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Home   About   Policy & Advocacy   Education & Resources   Events   Contact Us Apr. 24, 2012


MHPA


Massachusetts' proposed demonstration to integrate care for dual eligibles
Kaiser Family Foundation    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Massachusetts' has proposed to CMS to create an integrated service delivery and payment model in that state. Massachusetts is the first state to submit such a proposal as a part of a nationwide effort guided by the Centers for Medicare and Medicaid Services (CMS). More



Poll: Confidence in court rises, opinions on health care law firm
The Hill    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Supreme Court arguments did not change the public's view on health care reform, though confidence in the justices and their approach has risen since last month, a new poll found. More

UnitedHealthcare opens call center, adds 125 jobs to Miami and surrounding area
The Miami Herald    Share    Share on FacebookTwitterShare on LinkedinE-mail article
UnitedHealthcare is opening a new call center in Miami that will employ approximately 125 area workers. The new facility will provide customer service support to more than 165,000 Floridians who are customers of UnitedHealthcare Community Plan of Florida and beneficiaries of the company's Florida Healthy Kids, Long Term Care, Medicare/Medicaid and Medicaid programs. More

UnitedHealthcare Baby Blocks? Helps expectant moms in Rhode Island deliver healthy babies
Pharmacy Choice    Share    Share on FacebookTwitterShare on LinkedinE-mail article
UnitedHealthcare has launched an online, interactive incentive program to help pregnant women and new mothers with prenatal and well-baby care. UnitedHealthcare Baby Blocks is available now at no charge to UnitedHealthcare Medicaid beneficiaries in Rhode Island. 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 www.healthx.com.


Medicaid fraud in the spotlight
Stateline    Share    Share on FacebookTwitterShare on LinkedinE-mail article
With the federal government trying to cut costs and crack down on fraud, a congressional panel will set its sights on the Medicaid program, which last year paid out nearly $22 billion in error or fraudulent claims. More

Senate Democratic Hispanic Task Force recognizes National Minority Health Month
Insurance News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
In recognition of April as National Minority Health Month, Senate Democrats highlighted the benefits of Democratic policies on the Hispanic community, such as the Affordable Care Act and the Children's Health Insurance Program. More

LIBERTY Dental Plan

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

• Nationwide Network
• Comprehensive Dental Disease Management
• Predictable Costs with Quality Programs


MHPA updates and health care news
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Medicaid Health Plans of America and its member companies fully support the Department of Health and Human Services Office of Minority Health's National Minority Health Month this April and their work to eliminate the differences in the quality of health and health care of minorities compared to the rest of the U.S. More

Republicans prepare should Supreme Court overturn health care plan
Reuters via Insurance Journal    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Republicans in Congress are getting ready to answer an election-year question that has dogged the party's campaign for months: How would it replace President Barack Obama's health care law if the measure is overturned or repealed? 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.

www.healthintegrated.com


Florida budget would delay statewide Medicaid managed care for dentistry
The Florida Current    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The state budget and an implementing bill signed by Florida Gov. Rick Scott would delay the phasing in of Medicaid managed care plans for dentistry, but Scott made clear he would support the plans in the future. More

Health plans line up for new Medicaid system
WCTV-TV    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Preparing for Florida's shift to a statewide Medicaid managed-care system, 20 health companies and organizations are interested in competing for contracts to serve seniors who need long-term care. More

GHG Forum 2012: Access the Agenda Now

Gorman Health Group is the leading solutions provider in Government programs. Join us June 12 & 13 in Washington, D.C. for a conference event designed for teams from cross-functional operational areas. Register your team now. MORE.


Trimming Medicaid costs tricky for Illinois
The Associated Press via The State Journal-Register    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Every day in Illinois, hundreds of Medicaid patients seek expensive hospital emergency room treatment for minor ailments such as sore throats, back pain and stomachaches. It's generally seen as a waste of taxpayer money, but any effort by lawmakers to attack the problem in the wrong way may cost even more. More

Georgia: Changes to Medicaid enrollment cut care for special needs children
The Augusta Chronicle via Pharmacy Choice    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Five tiny fingers unfurled from a tight fist. Then, 23-month-old Mackenzie Williams rotated her shoulders and stretched her arms into the air. Mackenzie needed a physical therapist to perform the exercises vital to her health and growth because she has a condition that causes developmental delays, reduced muscle tones and seizures. More




Illinois Medicaid plan would shift $250 million tab to private insurers
Crain's Chicago Business    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Quinn administration's proposal to force health insurance companies to shoulder a greater share of the cost for treating severely sick children might save the state $250 million a year, but it likely will drive up premiums on policyholders. More

Capitol Police arrest 76 protestors, including actor Noah Wyle
The Hill    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Dozens of protesters, including actor Noah Wyle, were arrested following a demonstration in the Cannon House office building. Capitol Police spokeswoman Lt. Kimberly Schneider confirmed that officers arrested Wyle and 75 others for unlawful conduct, demonstrating in a Capitol building. More

University of Michigan study finds racial disparity in prescriptions for antidepressants
The Journal of Blacks in Higher Education    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Researchers at the University of Michigan School of Public Health have conducted a study which shows that African Americans suffering from depression are less likely than Caucasian patients to receive antidepressant drugs. The study also found that Medicare and Medicaid patients were less likely to receive the latest antidepressant drugs. More




1 week to go 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

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 info@mhpa.org. 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.
Highlights:
• 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 register@iirusa.com. 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 jdebois@multiview.com.

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
THOUGHT LEADERS IN HEALTH LAW®

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
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.


 

 

 

 

 

 

 


 

 

 


 

 

 


 

 

 


 

 

 


 

 

 


 

 

 


 

MHPA's Industry NewsBrief
Colby Horton, Vice President of Publications, 469.420.2601   Download media kit
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