24 | 3 p.m. EST
MHPA
As 2014 nears, many states are grappling with their approaches to Medicaid expansion, the expanded use of managed care to cover new categories of Medicaid beneficiaries and coverage of subsidized individuals through their exchanges. At the same time, HHS is providing greater flexibility to states to help maximize the scope of coverage expansion and help minimize churn between Medicaid and subsidized exchange programs. As Medicaid health plans navigate this uncertainty, they should consider the impact of the expanding scope of subsidized coverage and the evolution of traditional Medicaid norms and boundaries.
This presentation will explore the strategic and operational implications for health plans as they address major changes ahead, including: the evolving subsidized coverage landscape for managed care in Medicaid and exchanges; exchanges as a potential future channel for Medicaid enrollment and plan selection; the possible convergence of the Medicaid and subsidized individual exchange markets in some states, including Medicaid bridge plan and premium assistance approaches.
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Recent webinar presentations from ProgenyHealth, Deloitte, PwC available free on MHPA's website
MHPA
View PDFs or listen to audio for "NICU Costs, Trends, and Effective Management Solutions" by ProgenyHealth, "The Duals Dilemma — Identifying Effective Care Management Approaches to Support Meaningful Improvement" by Deloitte Consulting, "The Race to 2014: Health Reform and the 30 Million Newly Insured" by PwC and more.
2012-2013 Best Practices Compendium on sale now
MHPA
MHPA's 2012-2013 Best Practices Compendium is the sixth edition of our annual publication that contains Medicaid health plans' best practices, as well as helpful resource information. Get yours today ($25 for members, $30 for non-members). To order, call 202-857-5720, or email us.
Annual Medicaid Managed Care Congress | May 20-22 | Baltimore Marriott Inner Harbor Hotel | Baltimore
Institute for International Research
Collaborate and drive innovation to move the Medicaid industry forward. Implement the ACA, increase quality, grow membership and strengthen financials. Register with code XP1826MHPA, and save 25 percent.
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MHPA on Twitter, LinkedIn and Facebook
MHPA
Follow us on Twitter, LinkedIn and Facebook to get industry-related news and the latest MHPA announcements.
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