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Home   About   Policy & Advocacy   Education & Resources   Events   Contact Us Apr. 17, 2012


Fate of health law's Medicaid expansion hinges on how much doctors get paid
The Hill    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The success of the health care reform law's massive Medicaid expansion could hinge on new regulations that are expected soon. While the 20 million people who will gain subsidized coverage on the new insurance exchanges have gotten most of the attention, President Barack Obama's health law also expands Medicaid and the Children's Health Insurance Program to 17 million low-income families starting in 2014. More

Gateway Health Plan® receives high marks in NCQA's Health Insurance Plan Ratings for Medicaid product
PRNewswire    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Gateway Health Plan® announced that they have earned the highest possible rating by the National Committee for Quality Assurance for our Medicaid HMO product again. Gateway Health Plan received a three-year "Excellent" accreditation, marking the sixth consecutive time the plan has received NCQA's highest rating offered in the accreditation year. Gateway was also the first Medicaid plan in the nation to earn an "Excellent" rating. More

Coventry Health Care of Iowa, Nebraska names new CEO
Business Wire via Insurance News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Michael Nelson was recently named as chief executive officer of Coventry Health Care of Iowa, Inc. and Coventry Health Care of Nebraska, Inc. Nelson served previously as chief operations officer and regional vice president of sales for the Iowa and Nebraska health plans. More

Driving engagement, reducing healthcare costs

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

Pointing to '90s welfare reforms, Paul Ryan defends his Medicaid plan
The Hill    Share    Share on FacebookTwitterShare on LinkedinE-mail article
House Budget Committee Chairman Paul Ryan, R-Wis., fired back at Democrats who have questioned his compassion, saying his Medicaid overhaul would help poor people just as former President Clinton's welfare reforms did 15 years ago. More

Possible confusion on health care mandate could cloud debate
The Associated Press via Detroit Free Press    Share    Share on FacebookTwitterShare on LinkedinE-mail article
A possible misunderstanding about President Barack Obama's health care overhaul could cloud Supreme Court deliberations on its fate, leaving the impression that the law's insurance requirement is more onerous than it actually is. More

LIBERTY Dental Plan

A national leader in providing dental benefits for Medicaid, CHIP and Medicare programs;

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Kansas: KanCare reorganization moves forward
Kansas Health Institute    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Kansas Gov. Sam Brownback and his top welfare officials called a press conference to announce they are moving forward with the administration's plan to reorganize the state's three main social service agencies. More

Georgia Medicaid, PeachCare cope with cash problem
Georgia Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Georgia's Medicaid and PeachCare programs are tight on cash. The cash-flow problem has prompted the Department of Community Health to ask medical providers and insurers to give the agency some flexibility on payments. The financial situation came up at a Department of Community Health board meeting. More

Improving Lives. Reducing Costs.
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.

Colorado House approves $7.4 billion spending plan
The Associated Press via The Denver Post    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Colorado House approved a $7.4 billion spending plan, turning what many believed would be an acrimonious process into an unusually jovial time as they kept funding for schoolchildren at the same level as last year and returned a property tax break for seniors. More

Connecticut trying to improve care for high-need, high-cost clients
The Connecticut Mirror    Share    Share on FacebookTwitterShare on LinkedinE-mail article
They represent a tiny segment of Connecticut's population, and less than 10 percent of those who get their health insurance through the state's Medicaid program. But a group of just over 57,500 people represents nearly 40 percent of the cost of Medicaid, the largest single item in the state budget. More

GHG Forum 2012: Don't miss out!

Gorman Health Group, the leading solutions provider in Government programs, invites you to DC on June 12 & 13 for a conference event designed for plans and cross-functional team attendance. Register your team now. MORE.

Less than 2 weeks until the Second Annual Awards Forum!
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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. More

Next Insights Webinar: Cost of Care for Hemophilia Patients: When in Doubt, Carve Them Out — April 23, 2012
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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. More

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    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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 More

MHPA's New Keeping you Healthy video: Healthy You, Healthy Me by Amerihealth Mercy Health Plan
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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.
• 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 The hotel block expires on March 30, so be sure to book early.

Banner advertising available with MHPA NewsBriefs
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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

MHPA on Twitter, Facebook and LinkedIn
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Follow us on Twitter, and Facebook and LinkedIn to get industry-related news and the latest MHPA announcements.
More connections mean higher capitation rates.
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

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.
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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