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California governor's new budget slices — again — into health care
KQED-FM
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California Gov. Jerry Brown released his revised budget and the cuts to health and human services are significant. Since the economy soured in 2007, state cuts to health and services programs have exceeded $15 billion.
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NAMD, former governors call for a permanent Medicaid waivers path
InsideHealthPolicy.com
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State Medicaid directors and a bipartisan group of former governors are calling for the development of a pathway that would permanently integrate successful Medicaid demonstration programs into a state's Medicaid program.
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LexisNexis receives Health Care NCQA certification as a Credentials Verification Organization
LexisNexis
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LexisNexis Risk Solutions announced that the National Committee for Quality Assurance, a private, nonprofit that accredits and certifies a wide range of health care organizations, has certified LexisNexis Screening Solutions as a Credentials Verification Organization.
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Download your free copy of MHPA's new Treatment Adherence Best Practices Compendium
MHPA
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Good health depends on adherence to treatments needed to control diseases — including taking essential medications as prescribed. Treatment adherence in Medicaid leads to healthier beneficiaries and better outcomes across a range of conditions. This compendium reviews the scope of the problem of non-adherence, the reasons behind it, and the programs Medicaid health plans use to educate beneficiaries and improve adherence.
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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 www.healthx.com.
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Health care a major focus in 2012 campaigns
The Hill
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Health care is back in the political spotlight, a full six months before the November elections. In a sign of just how dangerous the issue can be, Sen. Bill Nelson, D-Fla., is pushing back aggressively against ads that attack his support for health care reform.
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Sen. Leahy hopeful that John Roberts will vote to uphold health law
The Hill
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Senate Judiciary Committee Chairman Patrick Leahy, D-Vt., said he believes Supreme Court Chief Justice John Roberts might vote to uphold President Barack Obama's health care law.
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Dems: GOP budget puts kids at risk on lead poisoning
The Hill
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A group of House Democrats blasted Republicans for budget language that pared back an effort against lead poisoning.
In a letter to the Centers for Disease Control and Prevention, the 27 members pressed the agency to adopt a new exposure standard that would make more children eligible for treatment in spite of overall cuts to the prevention program.
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A national leader in providing dental benefits for Medicaid, CHIP and Medicare programs;
• Nationwide Network
• Comprehensive Dental Disease Management
• Predictable Costs with Quality Programs |
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Kansas: CMS posts KanCare proposal, invites public comment
Kansas Health Institute
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Kansas Gov. Sam Brownback's plan for overhauling the state's Medicaid program has been posted on the Centers for Medicare and Medicaid Services website.
The posting marks the start of a 30-day public comment period on the CMS website.
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Florida Medicaid pay for doctors could soar
Health News Florida
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Florida doctors who treat Medicaid patients are paid a pittance — less than it costs to cover their overhead. But they will have more incentive to treat the poor as of Jan. 1, assuming the Affordable Care Act is still in force.
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Republican state officials stall on setting up health insurance marketplaces
The Washington Post
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In about two dozen states across the country, the insurance marketplaces at the heart of the 2010 health care law remain in limbo, with Republican governors or lawmakers who oppose the statute refusing to act until the Supreme Court decides its constitutionality.
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Dual-eligible patients are doubly appealing to managed-care companies, says Turner Investments commentary
NewsRx
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There are only 9 million Americans covered by both Medicare and Medicaid (known as "dual-eligible patients"), but they accumulate about $300 billion in health care costs annually. Now, according to the latest Sector Focus commentary from Turner Investments, the costs of caring for dual-eligible patients are expected to rise to $775 billion by 2024 and provide a long-term growth opportunity for managed-care companies.
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Illinois: Vote to create health-insurance exchange unlikely this spring
The State Journal-Register
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A key downstate lawmaker who has worked since last summer to craft legislation that would create a health-insurance exchange for more than 1 million residents has given up, at least for now.
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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.
www.healthintegrated.com
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New study finds that unprecedented amount of cross-agency coordination needed to ensure successful management of new insurance marketplaces
The National Academy of Social Insurance
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As states decide whether to establish and operate their own health insurance exchange under the Affordable Care Act or have the federal government operate one, a new study released by Georgetown University and the National Academy of Social Insurance concludes that certifying and managing health plans in the exchange will require far greater collaboration across state agencies and with the federal government.
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Health Partners' Crazy Praise Dance Showcase wins MHPA Cultural Competency Award
Health Partners
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Health Partners' Crazy Praise Dance Showcase received the Medicaid Health Plans of America's Cultural Competency Award at the association's recent Best Practices Awards Forum in Washington, D.C. This national award recognizing outstanding cross-cultural programs was among several presented by MHPA for innovative best practices that improve the health of Medicaid beneficiaries.
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MHPA's 2012 Best Practices Awards Forum: Presentations and Interviews
MHPA
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View Presentations from MHPA's Best Practices Awards Forum
Listen as Richard Yadon of Medicaid Matters Interviews Awards Forum Winners
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MHPA's New Keeping You Healthy video: Network Improvement Team by MDwise
MHPA
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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
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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.
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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
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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
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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
2nd Annual Leadership Summit on Medicaid | July 24-25, Arlington, Va.
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With the Supreme Court Ruling to determine the future of Medicaid Expansion in June, the 2nd Annual Leadership Summit on Medicaid will be the first national platform for all stakeholders to come together to discuss the implications and next steps. Hear Thomas Johnson, president and CEO of MHPA, participate on a keynote panel with other industry leaders to address the Supreme Court Ruling on Medicaid expansion and health reform. MHPA members, receive a $200 discount when you register online or at 800.767.9499 with promo code MHPA200.
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Banner advertising available with MHPA NewsBriefs
MHPA
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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 jdebois@multiview.com.
MHPA on Twitter, Facebook and LinkedIn
MHPA
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Follow us on Twitter, and Facebook and LinkedIn to get industry-related news and the latest MHPA announcements.
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Firstsource’s advanced IVR technology helps achieve a 34% live connect rate, up from 14 to 18% with traditional dialers. As a result, we dramatically improve member contacts and results for disability transfers, member retention/recertification, SSI benefits and member wellness programs and initiatives. For a better, faster way to connect, contact Firstsource at 877-926-7370. MORE
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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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VITAS Innovative Hospice Care®, a pioneer and leader in the hospice movement since 1978, provides a special form of care for people with life-limiting illnesses.
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