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The costs of 10 top Medicaid readmission conditions
Becker's Hospital Review
Of the 10 most common readmissions conditions for Medicaid patients, septicemia resulted in the highest costs for hospitals, according to an Agency for Healthcare Research and Quality statistical brief.

In 2011, septicemia readmissions for Medicaid patients cost hospitals $319 million, but septicemia was only the eighth most common readmission condition. The most common readmission condition for Medicaid patients was mood disorders, which cost $286 million.
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Insurers fret hepatitis C pill costs more than Obamacare
Forbes
As health insurance companies reveal much anticipated first-quarter earnings, it's the unpredictable impact from the five-figure cost of new hepatitis C treatments that are the subject of as much Wall Street worry as the Affordable Care Act.
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April 30 Webinar Wednesday: 'Prediction and Prevention of Preterm Birth: A New Paradigm to Reduce NICU and Long-Term Costs' by Cervilenz Inc.
CerviLenz Inc.
Preterm birth is the leading cause of perinatal morbidity and mortality worldwide and takes a heavy toll on families and the healthcare economy. Half of preterm births occur in "low-risk" pregnancies. What more can we do to identify these pregnancies and intervene before it's too late to avoid a preterm delivery?

Join Michael G. Ross, M.D., MPH, maternal-fetal medicine specialist and medical director at Cervilenz Inc, and obstetrician David A. Stone, M.D., as they help clinicians, policy makers and payers understand the scope and urgency of the problem, describe barriers that must be overcome and give concrete action steps that can be taken immediately to improve outcomes and realize significant cost savings.

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One Set of Data...Results Across All Service Lines

How much can our customized solutions save you? Contact HMS today.
 


Medicaid gets Affordable Care Act bump in Pennsylvania
Pittsburgh Post-Gazette
Pennsylvania's Medicaid enrollment is up by more than 18,000 people since the Oct. 1 launch of the Affordable Care Act's online health plan marketplaces.
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Maine Legislature approves late, last-ditch push for Medicaid expansion
Bangor Daily News
The Maine legislature has approved a Medicaid expansion plan for the third time since March, though the bill is likely doomed to the same fate as its predecessors — death by gubernatorial veto.
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PRODUCT SHOWCASE
  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 www.healthx.com.
 


Progress, challenges as Medicaid rolls in Washington state
The Seattle Times and Kaiser Health News
Washington state has blown past its targets for signing up new Medicaid participants under the Affordable Care Act. The program's ranks have grown roughly 25 percent in the past six months, helping fulfill one of the act's key goals to provide healthcare to nearly all Americans.
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187 days until mhpa2014: Registration set to open June 2014; hotel, airfare discounts now available
MHPA
"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. Registration will open in June, but hotel and flight discounts are available now. Click here for details.

If you're interested in sponsoring or exhibiting at mhpa2014, please check out our sponsor page.

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Arkansas OKs top 155,000 to get Medicaid aid
Arkansas Online (subscription required)
The number of Arkansans approved for coverage under the state of Arkansas' expanded Medicaid program increased by just over 5,900 during the last nine days of March, bringing the total number approved to more than 155,000, according to figures released by the state Department of Human Services.
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Ohio's inmates going on Medicaid
The Columbus Dispatch
After serving their time, many Ohio prison inmates will be released with more than street clothes and a few bucks in their pocket. They're likely to leave with health insurance. State officials are helping inmates enroll in Medicaid, as they are now eligible for coverage under Ohio Gov. John Kasich's expansion of the tax-funded healthcare program.
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Ban on expansion of Medicaid being extended in Kansas
The Associated Press via Modern Healthcare
Kansas Gov. Sam Brownback has indefinitely extended a ban on expanding Medicaid under the federal healthcare overhaul. The governor signed a bill approved by the GOP-dominated legislature to keep the ban in place. Brownback and other Republicans have been strong critics of the 2010 federal healthcare law.
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Waitlist problems delay services for about 400 disabled Kansans
Kansas Health Institute
Kansas state officials say they are prepared to move almost 400 physically disabled Kansans off the waitlist for Medicaid-funded, in-home services but cannot, chiefly because they're having problems contacting the right people.
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Waiting for California Medicaid to kick in
Orange County Register via Kaiser Health News
VideoBriefNearly 2 million Californians have gained coverage with the expansion of the Medi-Cal program for poor and disabled people, including those who transitioned from temporary programs like Healthy Way LA. But roughly 800,000 more applications are pending from people presumed to be eligible for the program. While hospitals are required to accept patients with emergencies, private doctors, health clinics, pharmacies and specialists have discretion over whether to treat patients for non-urgent health needs while they await acceptance into the program.
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FEATURED ARTICLE
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Losing patience — and patients — with Medicaid
Bloomberg Businessweek
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.

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House passes budget with big Medicaid changes
Politico
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.

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Medicaid expansion endorsed by 2 Indiana lawmakers
The Associated Press via The Courier Journal
Two top Republican lawmakers representing the state of Indiana said they want to see the federal government sign off on an expansion of Medicaid through the state's healthcare plan for low-income residents, but they added that they are unsure how soon that could happen.

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May 7 Webinar Wednesday: 'Emerging Regulatory Issues and Risk Exposures Impacting Medicaid Managed Care Plans' by Deloitte
Deloitte Consulting
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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May 14 Webinar Wednesday: 'Effective Administration of
Dual Eligibles' by TriZetto

TriZetto
The dual-eligible market is growing rapidly with projected membership expected to increase by 400 percent by 2020. This market represents a significant opportunity for health plans who are able manage this complex population efficiently and effectively. Join TriZetto's Becky Erbe, vice president of government programs, and Norah Brennan, associate vice president, as they discuss roadblocks to managing duals and solutions to serve this vulnerable population.
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Did you miss Webinar Wednesday's 'ACA State Medicaid Expansion: Approaches to Alternative Expansion Models' by Deloitte?
MHPA
Get the presentation of the April 16 webinar by emailing Kimberly Donohue.

View PDFs or listen to audio for the following webinars: View additional webinars here.

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MHPA launches health insurance tax website MedicaidTaxHurts.org
MHPA
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.
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TRENDING ARTICLES
Missed our previous issues? See which articles your colleagues read most.

    Texas Medicaid holds off on proposed limits for Gilead hepatitis drug (Reuters)
Managed care program for elderly to expand in Kansas (Kansas Health Institute)
Medicaid rules reduce narcotic prescriptions in Maine (The Associated Press via The Washington Post)
North Carolina senator: ACO plan for state Medicaid doesn't go far enough (News & Observer)
MACPAC lays groundwork for long-term care work in 2015 (Inside Health Policy)

Don't be left behind. Click here to see what else you missed.


MHPA CEO Jeff Myers to speak at Medicaid Managed Care Congress 2014,
scheduled May 19-21 in Baltimore

MHPA
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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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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