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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.
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Indiana governor promotes alternative healthcare proposal
The Associated Press via The Washington Post
Indiana Gov. Mike Pence said President Barack Obama's healthcare law must be repealed, but he also urged his fellow conservatives to offer alternatives to the president's policies.
Senate poised to move on Burwell nomination
The Hill
The Senate is expected to consider the nomination of Sylvia Mathews Burwell to lead the Department of Health and Human Services. Though lawmakers would not confirm the schedule, the Senate Finance Committee is widely expected to move forward with the nominating process by holding a vote on Burwell.
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Vitter vows to oppose Burwell's nomination
The Hill
Louisiana Sen. David Vitter has announced that he would oppose Sylvia Mathews Burwell's nomination to head the Department of Health and Human Services. "I'm going to oppose Ms. Burwell's nomination until the American people get the same relief from Obamacare as the Washington elite and their corporate allies," Vitter said.
Pennsylvania's Medicaid expansion to require 723 new workers
Kaiser Health News and The Philadelphia Inquirer
Pennsylvania's ambitious alternative to expanding Medicaid — a private-market initiative that state Gov. Tom Corbett says is designed to save money — would require 723 new state workers, about 1 percent of the current workforce.
Roughly 19,000 added to Medicaid rolls in Wisconsin
The Associated Press via St. Paul Pioneer Press
According to figures released, Wisconsin Gov. Scott Walker's changes to the state's BadgerCare Medicaid program will result in approximately 19,000 more people getting coverage, even after nearly 63,000 people who earn more than poverty level are dropped.
Missouri governor's push for Medicaid expansion dies
St. Louis Post-Dispatch
Missouri Gov. Jay Nixon's push to expand Medicaid for Missourians failed. Nixon argued for taking advantage of 100 percent federal funding for three years, followed by a phased-in, five-year decrease to 90 percent, with the state taking on the remaining 10 percent.
California advocates: New Medi-Cal renewal process could lead to loss of coverage
California Health Report
New enrollment forms the Medi-Cal program is using because of changes brought about by federal health reform are so confusing that they could lead to tens of thousands of eligible recipients losing their benefits, according to California advocates for the poor.
Leaving jail doesn't have to mean losing healthcare
Kaiser Health News and PBS Newshour
Many inmates leave county jails and state prisons with mental health problems and chronic physical ailments — and no health coverage. Because they typically are not custodial parents, ex-offenders have long been ineligible for a public health insurance program aimed at kids, mothers and the disabled. But earlier this year, California and 25 other states, under a provision of President Barack Obama's health law, opened up Medicaid to single and so-called "childless" adults. The change in eligibility criteria will extend Medicaid coverage to vast numbers of ex-offenders whose incomes are below the federal poverty line.
Poorer health of surgery patients on Medicaid may alter law's bottom line
The New York Times
Surgery patients covered by Medicaid arrive at the hospital in worse health, experience more complications, stay longer and cost more than patients with private insurance, a new study has found. The study, by researchers at the University of Michigan, may offer a preview of what to expect as millions of uninsured people qualify for Medicaid under the Affordable Care Act.
Survey: Many women unaware how health law benefits them
Kaiser Health News
A large number of women face significant barriers to healthcare, and while the health law will likely help them get services, some are unaware of the benefits already in effect, according to a new survey from the Kaiser Family Foundation.
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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.
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Insurers to publish healthcare prices online
The Hill
Three major health insurance companies have agreed to publish their healthcare prices in a free online portal starting next year. The unprecedented move is designed to boost transparency in the U.S. healthcare system, notorious for its hard-to-access and seemingly random prices.
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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.
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159 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.
May 28 Webinar Wednesday: 'Medication Monitoring in the Treatment of Substance Use Disorders (SUD)' by Millennium Laboratories
Millennium Laboratories
One-year substance-use disorder (SUD) treatment outcomes suggest substantial reductions in some of the most abused drugs, but can more be done? This case-based presentation will provide an overview of recent problematic trends in substance use, the strengths and limitations of different types of drug monitoring, avoiding the consequences of false negatives and false positives, interpreting unexpected results and how to make the best use of drug monitoring to set the stage for productive therapeutic interventions.
Did you miss Webinar Wednesday's 'Effective Administration of Dual Eligibles' by TriZetto? Get the slides, other webinar presentations free
MHPA
View or listen to audio for the following webinars:
View additional webinars here.
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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 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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