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Home   About   Policy & Advocacy   Education & Resources   Events   Contact Us May. 3, 2012


MHPA taps AmeriHealth Mercy Family of Companies CEO to lead its board of directors
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The board of directors of Medicaid Health Plans of America, the leading trade association solely focused on representing Medicaid health plans, appointed Mr. Michael A. Rashid, president and chief executive officer of the AmeriHealth Mercy Family of Companies, as their chairman. More

Insights Webinar: Benefit design | Monday May 7 at 11am EST
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 Learn more and register. More

Governor Cuomo announces Medicaid spending finishes year $14 million under Global Medicaid Cap
Insurance News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
New York Gov. Andrew M. Cuomo announced that New York Medicaid spending finished the 2011-12 fiscal year $14 million under the Medicaid Global Spending Cap without reducing benefits, while providing health insurance coverage to an additional 140,000 low income New Yorkers. 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

As states seek Medicare claims data for duals' efforts, Medicaid chiefs also want Medicare Advantage data    Share    Share on FacebookTwitterShare on LinkedinE-mail article
As nearly half of the states pursue greater access to Medicare claims data as part of ongoing efforts to improve their care for dually eligible beneficiaries, state Medicaid directors issued a new white paper calling on CMS to also give access to Medicare Advantage data and let states use Medicare claims data for efforts beyond care coordination purposes. More

Fierce Q&A: WellPoint partners with providers to ensure smooth ICD-10 transition
FierceHealthIT    Share    Share on FacebookTwitterShare on LinkedinE-mail article
When FierceHealthIT caught up with Ian Bonnet, the vice president of business, IT strategy and execution leadership at Atlanta-based WellPoint wasn't fazed by the Centers for Medicare & Medicaid Services' dawdling over a final deadline to implement the ICD-10 coding system. More

Amerigroup completes acquisition of Health Plus
Citybizlist New York    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Amerigroup Corporation announced that its New York health plan has received the necessary regulatory approvals and closed the previously announced acquisition of Health Plus, one of the largest Medicaid managed care companies in New York currently serving more than 320,000 members. The acquisition is effective May 1, 2012. More

LIBERTY Dental Plan

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

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States' scope of practice limits on health workers seen as hurdle to Medicaid expansion    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Long-standing state laws preventing nurse practitioners, physician assistants, pharmacists and community health workers from practicing at the top of their skill level must be changed in order to ensure health care access for the 16 million people that the reform law's Medicaid expansion is expected to add to the rolls, several health policy experts say. More

GOP: Cut state bonuses for children's health care
Politico    Share    Share on FacebookTwitterShare on LinkedinE-mail article
House Republicans want to stop rewarding states for finding and enrolling low-income children in Medicaid and the Children's Health Insurance Program, and public health advocates are livid. The Republicans say it's a smart fiscal move that will better protect the program against fraud; their critics say it's undermining years of progress states have made in identifying and enrolling a hard to serve population. More

Alabama governor promises veto of budget if Medicaid cut
The Associated Press via Modern Healthcare    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Alabama Gov. Robert Bentley said that he will veto the state's General Fund budget if lawmakers do not find an additional $200 million for Medicaid. Bentley and State Health Officer Don Williamson said at a news conference that there would be dire effects if the budget for non-education state services is adopted as it passed the House, with only $400 million for Medicaid. 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.

Wisconsin sending letters on Medicaid changes
The Journal Sentinel    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The state of Wisconsin is sending out letters to 111,000 low-income families warning them that they could see changes to their state health coverage, including premium increases. The letters are being sent after federal officials announced their approval of plans by Wisconsin Gov. Scott Walker's administration to cut costs in those Medicaid programs. Officials estimate that the plans will lead to more than 17,000 people leaving or being turned away from the state's BadgerCare Plus health programs for the needy. More

Illinois: Budget dilemma looms for Illinois Democrats
The Associated Press via Yahoo    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Facing one of the nation's worst budget crises, the Democrats who run Illinois insist they're serious about overhauling the state's expensive health programs and employee pensions. Gov. Pat Quinn underscored his determination by declaring he was "put on earth" to solve the multi-billion-dollar pension problem. More

A unique government programs event

Gorman Health Group invites you to join industry leaders for a must-see Government programs conference event June 12 & 13 in Washington, D.C. designed for attendance by plans’
cross-functional teams. Register your team now. MORE.

Connecticut: New budget figures make agreement on Medicaid changes likely
The Connecticut Mirror    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Key Democratic lawmakers have bristled at the governor's proposal to scale back a Medicaid program that serves some of the poorest adults in Connecticut. But in light of new budget figures released recently shows that the state has a nearly $200 million budget deficit, some said they're willing to consider changes. More

Key senators throw out broad call to stakeholders for new ways to combat fraud    Share    Share on FacebookTwitterShare on LinkedinE-mail article
A bipartisan group of senior Senate Finance Committee members is throwing out a broad solicitation for help from the entire health care community to come up with ideas to "better prevent and combat" waste, fraud and abuse in the Medicare and Medicaid programs. 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

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

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.
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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.
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