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Almost 12 million gained Medicaid coverage under Obamacare
The Hill
More than 11.7 million more people have health insurance through Medicaid or the Children's Health Insurance through Obamacare, new data show.

The new report from the Obama administration shows that as of the end of February, there were over 11.7 million more people enrolled in the programs compared to the period before October 2013, when Obamacare's coverage expansion went into effect. The numbers come on top of another 11.7 million people who signed up for private insurance through the law's marketplaces.
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House passes final budget deal
Politico
The House on Thursday passed a final budget deal, bringing Republicans one step closer to enacting a spending blueprint that sets the stage for this summer's spending bills. The chamber passed the framework, 226-197. The budget also cuts hundreds of billions from Medicaid and other safety net programs, keeping domestic spending below the caps. The Senate will take up the measure next week.
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Kansas, Texas join Florida Medicaid expansion suit
Orlando Sentinel
Kansas and Texas will file amicus briefs supporting Florida in its lawsuit against the federal government over Medicaid expansion, Florida Gov. Rick Scott announced Monday. Scott filed suit last week, alleging that the federal government is "coercing" the state into accepting Medicaid expansion by witholding the extension of a different Medicaid program.
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Court order brings acrimonious Florida legislative session to close
The Associated Press via Modern Healthcare
A last-ditch effort to force the Florida Legislature back to work floundered on Friday after the state's highest court ruled that there would be no "beneficial result" to force the state House to reconvene.
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Illegal immigrants would get Medi-Cal under California bill
San Jose Mercury News
Many of the state of California's 2.5 million illegal immigrants, Gonzalez does not have health insurance because he can't afford it. On Monday, state legislation that would extend free or low-cost healthcare coverage to immigrants who are in the country illegally heads to the Senate Appropriations Committee for a key vote. If Senate Bill 4 can make it over that hurdle, through the Assembly and ultimately garner Gov. Jerry Brown's signature, more than a million low-paid undocumented farm and construction workers, hotel maids and service workers would qualify for Medi-Cal, the state's health program for the poor.
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New York Medicaid overhaul envisions combined outpatient care
The Associated Press via Modern Healthcare
Using an estimated $8 billion as incentives, New York is overhauling Medicaid, pushing providers to establish more outpatient clinics, reduce hospital beds, use electronic records and enable low-income patients to see doctors and psychologists in the same visit. Medicaid now covers almost one-third of all 19 million New Yorkers. Half this year's $62 billion budget is paid by the federal government.
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Catholic bishops endorse Medicaid expansion in Kansas
The Wichita Eagle
Catholic bishops in Kansas are calling on lawmakers to expand Medicaid. Expanding the program would provide health coverage for 130,000 low-income Kansans who are uninsured now, a statement from the bishops said Thursday.
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Medicaid expansion proponents make their case to
Maine lawmakers — again

Maine Public Broadcasting
AudioBrief Maine's Health and Human Services Committee is considering several bills that would expand Medicaid coverage under the Affordable Care Act. From flat-out expansion to various compromises to putting the issue to referendum, they're the latest attempts in a now-annual battle to extend insurance coverage to about 20,000 low-income Mainers.
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Missed an issue of MHPA's Industry NewsBrief? Click here to visit the brief's archive page.


Studies: Hospitals fare better in states that expand Medicaid
McClatchy DC
In states that expanded eligibility for Medicaid, hospitals that handle large numbers of low-income patients are faring better under the Affordable Care Act than those in states that haven't, according to two new reports released Thursday by the Kaiser Family Foundation.

The findings suggest that the health law, in states where it's fully implemented, is helping hospitals cut their uncompensated care costs, see fewer uninsured patients and increase their revenue from Medicaid, the state/federal health plan for the poor.

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Discounted hotel rooms for MHPA's May 11 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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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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