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MHPA's Amy Ingham promoted to director of federal policy
MHPA
Amy I. Ingham assumes a new role as director of federal policy at MHPA, the leading national trade association representing the Medicaid managed care industry. In this position, she oversees MHPA's federal policy development and research efforts on a wide range of issues including Affordable Care Act implementation and Medicaid finance reform. Ingham had served as MHPA's Medicaid policy manager since 2011.
May 14 Webinar Wednesday: 'Effective Administration of
Dual Eligibles' by TriZetto
TriZetto
The dual-eligible market is growing rapidly with projected membership expected to increase by 400 percent by 2020. This market represents a significant opportunity for health plans who are able manage this complex population efficiently and effectively. Join TriZetto's Becky Erbe, vice president of government programs, and Norah Brennan, associate vice president, as they discuss roadblocks to managing duals and solutions to serve this vulnerable population.
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How much can our customized solutions save you? Contact HMS today.
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Medicare struggling with hepatitis C cure costs
Kaiser Health News and NPR
Walter Bianco has had hepatitis C for 40 years, and his time is running out. Previous drug treatments didn't clear the virus from Bianco's system, but it's almost certain that potent new drugs for hepatitis C could cure him. However, the private insurer that handles his medication coverage for the federal Medicare program has twice refused to pay for the drugs his doctor has prescribed. Doctors are seeing more and more patients approaching the end stage of hepatitis C infection.
Medicaid's new patients: Healthier and maybe cheaper
Marketplace
 Since the launch of the Affordable Care Act last fall, some 5 million more Americans have enrolled in the nation's healthcare program for low-income people. With only half the states expanding their Medicaid programs under the Affordable Care Act, researchers believe that number would double if all 50 states moved ahead, and several new reports suggest it may be cheaper for states to go ahead than previously estimated. Cost is one of the top reasons politicians cite to explain why they're against expanding the program.
During confirmation hearing, Burwell Pledges Support For CHIP
Kaiser Health News
Advocates of the Children's Health Insurance Program cheered when President Barack Obama's choice to head the Department of Health and Human Services said she supports continued funding for the program, which covers about 8 million low-income children whose families' income exceeds Medicaid's eligibility guidelines.
Final hearing set for HHS nominee Burwell
The Hill
Sylvia Mathews Burwell, nominated to lead the Department of Health and Human Services, will face the Senate Finance Committee for her final confirmation hearing. The event marks the last threshold before Burwell's nomination can receive a vote on the Senate floor. The Finance Committee will also hold its own vote, a first for Burwell's HHS nod.
States' Medicaid decisions leave health centers, patients in lurch
Kaiser Health News
More than 1 million patients who use federally funded community health centers will remain uninsured because they live in one of 24 states that chose not to expand Medicaid under the Affordable Care Act, according to a study released by researchers at George Washington University.
Enrollee surge due soon for Georgia Medicaid, PeachCare
Georgia Health News
Georgia's Medicaid and PeachCare rolls will soon increase by tens of thousands of people. It's not from expanding Medicaid. Though states have that option under the Affordable Care Act, Georgia's Republican-led government has decided against it, citing costs. Instead, the growth will come from people who were already eligible for this government coverage but had not been getting it. These people, many of whom are children, have surfaced through the enrollment process in the health insurance exchange.
Budget talks won't be easy for California governor
Los Angeles Times
When California Gov. Jerry Brown releases his latest budget plan, he will already have a major fiscal victory under his belt, having cut a deal to strengthen the state's reserve fund. But over the next few weeks, spending negotiations with lawmakers will still present a series of challenges for the governor, who has emphasized his stewardship of California's finances as he runs for reelection.
Texas cancels Medicaid contract, sues Xerox over allegedly misspent money
The Texas Tribune
As the Texas Attorney General's office announced it filed a lawsuit against state contractor Xerox in an effort to reclaim hundreds of millions of dollars the company allegedly erroneously doled out for medically unnecessary Medicaid claims, the Health and Human Services Commission also notified the contractor that it plans to terminate its contract.
Centene's anti-bullying campaign
Centene Corporation via YouTube
Centene Corporation and its subsidiary, Cenpatico, have teamed up with Children's National Health System to put a stop to bullying through education and empowerment. The anti-bullying campaign, "No Bullying Zone," will educate students, teachers and parents across the country on how to prevent, identify and appropriately intervene with bullying in school-aged children.
Insurer to cut prices under Obamacare
The Hill
A health insurance company in Washington state is proposing to lower its 2015 premiums in what appears to be the first instance of a price cut ahead of Obamacare's second enrollment period. The proposal by Molina Healthcare, first reported by The Wall Street Journal, would mean a 6.8 percent price cut on average for people with individual coverage.
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$1,000 hepatitis C pill a tough miracle to swallow
San Francisco Chronicle
Three decades ago, Scott Barnes needed luck to survive the bullets and bombs of the Vietnam War. Today, his life depends on a beige, $1,000 pill. Hailed as a breakthrough treatment for hepatitis C, Sovaldi could help more than 130 million people across the globe who suffer from the disease.
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FDA drug chief: Drug cures progress could require 'down payment'
Inside Health Policy
FDA's top drug official, responding to criticism about the high price of breakthrough drugs, said the agency is driving toward cures for diseases like cancer and hepatitis, but there will be a transition and possibly "a big down payment" required.
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Growing pains for Medicaid managed care expansions
Healthcare Payer News
Although they're not expanding Medicaid under the Affordable Care Act, Texas, Florida and other states are expanding managed care, bringing insurers opportunities as well as challenges, including competition from provider-based health plans.
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166 days until mhpa2014: Registration set to open June 2014; hotel, airfare discounts now available
MHPA
"Making It Personal: Focusing on the Enrollee in the Tangled Era of Health Reform," MHPA's 2014 conference on Oct. 26-28 at the new Marriott Marquis/Walter E. Washington Convention Center in downtown Washington, D.C., will put the spotlight back on the Medicaid beneficiary. Registration will open in June, but hotel and flight discounts are available now. Click here for details.
If you're interested in sponsoring or exhibiting at mhpa2014, please check out our sponsor page.
Did you miss Webinar Wednesday's 'Emerging Regulatory Issues and Risk Exposures Impacting Medicaid Managed Care Plans' by Deloitte? Get the slides, other webinar presentations free
MHPA
View PDFs or listen to audio for the following webinars:
View additional webinars here.
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May 21 Webinar Wednesday: 'Transitioning to Managed Care for Individuals Receiving Long Term Services Support' by Deloitte
Deloitte Consulting
The Long Term Services Support population is undergoing a dramatic change as states and plans transition home and community-based services and nursing home services from a fee-for-service system to a managed care system. Jim Hardy and Jim Jones, both specialist leaders at Deloitte Consulting LLP, will focus on some of the key capabilities organizations should develop to overcome challenges in the areas of provider contracting, risk management and targeted care models.
MHPA launches health insurance tax website MedicaidTaxHurts.org
MHPA
Visit MedicaidTaxHurts.org for everything you need to know about the health insurance tax, including its effect on the Medicaid program and how it hits individual states.
Missed our previous issues? See which articles your colleagues read most.
MHPA CEO Jeff Myers to speak at Medicaid Managed Care Congress 2014, scheduled May 19-21 in Baltimore
MHPA
The Medicaid Managed Care Congress is where government officials, health plan executives and other key players of the healthcare ecosystem come together to learn from one another. Not only will you have exclusive access to industry leaders who will guide you through the 2014 healthcare evolution, you will also have unique networking opportunities to learn from case studies that will drive your business strategy forward.
Highlights include: CMS Keynote speakers, ABC News Chief White House Correspondent, Jeff Myers, MHPA's president and CEO, Jonathan Karl, 18+ health plan case studies from MajestaCare, Molina Healthcare, Cigna-Health Spring and more, eight intimate round table discussions with government officials and 12 never-before-heard presentations across three unique tracks.
Save 20 percent with your MHPA code: XP1926MHPA. Visit here to register today!
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MHPA on Twitter, LinkedIn and Facebook
MHPA
Follow us on Twitter, LinkedIn and Facebook to get industry-related news and the latest MHPA announcements.
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