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States find savings through Medicaid expansion
The Pew Charitable Trusts
Medicaid expansion has given a budget boost to participating states, mostly by allowing them to use federal money instead of state dollars to care for pregnant women, inmates and people with mental illness, disabilities, HIV/AIDS and breast and cervical cancer, according to two new reports. States that levy assessments and fees on health care providers, which have collected higher revenues as a result of expansion, have reaped extra benefits.
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GOP warms to Obamacare — if Americans work for it
Politico
In nearly a dozen Republican-dominated states, either the governor or conservative legislators are seeking to add work requirements to Obamacare Medicaid expansion, much like an earlier generation pushed for welfare to work.
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Discounted hotel rooms for MHPA's DC Legislative Fly-In still available
MHPA
Join us for MHPA's Legislative Fly-In, scheduled May 11 and 12 at the Liaison Capitol Hill Hotel, to educate lawmakers on our industry and its key issues. Special guest speaker is Pennsylvania Sen. Pat Toomey.

For details, please contact Terri Wallace or Hannah Lhee.

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Montana governor signs Medicaid expansion into law
The Associated Press via KECI-TV
Montana governor Steve Bullock has signed a bill to expand Medicaid eligibility to thousands of low-income Montanans. Bullock signed the Montana Health and Economic Livelihood Partnership (HELP) Act into law Wednesday in the Capitol rotunda as hundreds of people cheered.
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Florida's House adjourns early in quarrel with Senate over Medicaid
The New York Times
A fight over Medicaid expansion among Republicans in the Florida legislature turned rancorous Tuesday after the House of Representatives adjourned three days early, leaving in limbo the state's $77 billion budget, a trail of unfinished bills and an unresolved feud with the Senate over the federal program.
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Florida governor sues Obama administration over healthcare funding
Reuters
Florida Governor Rick Scott sued the Obama administration on Tuesday, challenging the federal government's decision not to extend a $1 billion healthcare funding program for low-income patients. The state argued that federal healthcare officials cut the funding as a way to coerce Florida into dropping its refusal to expand Obamacare for the working poor in Florida.
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CMS to Florida: LIP is not linked to Medicaid expansion
Miami Herald
Hours after Gov. Rick Scott announced he's filed a lawsuit suing the federal government for linking the Low Income Pool (LIP) to Medicaid expansion, CMS released a statement saying that LIP funding is "not dependent on whether it expands Medicaid."
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Florida governor says concession in Obamacare dispute was ignored
The Hill
Florida Gov. Rick Scott argues in a newly filed complaint in his lawsuit against the Obama administration that he made a key concession to the federal government that was disregarded. Scott announced earlier this month that he was suing the administration over what he calls an effort to force his state to expand Medicaid, by linking it to the renewal of separate federal funds to cover uncompensated care at hospitals, known as the Low-Income Pool.
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Senate Democrats pass Alabama Medicaid expansion resolution
Montgomery Advertiser
Senate Democrats Tuesday evening pushed through a resolution stating their support for an expansion of Medicaid. The resolution — passed with most Republicans abstaining — comes a week after a GOP-backed resolution urging no expansion of the program brought the Senate to a halt. Democrats said the resolution did not speak for them and threatened to slow down work in the chamber after it passed.
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Medicaid expansion efforts squashed by Louisiana Senate, House panels
The Times-Picayune
A Senate health panel killed legislation Wednesday (April 29) that would effectively expand Medicaid coverage for approximately 290,000 needy people in Louisiana without health insurance. After about an hour-and-a-half of testimony that ended with the sponsor of the legislation, Sen. Ben Nevers, in tears, and the committee voted 5-3 against advancing the bill to the full Senate.
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No easy task: 'Reinventing' Medicaid to improve health, contain costs
Rhode Island Public Radio
AudioBrief April 30 is the due date for a plan to cut nearly $180 million dollars from Medicaid. Half of that is state funding, the other matching federal dollars. To close a burgeoning state budget gap, Gov. Gina Raimondo has proposed cutting hospital and nursing home payments. Her "Reinvent Medicaid" task force delivers its recommendations today for finding the rest of the savings in the state's health insurance program for the poor. Their proposals are aimed at reducing the cost of caring for some of the most complex patients.
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May 13 Webinar Wednesday: 'Using Smart Texting Campaigns to Engage Medicaid Beneficiaries and Improve Quality'
CareMessage
This webinar will provide an overview of how Medicaid health plans can modernize member engagement and communication through the use of "smart" text messaging. Please join Vineet Singal, co-founder and CEO of CareMessage, a nonprofit member engagement platform focused on the Medicaid market. Learn how you can improve HEDIS and STAR ratings, streamline Medicaid determination, and improve care management through the use of automated, interactive texting campaigns.
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June 10 Webinar Wednesday: ‘Integrating High-Risk Member Care with Risk Adjusted Revenue for Medicaid Members and Dual Eligibles'
PopHealthCare
Taking a holistic approach to integrated programs in high-risk population management can provide true value to members, the plans and the providers serving them. Please join Eddie Gilmartin, vice president, product and business development for PopHealthCare, who will offer groundbreaking programs in high-risk population management that drive rapid, large and demonstrable improvements in member quality of life and satisfaction, while helping its partnering health organizations realize appropriately enhanced revenues, enhanced quality scores and reduced medical costs.
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June 17 Webinar Wednesday: 'The Latest Trends in OHI Discovery and Cost Avoidance for Payers of Last Resort'
Syrtis Solution
Why "pay and chase" when you can cost avoid? It's not easy to discover if a Medicaid enrollee has primary commercial coverage at the point of sale—costing time and money, chasing reimbursements for claims that others should have paid. On average less than 17 percent of the dollars billed to primary insurers are paid back to Medicaid plans that paid claims in error. This webinar will focus on a very unique and powerful data source that has the potential to revolutionize the way Pharmacy & Medical OHI (Other Health Information) is discovered. Cost avoidance is more attainable than ever before. Capture savings by having the latest active insurance coverage information available to you, in real time.
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Did you miss 'One Member, One Community, One Day at a Time: Guiding Principles for Person-Centered Care' by Project Transition?
MHPA
Download the presentation (PDF).

For additional information, please contact Renee Cavallaro, or visit here. For other past webinars, please visit here.

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Medicaid Managed Care Congress: May 20-22 in Baltimore
Medicaid Managed Care Congress
At the Medicaid Managed Care Congress, government officials, health plan executives and other key players of the healthcare ecosystem come together to hear new case studies from industry peers and expert insights from state and federal regulatory bodies. This event will discuss the successes and challenges of implementation of major ACA provisions, delivery reform and payment reform and states pursuing better value. Use code XP2026MHPAB for a 15-percent discount.
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Job opportunity: RN, manager, Clinical Health Services,
pre-authorization | Detroit

Aetna
Aetna seeks an experienced RN with managed care, leadership and prior authorization expertise. Reinforces clinical philosophy, programs, policies and procedures. Ensures implementation of tactics to meet strategic direction for cost and quality outcomes. Creates direction and communicates a business case for change by focusing on and addressing key priorities to achieve business results. Identifies opportunities to implement best practice approaches and introduce innovations to better improve outcomes.

Visit here and search for requisition #24937BR to learn more and apply.

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Job opportunity: Clinical director, Homecare & Managed Care
First Quality
First Quality, a leading manufacturer of disposable home healthcare products, is seeking a clinical director for our Homecare & Managed Care Business. This candidate will provide leadership and have a focus on clinical education, utilization management protocols and programs and operational program development within homecare and managed care markets.
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MHPA's Industry NewsBrief
Colby Horton, Vice President of Publishing, 469.420.2601
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