This message contains images. If you don't see images, click here to view.
Click here to advertise in this news brief.
  Mobile version   RSS   Subscribe   Unsubscribe
Home   About   Policy & Advocacy   Education & Resources   Events   Contact Us May. 22, 2012


New ACEP poll finds: 7 in 10 Americans oppose health plan efforts to deny payments for ER visits
PRNewswire via The Street    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Seventy percent of Americans oppose efforts by insurance companies to deny payment for emergency visits when patients believe they are having medical emergencies, but after examination are diagnosed with non-urgent medical conditions, according to the results of a new poll conducted by Harris Interactive on behalf of the American College of Emergency Physicians. More

No confirmation hearing planned for Marilyn Tavenner
The Wall Street Journal    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Senate Democrats have said they aren't planning a confirmation hearing for Marilyn Tavenner, the acting top official at the Centers for Medicare and Medicaid Services, ending months of speculation over whether they would try to get the agency its first permanent leader since 2006. More

Health Partners keeps focus on doctor satisfaction outscores area plans in most categories
Health Partners    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Heath Partners scored significantly higher than all other Southeastern Pennsylvania Medical Assistance plans in 80 percent of the categories in its 2011 Provider Satisfaction Survey.  More

Centene appoints Dave Minifie to new position as chief marketing officer
PRNewswire via WCWG-TV    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Centene Corporation announced the appointment of Dave Minifie to Vice President and Chief Marketing Officer for the Company, effective immediately. Minifie, located in Centene's headquarters in St. Louis, will oversee marketing and branding efforts in this newly created position, reporting to Michael Neidorff, Centene's Chairman and Chief Executive Officer. Minifie brings more than 20 years of leadership experience to Centene, with a strong focus on consumer products marketing. 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

HMS awarded Benefits Coordination and Recovery Services contract by the State of Colorado
Business Wire via Pharmacy Choice    Share    Share on FacebookTwitterShare on LinkedinE-mail article
HMS, a wholly owned subsidiary of HMS Holdings Corp., announced that it has been awarded a contract by the State of Colorado, Department of Health Care Policy and Financing (Department), to perform third party benefits coordination, as well as tort and casualty, post payment, and estate recovery services. More

How is the Affordable Care Act leading to changes in Medicaid today? State adoption of 5 new options
Kaiser Family Foundation    Share    Share on FacebookTwitterShare on LinkedinE-mail article
This policy brief examines how states in every region have responded to five key opportunities available under the health reform law to help them prepare for the significant expansion of Medicaid in 2014. More

Colorado Medicaid expansion goes slower than expected
The Denver Post    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Colorado Medicaid's expansion to adults without dependent children has gone slower than expected, with thousands of slots in the long-sought program still available. More

LIBERTY Dental Plan

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

• Nationwide Network
• Comprehensive Dental Disease Management
• Predictable Costs with Quality Programs

Colorado governor expected to sign Medicaid payment reform
Modern Healthcare (subscription required)    Share    Share on FacebookTwitterShare on LinkedinE-mail article
A bipartisan bill in Colorado creating a Medicaid payment reform and innovation pilot program is expected to be signed soon by Gov. John Hickenlooper. Co-sponsored by state Reps. Cheri Gerou and Dave Young, the measure creates a process by which the state's health care policy and financing department would pilot-test fee-for-service alternatives and regional care collaborative organizations. More

Louisiana health chief paints bleak picture for FY2013
WQUE-FM    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Closure of Louisiana hospitals, end of critical services likely if cuts approved by the House are allowed to stand, DHH secretary says. The head of the state Department of Health and Hospitals says hospitals and health clinics would have to close and other services would have to be reduced if state budget cuts approved by the House are allowed to stand. More

Louisiana: DHH secretary announces next Medicaid program director
Pharmacy Choice    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Louisiana Department of Health and Hospitals Secretary Bruce D. Greenstein recognized outgoing Medicaid Director Don Gregory for his 36 years of public service and named Ruth Kennedy the department's next Medicaid Director. More

Illinois Gov. Quinn urges lawmakers to act swiftly on Medicaid and pension restructuring — legislation filed to restructure Medicaid, 10 days left in spring session
Pharmacy Choice    Share    Share on FacebookTwitterShare on LinkedinE-mail article
With 10 days until the end of the spring legislative session, Illinois Gov. Quinn  urged lawmakers to act to restructure the state's Medicaid and pension systems.  More

Illinois group offers 59 ideas for cutting $2.7 billion in Medicaid
The Telegraph    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Three Illinois Republican state senators and a libertarian think tank proposed 59 reforms to make Medicaid more cost-effective while providing better care for its recipients. More

Few states set for health exchanges
Politico    Share    Share on FacebookTwitterShare on LinkedinE-mail article
When health insurance exchanges open in 2014, it is now clear that the federal government will be playing the lead, not the understudy. Many insurance experts and health policy consultants predict only a dozen or so states will be ready to run exchanges on their own — and a few say that projection may be too sunny. 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.

High court ruling not expected to impair health IT
iHealthBeat    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Back in March, crowds of people gathered outside the Supreme Court building to proclaim their support for or opposition to the Affordable Care Act. Stakeholders on one side of the political spectrum touted the law's current and future benefits, while stakeholders on the other side called for a complete repeal of the legislation. More

Attacking Medicaid fraud will save many millions of dollars
The Courier-News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
A recent Associated Press story, "Questions about Illinois Medicaid cuts, pension reforms," stated there is little evidence to support the claim that nearly 10 percent of Medicaid in Illinois and nationwide could be fraudulent. More

A unique government programs event

Gorman Health Group invites you to join industry leaders for a must-see Government programs conference event June 12 & 13 in Washington, D.C. designed for attendance by plans’
cross-functional teams. Register your team now. MORE.

May is Mental Illness Month: Download your free copy of MHPA's Best Practices Compendium for Serious Mental Illness (SMI)
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Medicaid health plans are part of the solution for improving quality of care for people with serious mental illness. This new compendium highlights challenges in delivering mental health services for people with SMI, outlines important treatment recommendations and identifies examples of cutting edge approaches used by Medicaid health plans to address needs of people with SMI. Download a free PDF copy or request a print copy at 202.857.5720 or More

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.

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

2nd Annual Leadership Summit on Medicaid | July 24-25, Arlington, Va.
   Share    Share on FacebookTwitterShare on LinkedinE-mail article
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. More

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.
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

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.
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.





























MHPA's Industry NewsBrief
Colby Horton, Vice President of Publications, 469.420.2601   Download media kit
Ralph Ayyad, Content Editor, 469.420.2638   Contribute news
This edition of the MHPA's Industry NewsBrief was sent to ##Email##. To unsubscribe, click here. Did someone forward this edition to you? Subscribe here -- it's free!
Recent issues
May 22, 2012
May 17, 2012
May 15, 2012
May 10, 2012

7701 Las Colinas Ridge, Ste. 800, Irving, TX 75063