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Drug lobbyists: Plans should have anticipated Sovaldi's impact
Inside Health Policy
Health plans likely knew the hepatitis C drug Sovaldi was coming to the market this year and should have had a good idea of what it would cost and how broadly it would be prescribed, drug lobbyists said, brushing off plans' suggestions they were caught off guard by the drug's high price. Representatives for Medicaid plans, which want Medicaid to hike reimbursement to offset what they say is the unexpected cost of the drug, said no one anticipated the drug regimen would cost more than $80,000, and there was no way to include the cost in managed care rates because state actuaries base those rates on spending from past years.
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Reform update: Medicaid plans look to states for help with expensive
hepatitis C drug

Modern Healthcare (Subscription required)
Medicaid managed-care plans are looking to state officials for help as they face massive outlays for the new hepatitis C drug Sovaldi, which costs $84,000 for a 12-week course of treatment.
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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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No Medicaid expansion could create healthcare gaps
USA Today
States that have not expanded their Medicaid programs as part of the Affordable Care Act risk larger-than-ever gaps in overall health between residents of their states and those that have expanded Medicaid, a recent report shows.
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Health spending exploded after Obamacare coverage expansion
The Hill
Total spending on medical care spiked in the first quarter of 2014 as people gained health insurance under Obamacare, according to government data. The dramatic 9.9 percent growth in healthcare spending helped to boost the economy overall amid slow growth in other sectors.
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States enroll former foster youth in Medicaid
The Pew Charitable Trusts
One of the Affordable Care Act's successes is a provision that allows young people up to 26 years old to remain on their parents' health insurance. Under a similar-but-less-known provision, young adults who have been recently released from foster care can also get Medicaid coverage, regardless of their incomes. An estimated 180,000 foster care alumni became eligible on Jan. 1.
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Did you miss Webinar Wednesday's 'Prediction and Prevention of Preterm Birth' by CerviLenz? Download slides, other webinar presentations free
MHPA
View PDFs or listen to audio for the following webinars: View additional webinars here.
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To head North Carolina Medicaid, HHS secretary taps trusted aide
North Carolina Health News
When state Medicaid chief Carol Steckel resigned her office last October after only eight months on the job, state health officials said they would look nationwide for a replacement to guide the agency through a promised reform process. But, in the end, Department of Health and Human Services Sec. Aldona Wos decided to tap one of her most trusted advisors, Robin Cummings, to run North Carolina's Medicaid program.
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Kansas officials say Medicaid enrollment growth expected to continue
Kansas Health Institute
State officials said they expect more than 13,000 Kansans currently eligible but not enrolled in Medicaid will sign up for it by July 2015 due to greater awareness of the program from the Affordable Care Act and KanCare.
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FEATURED ARTICLE
TRENDING ARTICLE
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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.

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Forecast cut on spending for health
The New York Times
The Congressional Budget Office has reduced by one-third its estimate of how much more states will spend on Medicaid in the coming decade because of the Affordable Care Act.

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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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Virgina governor wants Medicaid expansion through legislation
Richmond Times-Dispatch
Virginia Gov. Terry McAuliffe pressed for legislative action on Medicaid expansion and declared that he will not allow a government shutdown should the protracted budget battle endure.
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Missouri Medicaid bill wins symbolic committee vote
St. Louis Post-Dispatch and Kaiser Health News
In what Missouri House Insurance Committee Chairman Chris Molendorp acknowledged was a symbolic move, a Medicaid expansion measure has gained its first committee endorsement of the year. Molendorp, a Republican, and the four Democrats on his committee combined to recommend a wide-ranging bill that would expand the public health insurance system to about 300,000 low-income adults. The vote was 5-2, with five Republicans absent.
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Support wanes for repeal of Obamacare, surveys suggest
Los Angeles Times
By a substantial margin, Americans disagree with the Republican argument that President Barack Obama's healthcare law should be repealed and replaced, but several weeks of relatively good news about the law have done little to change entrenched, partisan views of it.
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Sylvia Mathews Burwell: The Obamacare war that wasn't
Politico
The proxy war over Obamacare that was expected to dominate the Senate in May is looking more and more like a dud. The chamber will begin consideration of Sylvia Mathews Burwell's nomination to lead the Department of Health and Human Services, the agency tasked with implementing the healthcare law.
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Bipartisan fix to health law passed by House
The Associated Press via The Washington Post
The House has approved bipartisan legislation to exempt national health plans sold to expatriate workers from having to comply with requirements under Obamacare.
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178 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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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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TRENDING ARTICLES
Missed our previous issues? See which articles your colleagues read most.

    Insurers fret hepatitis C pill costs more than Obamacare (Forbes)
Medicaid gets Affordable Care Act bump in Pennsylvania (Pittsburgh Post-Gazette)
Ohio's inmates going on Medicaid (The Columbus Dispatch)
Maine Legislature approves late, last-ditch push for Medicaid expansion (Bangor Daily News)
A year after Arizona approved Medicaid expansion, governor still fighting for it (The Washington Post)

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


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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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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