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State leaders deal with consequences of rejecting Medicaid expansion in Obama health overhaul
The Associated Press via The Washington Post
Consequences in rejecting Medicaid expansion in federal healthcare law could emerge with states where Republican lawmakers remain opposed to what they dub as Obamacare. It could mean leaving low-income citizens unable to afford coverage even as legal immigrants get financial aid for their premiums and exposing businesses to IRS penalties.
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Study predicts rise in healthcare cost growth by 2019
The Hill
A stronger U.S. economy will contribute to a rise in the growth of healthcare costs over the next six years, ending the current record-breaking slowdown, according to a new study. The Kaiser Family Foundation predicted that by 2019, annual healthcare cost growth will be closer to historic averages — over 7 percent compared to 3.9 percent between 2009 and 2011.
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Here's why healthcare costs are slowing
The Washington Post
Here's what we do know about healthcare spending: It's growing slower now than any point in the past five decades. What we don't know is why, whether that slowdown is the temporary result of an economic recession or reflects more permanent, structural changes to healthcare industry.
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'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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Day centers sprout up, luring fit elders and costing Medicaid
The New York Times
Managed care became mandatory last year for people receiving home services who are eligible for both Medicaid and Medicare. The idea is to try to control spending, but about a third of the 92,000 people so far enrolled in the New York system are newcomers to such services, many responding to aggressive marketing by social day care centers.
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Missouri Senate votes down federal Medicaid expansion
The Associated Press via KMOX-AM
The Missouri Senate, a Republican-led group, has voted down a Democratic attempt to put $890 million of federal funds into Missouri's budget in an attempt of expanding Medicaid eligibility to an estimated 260,000 lower-income adults.
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Florida legislators poised to adjourn with no Medicaid plan
The Miami Herald
As the clock winds down on the legislative session, Florida lawmakers are sending signals that they are likely to adjourn without resolving the issue of whether to accept federal Medicaid money to insure the state's poorest residents.
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Ohio's Medicaid expansion alternative could use private insurance
The Plain Dealer
For the first time since Ohio Gov. John Kasich won national attention by supporting Medicaid expansion, a clear picture is emerging on how the Republican governor's compromise with federal regulators could work. Some uninsured Ohioans would be enrolled in the state's traditional Medicaid program, while others would sign up for private health insurance using federal funding, said Greg Moody, director of Ohio's Office of Health Transformation.
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Brewer, GOP in Arizona Medicaid standoff
Arizona Republic
Three months after she stunned political observers and made her case for expanding Medicaid coverage in Arizona, Gov. Jan Brewer is no closer to reaching agreement with Republican legislative leaders on the issue, which has driven a wedge through GOP ranks and is delaying work on the state budget.
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Oklahoma considers Medicaid alternatives
The Heartland Institute
Oklahoma Gov. Mary Fallin remains determined to avoid entanglement in President Barack Obama's healthcare law. But in the Oklahoma legislature, a proactive reform measure to trim Medicaid expenses may not make it to the Senate floor.
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To find out how to feature your company in the MHPA eNewsletter and other advertising opportunities, Contact James DeBois at 469-420-2618.
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WellCare donates $75,000 to sponsor 'Team Red' in the movement to
stop diabetes

WellCare Health Plans, Inc. via Thomson Reuters
WellCare Health Plans, Inc. has announced that it is donating $75,000, in conjunction with the WellCare Community Foundation, for the 2013 American Diabetes Association's Step Out: Walk to Stop Diabetes. With this partnership, WellCare will sponsor "Team Red" in five cities across the country — Tampa, Fla., Lexington, Ky., Atlanta, Chicago and New York City.
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Armada Health Care and AIDS Healthcare Foundation announce new purchasing alliance
PR Newswire via Hal Eisner News
Armada Health Care, the nation's largest specialty pharmacy group purchasing and channel management organization, is pleased to announce that the AIDS Healthcare Foundation has chosen Armada to be its primary purchasing partner. Armada and AHF will work together to leverage the vast industry coverage and combined purchasing volumes for HIV/AIDS specialty medications.
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FEATURED ARTICLE
TRENDING ARTICLE
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State leaders deal with consequences of rejecting Medicaid expansion
The Associated Press via
The Washington Post

Consequences in rejecting Medicaid expansion in federal healthcare law could emerge with states where Republican lawmakers remain opposed to what they dub as Obamacare.

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Co-author of healthcare law sees 'huge train wreck' in implementation
The Washington Post
A senior Democratic senator who helped write President Barack Obama's healthcare law stunned administration officials, saying openly he thinks it's headed for a "train wreck" because of bumbling implementation.

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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.

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Magellan Health Services to present at 2 upcoming healthcare conferences
Business Wire via Yahoo Finance
Magellan Health Services Inc. has announced that members of the executive team will present at two upcoming healthcare conferences — one on Wednesday, May 15, in Las Vegas and another on Thursday, May 30, in Boston.
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Boston Medical Center HealthNet Plan, Well Sense Health Plan appoint
new community relations and outreach director

PR Newswire via Pharmacy Choice
Julie Nations has been named director of community relations and outreach by Boston Medical Center HealthNet Plan and Well Sense Health Plan. In this role, Nations is responsible for planning, developing and maintaining collaborative relationships and activities that build community presence and preference for BMCHP and Well Sense Health Plan across all product lines.
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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.
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Recent webinar presentations from Reckitt Benckiser, ProgenyHealth, Deloitte available free on MHPA's website
MHPA
View PDFs or listen to audio for "Opioid Dependence — A Chronic Relapsing Brain Disease" by Reckitt Benckiser, "NICU Costs, Trends, and Effective Management Solutions" by ProgenyHealth, "The Duals Dilemma — Identifying Effective Care Management Approaches to Support Meaningful Improvement" by Deloitte Consulting and more.
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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.
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TRENDING ARTICLES
Missed our previous issues? See which articles your colleagues read most.

    AmeriHealth Mercy becomes AmeriHealth Caritas (GlobeNewswire via The Wall Street Journal)
Co-author of Obama healthcare law sees 'huge train wreck' in implementation (The Washington Post)
Arkansas House approves Medicaid expansion (Arkansas Times)
Insurance tax in healthcare law could cost states $15 billion (The Hill)
Arizona drops out of duals demo, eyes greater leverage of D-SNPs (InsideHealthPolicy.com)

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


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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