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ACA triggers net gain of 16.9 million more insured Americans
Forbes
The Affordable Care Act has been a catalyst for a net increase of 16.9 million Americans gaining health insurance in the last two years via Medicaid expansion and subsidized private coverage with even more people accessing employer-sponsored plans.

A new study by the RAND Corp., which looked at a sampling of 1,600 Americans and their "transitions" to and from forms of health coverage between September 2013 and February 2015 and found 22.8 million Americans gained coverage. There were 5.9 million people who also lost coverage, leaving a net increase of 16.9 million, according to the analysis, published in the journal Health Affairs.
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Decision looms on expanded Missouri Medicaid managed care
St. Louis Post-Dispatch
Missouri Gov. Jay Nixon has until Friday to decide whether to allow an expansion of Medicaid managed care to become law. Advocates are urging him to reject the measure. The expansion would shift 200,000 parents and children from traditional Medicaid, the government-funded insurance for low-income residents, to private managed care plans. It was included in the legislature's budget proposal for the state fiscal year that begins July 1.
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No agreement between Florida governor, feds on Medicaid
The Associated Press via The Charlotte Observer
The Obama administration snubbed Florida's proposal to extend federal funds for hospitals that treat low-income and uninsured patients, a dispute that has paralyzed the state budget.

Health and Human Services Secretary Sylvia Burwell gave Gov. Rick Scott the news when she met with him in Washington on Wednesday. The Republican governor wants the administration to extend $1 billion in low-income pool funds for hospitals, but the federal government wants Florida to expand Medicaid, arguing its more efficient to give people insurance than to pay hospitals for caring for the uninsured retroactively.

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States watching Medicaid standoff between Florida governor and Obama
The Florida Times-Union
The Obama administration rebuffed Florida Gov. Rick Scott's proposal to extend federal funds for hospitals that treat the uninsured, increasing the pressure on states that have refused to expand coverage for low-income people under the president's healthcare law.
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Feds urge Supreme Court to reject Maine Medicaid case
The Associated Press via Miami Herald
The federal government is urging the U.S. Supreme Court to reject Republican Gov. Paul LePage's request to decide whether Maine can eliminate Medicaid coverage for thousands of low-income young adults. LePage's administration asked the court to review the case in February after a federal appeals court denied its plan to remove about 6,000 19- and 20-year-olds from Maine's Medicaid program.
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Obama appoints health IT expert as HHS assistant secretary
The Hill
The Obama administration has nominated Karen DeSalvo to become the Department of Health and Human Services' (HHS) assistant secretary for health, a position that she has held on an interim basis since last fall. DeSalvo was first named as the department's acting assistant secretary for health in October 2014, shortly after she became the national coordinator for health information technology.
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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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MHPA's Industry NewsBrief
Colby Horton, Vice President of Publishing, 469.420.2601
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Damon Sayles, Senior Editor, 469.420.2662   
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