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Home   About   Policy & Advocacy   Education & Resources   Events   Contact Us Apr. 26, 2012


MHPA


CMS expects 28 states to take part in duals demonstration
InsideHealthPolicy.com    Share    Share on FacebookTwitterShare on LinkedinE-mail article
CMS expects 28 states to take part in the "duals" demonstration, which aligns payment between Medicare and Medicaid for state residents covered by both programs, duals office chief Melanie Bella told congressional Medicaid advisers. A delayed implementation deadline was key to enabling many states' participation, sources following the demos say. More



Poverty rates have increased amongst American senior citizens
Employee Benefit Research Institute    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Between 2005-2009, the rate of poverty among American seniors rose as they aged, as did the number of new entrants into poverty, according to a new report by nonpartisan Employee Benefit Research Institute. More

Last chance to register for MHPA's 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, executive vice president and chief operating officer of Special Needs Consulting Services, and Dr. Amy Boutwell, founder of Collaborative Healthcare Strategies, and a range of other experts sharing their most effective best practice methods. 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.


GOP pulls its budget punches as follow up legislation advances on Capitol Hill
The Associated Press via The Washington Post    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Republicans controlling the House are opting for the politically safe route as they follow up their tightfisted, tea party-driven budget with less controversial steps to cut spending. 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


Study shows widespread misuse of prescription drugs
The Wall Street Journal    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Nearly two out of three Americans don't follow their doctor's orders properly when taking prescription drugs, neglecting to take their medications or seeking out pills that weren’t intended for them, according to new research. 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


Barton measure to repeal CHIP performance bonuses added to E&C reconciliation package
InsideHealthPolicy.com    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The House Energy and Commerce Committee's budget reconciliation recommendations approved included an additional amendment from Rep. Joe Barton, R-Texas, to repeal CHIP performance bonuses given to states for enrolling more children into Medicaid. 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.


Enrollment, not costs, up Medicare, Medicaid spending
FierceHealthcare    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Overhauling Medicare and Medicaid won't help curb health spending, according to a report from policy research nonprofit the Urban Institute, which concluded that the programs aren't as "out of control" as some fiscal conservatives have suggested. More




Kansas governor relents on managed health care for the disabled
The Kansas City Star    Share    Share on FacebookTwitterShare on LinkedinE-mail article
In the face of hundreds of protesters outside the Capitol, Kansas Gov. Sam Brownback agreed to delay plans to move thousands of developmentally disabled into a managed-care health plan. More

OIG: Weak Medicaid claims data fails to recover overpayments
FierceHealthcare    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Missing or inaccurate Medicaid billing data is holding back contractors from pinpointing providers overpaid by Medicaid and therefore hindering recoveries, the Office of Inspector General reaffirmed its concerns about the weak results from Medicaid Integrity Contractors in a report. More




Insights Webinar: Benefit design Monday, May 7
Sellers Dorsey    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Sellers Dorsey will brief MHPA members on benefit design requirements of CMS rules for the benchmark benefit package (or actuarial equivalent) for Medicaid expansion and the essential benefit package for Qualified Health Plans in State Health Insurance Exchanges. This includes relationships to current Medicaid benefit designs and options/flexibility for Medicaid expansion and QHP benefit designs. For more information about Sellers Dorsey, visit www.sellersdorsey.com. Learn more and register. More

Insights Webinar: Successfully Reducing Emergency Room Usage Monday, May 21
AmeriHealth Mercy Family of Companies    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Health plans nationwide are searching for ways to address the growing increase in emergency room utilization. In response to this trend, AmeriHealth Mercy Family of Companies successfully developed an integrated, multi-layered program that helped to tackle this issue for one of its urban Medicaid health plans. Over the past three years, the program has demonstrated an ongoing decrease in the number of members using the emergency room as a primary care facility. Learn more and register. 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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