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Home   About   Policy & Advocacy   Education & Resources   Events   Contact Us May. 10, 2012


8 points from the Medicaid primary care physician proposed rule
Becker's Hospital Review    Share    Share on FacebookTwitterShare on LinkedinE-mail article
HHS has issued a proposed rule in which primary care physicians serving Medicaid patients would see their Medicaid payments rise to Medicare levels. States will receive a cumulative total of $11 billion in new funds for their Medicaid programs for this initiative, required under the Patient Protection and Affordable Care Act, and the increase in Medicaid payments for PCPs will only be in effect for 2013 and 2014. More

Medicaid raise for primary care could include subspecialists
Medscape Medical News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Centers for Medicare and Medicaid Services proposed increasing Medicaid rates in 2013 and 2014 to Medicare levels not only for primary care physicians as planned, but also for those in primary care subspecialties. More

Hatch: Medicaid physician pay bump could turn into next SGR    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Senate Finance Committee ranking member Orrin Hatch, R-Utah, says that the temporary increase in Medicaid physician payments proposed by CMS is unlikely to fulfill the policy goal of attracting and retaining doctors willing to participate in the program, unless the White House thinks that Congress would extend the higher payments "in perpetuity."  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

MHPA holds second Legislative Fly-In on Capitol Hill
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Medicaid Health Plans of America leadership and executives, government affairs personnel and policy staff from its member health plans met on Capitol Hill to build strategic relationships and discuss industry priorities with federal legislators and their staff. More

House to vote today on GOP plan that would forestall Pentagon cuts
The Washington Post    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The House is expected to vote on a Republican plan that would spare the Pentagon from the deep across-the-board spending cuts envisioned as part of last summer's debt-ceiling agreement, reviving what has been an emotional debate in Washington about the best ways to reduce the federal budget deficit. More

LIBERTY Dental Plan

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

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New Hampshire council okays managed care
Concord Monitor    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The New Hampshire Executive Council approved contracts worth a combined $2.2 billion to have three private companies implement managed care for New Hampshire's Medicaid program. The all-Republican council voted 3-2 to approve the trio of three-year contracts, which had been tabled twice previously, in March and April. More

Centene Corporation awarded Medicaid contract in New Hampshire
PRNewswire via St. Louis Business Journal    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Centene Corporation announced the Governor and Executive Council of New Hampshire have given approval for the Department of Health and Human Services to contract with Granite State Health Plan, a wholly-owned subsidiary of Centene, to serve Medicaid beneficiaries in New Hampshire. 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.

Nebraska Medicaid program for managing physical health to expand from 10 counties to statewide
The Associated Press via Pendleton Times-Post    Share    Share on FacebookTwitterShare on LinkedinE-mail article
A managed physical care program run by Nebraska Medicaid is expanding statewide. Nebraska Medicaid currently offers managed physical health care in 10 counties, through private health care services. The additional 83 counties will be covered by AmeriHealth Nebraska, Inc., and Coventry Care Healthcare of Nebraska. More

New report shows Medicaid cuts will hurt Illinois economy
The Times Weekly    Share    Share on FacebookTwitterShare on LinkedinE-mail article
A new report from Families USA and the Campaign for Better Health Care shows that Illinois Gov. Quinn's proposed $2.7 billion one-year reduction in Medicaid spending would hurt "Illinois' economy, its health care providers, and the people who depend on Medicaid for health care." More

Texas: Officials investigate kids' illegal Medicaid rides to therapy
Houston Chronicle    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Millions of public dollars have been spent for the transportation of poor and unaccompanied children, some as young as 3, to rehabilitation clinics in the Rio Grande Valley, Texas, even though the rides have been illegal for years. More

GHG Forum 2012: Don't miss out!

Gorman Health Group, the leading solutions provider in Government programs, invites you to DC on June 12 & 13 for a conference event designed for plans and cross-functional team attendance. Register your team now. MORE.

MHPA's 2012 Best Practices Awards Forum: Presentations and Interviews
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
View Presentations from MHPA's Best Practices Awards Forum

Listen as Richard Yadon of Medicaid Matters Interviews Awards Forum Winners

MHPA's New Keeping You Healthy video: Network Improvement Team by MDwise
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Quality in health care is of paramount importance for Medicaid health plans. Learn how MHPA member plan MDwise improved their quality outcomes as Dr. Caroline Carney-Doebbeling, CMO at MDwise, and Laura Trainor, manager of this initiative, discuss their program. Watch the YouTube video here.

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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