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Home   About   Policy & Advocacy   Education & Resources   Events   Contact Us May 3, 2011
MHPA Center for Best Practices receives sponsorship from Ortho-McNeil Janssen Pharmaceuticals, Inc. to improve Medicaid quality, Care Coordination for serious mental illness
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The Center for Best Practices, a new affiliate organization of Medicaid Health Plans of America, announced the receipt of financial sponsorship from Raritan, N.J., based pharmaceutical company Ortho-McNeil-Janssen Pharmaceuticals, Inc. to engage Medicaid managed care clinical leadership on the best ways to treat plan members with schizophrenia, bipolar disorder and other severe mental illness. More

New Jersey seeks variety of Medicaid changes to save $300 million
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In an effort to trim $300 million in Medicaid spending in next year's budget, New Jersey is seeking federal approval for numerous changes in the program, including seeking competitive bids for its Medicaid managed care contracts, ceasing to enroll additional parents in FamilyCare and bringing behavioral health into the managed care program. More

New Jersey telling 200,000 Medicaid recipients they'll have to enroll in an HMO
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Not content to wait for the state budget to pass in late June, the Department of Human Services is alerting about 200,000 Medicaid recipients—many with developmental or mental disabilities—that they will be required to enroll in an HMO. More

Bills repealing parts of health care reform law set for vote
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The House is expected to vote on two bills that would repeal parts of Democrats' health care reform law. The two bills repeal the law's mandatory funding for state health insurance exchange grants and school-based health center construction. Democrats will argue that defunding the state grants makes it more likely that the federal government will take over the health exchanges. More

Increasing the cost-effectiveness of Medicaid drug programs
National Center for Policy Analysis    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Restraining the growth of Medicaid spending is a fiscal imperative for state budgets. A good place for states to start looking for ways to control spending is in their Medicaid drug benefits. There are billions of dollars in potential savings that could be realized without reducing access to needed care for any Medicaid enrollees, says Devon M. Herrick, a senior fellow with the National Center for Policy Analysis. More

Rule would discourage states' cutting Medicaid payments to providers
The New York Times    Share    Share on FacebookTwitterShare on LinkedinE-mail article
In a new effort to increase access to health care for poor people, the Obama administration is proposing a rule that would make it much more difficult for states to cut Medicaid payments to doctors and hospitals. The rule could also put pressure on some states to increase Medicaid payment rates, which are typically lower than what Medicare and commercial insurance pay. More

State budget difficulties and implementation of the Affordable Care Act are driving and shaping the Medicaid managed care market. Sellers Dorsey positions our clients for growth in the ever-changing world of Medicaid, the Affordable Care Act and more. Sellers Dorsey. Redefining the possibilities. more

Texas Senate approves Medicaid savings bill
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The Senate unanimously approved Sen. Jane Nelson's bill to find extensive cost savings in Texas' Medicaid program, the primary health care provider for children, the disabled and the very poor. "Ultimately what we care most about are the patients," said Nelson. "Our goal is to make sure none of our Medicaid patients are hurt or negatively impacted by anything we do." More

Medicaid-tort reform swap passes the Florida House
Fort Lauderdale Sun-Sentinel    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Republican lawmakers struggling to contain Florida's $21 billion Medicaid program are offering an enticement to hospitals, doctors and insurers this week by passing sweeping new restrictions on the right to sue them. More

Feds: Florida can't expand Medicaid pilot statewide
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Federal health officials told Florida lawmakers they can't privatize Medicaid statewide for now, saying they need to see specific details of how the state plans to change the program, which provide health insurance to mostly low-income residents. More

Minnesota governor to HMOs: Put in your bid
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In a strategy that could save taxpayers millions of dollars and harness the power of market forces, Minnesota Gov. Mark Dayton has begun rolling out a plan that forces HMOs to bid competitively for $3 billion in annual state business providing health care to low-income families. More

South Carolina pushes generic drugs to save on Medicaid costs
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As anyone familiar with having to take pharmaceutical drugs on a regular basis can attest, the purchase of name-brand medicines can be rather costly. In an effort to contain and save on Medicaid spending, the South Carolina Senate, in an attempt to reduce budgetary costs, has approved a measure whereby generic drugs are to be substituted for higher priced name-brand drugs where it is safely feasible. More

Arizona freeze on Medicaid awaits word from feds
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Arizona officials hope for word whether they can start implementation of Gov. Jan. Brewer's plan to reduce Medicaid enrollment to help balance the state budget. The state doesn't need federal approval to reduce enrollment in parts of the Arizona Health Care Cost Containment System that aren't federally mandated but processes to implement changes are subject to federal review. More

Wisconsin weighing Medicaid shift
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Wisconsin's new Office of Free Market Health Care, created by Gov. Scott Walker to set up the health insurance exchange required by the federal health care law, is considering moving Medicaid recipients into private plans offered on the exchange. More

Rural kids have more asthma, get less medicine
Fox News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Asthma is known to be a major health issue for children in inner cities, but a new study suggests that it may be an even bigger problem for poor rural children. Looking at data on 117,000 Tennessee children on Medicaid, researchers found that 13 percent of children in rural areas had asthma—higher than the rate in urban areas, which stood at 11 percent. More

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Event: Free HMS webinar — 'Helping MCOs prepare for HHS Inspector General Oversight Audits' — 2-3 p.m. EST May 3
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Please join HMS, the nation's leader in coordination of benefits and program integrity services for payers of health care services, as they offer insights into the 2011 HHS Inspector General work plan, with discussion of six key areas of focus for Medicaid Managed Care plans. Topics include: What MCOs need to know about the 2011 HHS Inspector General work plan, How MCOs should prepare and Next steps MCOs should take. Co-sponsored by Medicaid Health Plans of America and the Association for Community Affiliated Plans. For details about topics, dates and registration, please visit More

MHPA Center for Best Practices releases 2nd 'Keeping You Healthy' video
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The MHPA Center for Best Practices "Keeping You Healthy" Video Series featuring Medicaid health plan best practices released "Navigating for Care – Aged, Blind and Disabled" by Midwest Health Plan. Click here to view the video.

Event: MHPA's Center for Best Practices First Annual Awards Forum on May 18; presentations added
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Register now for the MHPA Center for Best Practices First Annual Awards Forum on May 18. The awards ceremony at the Academy for Educational Development, 1825 Connecticut Ave., Washington, D.C., will also feature MSNBC Political Analyst Karen Finney as keynote luncheon speaker as well as the following presentations: "National Quality Improvement Strategy and Other Quality Improvement Provisions of the Affordable Care Act" — Dave Domann, MS, RPh, Ortho-McNeil Janssen Pharmaceuticals, Inc. "An Innovative Model to Fight Childhood Lead Poisoning, Increase Screening Rates and Improve Health Outcomes" — Joel De Jesus, Magellan Biosciences "Childhood Obesity: A "United" Call to Action" — Sandra Bruce Nichols, M.D., UnitedHealthcare and "Targeting Pre-term Births in the Medicaid Population" — Kimberly Roop, M.D., WellPoint. To register or sponsor, please click here or contact Thanh Buscarini at 202.857.5728 or More

Event: 19th Annual Medicaid Managed Care Congress — May 18-20 in Baltimore
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MHPA colleagues receive discounted rates.

Medicaid Managed Care organizations are facing their toughest challenges yet with the onset of health care reform and the rise in newly approved eligibles. Attend the 19th Annual Medicaid Managed Care Congress, and hear from President and CEO, Thomas L. Johnson as well as more than 40 of the nation's top Medicaid Managed Care government officials and health plan executives as they discuss strategies to help health plans overcome their most pressing needs while improving quality and controlling costs. Our distinguished speaking faculty includes:

• Keynote: Richard Gilfillan, M.D., acting director of the Center for Medicare and Medicaid Innovation, Center for Medicare and Medicaid Services

• Thomas L. Johnson, president and CEO, Medicaid Health Plans of America

• Edwina Rogers, executive director, Patient Centered Primary Care Collaborative

• Philip Bonaparte, M.D., chief medical officer, Horizon NJ Health

• Kevin Hayden, president, State Sponsored Business Division, WellPoint and vice-chair, MHPA board of directors

• Charlotte MacBeth, MBA, MHA, JD, president and CEO, MDwise

As a MHPA member, receive 25 percent off the standard registration rate with priority code XP1626MHPAN. Register online, by calling 888.670.8200, or emailing Be sure to mention priority code XP1626MHPAN to receive the discount. We look forward to seeing you in Baltimore.

Event: Insuring the under and uninsured: The Health Plan Forum on Medicaid Expansion & Health Benefit Exchanges, San Francisco
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Reaching, Servicing, and Retaining the New Enrollee Population
July 18-19
The Marines' Memorial Club in San Francisco

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