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Advocates praise Virginia duals demo as leading way on beneficiary tracking
Virginia received CMS' nod on May 21 to move forward with a proposed demonstration to coordinate care for beneficiaries dually eligible for Medicare and Medicaid that beneficiary advocates hope will lead the way for other states when it comes to monitoring patients' movement from plan to plan.
Clock ticking on full Medicaid expansion funds
States still mired in the fight over the Obamacare Medicaid expansion are starting to give up on their first year of full funding — and it's unclear whether they would be able to tap into the money before 2015.
Survey: Even in southern states, Medicaid expansion is popular
Kaiser Health News
Alabama, Georgia, Louisiana, Mississippi and South Carolina have a lot in common: The summers are hot, and the political climates are conservative. These are states where Mitt Romney handily beat Barack Obama in the 2012 presidential election, so it's not surprising to learn that the president's signature health law is unpopular there.
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Report: Iowa Medicaid expansion gets boost as GOP governor drops opposition
The Huffington Post
Iowa Gov. Terry Branstad is poised to become the ninth Republican governor to support expanding Medicaid under President Barack Obama's healthcare reform law, the Dubuque Telegraph Herald reported.
Texas: House votes to ban Medicaid expansion
The New York Times
The Texas House passed a measure that would prevent the state from expanding its Medicaid program as outlined by President Barack Obama's healthcare law. Gov. Rick Perry notified the Obama administration last summer that his state would not expand Medicaid.
Bill in Ohio House revives Medicaid expansion
The Columbus Dispatch
A key Republican lawmaker hopes her colleagues can still reach a consensus on expanding the state's Medicaid program to tens of thousands of uninsured Ohioans. Rep. Barbara Sears introduced legislation to provide coverage to an estimated 275,000 people with incomes under 138 percent of the federal poverty level. The cost would be paid entirely by the federal government for three years under the new healthcare law.
With Medi-Cal set to expand, California governor leaves provider reimbursement cuts intact
Reporting on Health
When California Gov. Jerry Brown announced the latest budget, the plan contained some good news for new Medi-Cal recipients: They will be entitled to the same health benefits as those already covered by the state's low-income health program. Even so, some are wondering whether there will be enough doctors and other medical professionals to provide care to a rapidly expanding patient population.
Doctor shortages may undercut Kentucky Medicaid expansion
Dr. Ron Waldridge II sees up to 24 patients a day at a busy family practice in Shelbyville, Ky., and says he can't take on any new ones unless they are family members of people he already treats. So he wonders how he and other Kentucky doctors will be able to handle the tens of thousands of Kentuckians expected to get Medicaid coverage through health reform.
WellCare board elects David J. Gallitano as chairman
WellCare Health Plans, Inc. announced that its board of directors has elected David J. Gallitano as chairman of the board, succeeding Charles G. Berg. This past March, Berg informed the board that he would not stand for re-election to the company's board of directors at its next annual meeting of stockholders.
HMS is the nation's leader in coordination of benefits and program integrity services for healthcare payers. Our clients include health and human services programs in more than 40 states; commercial programs, including group health plans, employers, and 150 Medicaid managed care plans; the Centers for Medicare and Medicaid Services; and Veterans Administration facilities. MORE
Medicaid plans showing interest in healthy behavior programs
A perfect storm is brewing for Medicaid. Public Medicaid programs and the health plans that serve them are busy preparing for the impending combination of rising healthcare costs, an increase in the federal poverty level and the expansion of the Medicaid program by the Affordable Care Act.
Sandata signs letter of intent with home care personal services
Sandata Technologies, LLC, an industry leader in technology solutions to the Home Care market and Home Care Personal Services, a locally recognized provider of outstanding in-home services to clients across northern Illinois, announced the signing of a letter of intent for Sandata to provide its Electronic Visit Verification solution for Home Care Personal Service's various home-based programs.
MHPA welcomes new partner Millennium Laboratories
Millennium Laboratories is the leading research-based clinical diagnostic company dedicated to improving the lives of people suffering from pain. Millennium Laboratories provides healthcare professionals with the services, clinical tools, scientific data and education helping to personalize treatment plans to improve clinical outcomes and patient safety. Learn more here.
'Strategies to Succeed Under the New Commercial Payment Rules:' A free webinar by Altegra Health | June 19 | 3 p.m. EST
The Commercial Market Reform Rules, new payment methodologies and the opening of the marketplace bring a significant shift in strategy and operations to commercial health plans. This webinar will discuss the operational challenges created by the new market enrollee profile, the implications for the new risk adjustment model and practical strategies to improve financial performance.
Navigant job opportunities in DC, Chicago areas
Navigant is a specialized, global expert services firm dedicated to assisting clients in creating and protecting value in the face of critical business risks and opportunities. Navigant's Healthcare Practice strives to be the premier independent management consulting practice assisting senior level healthcare executives deal with their core business challenges.
Aetna job opportunity: Director of medical management for
Delaware Physicians Care
Aetna is looking for a new director of medical management for Delaware Physicians Care. The position oversees the implementation and on-going execution of the strategic and operational business plan for the business segment's clinical operations, inbound/outbound call queue, implementation and/or plan sponsor operations. The position also coordinates business segment policies and procedures in support of financial, operational and service requirements.
Recent webinar presentations from Deloitte, Reckitt Benckiser, ProgenyHealth available free on MHPA's website
View PDFs or listen to audio for "Blurring Boundaries: Considering the Role of Medicaid-oriented Health Plans in 2014 and Beyond", by Deloitte Consulting, "Opioid Dependence — A Chronic Relapsing Brain Disease" by Reckitt Benckiser, "NICU Costs, Trends, and Effective Management Solutions" by ProgenyHealth and more.
2012-2013 Best Practices Compendium on sale now
MHPA's 2012-2013 Best Practices Compendium is the sixth edition of our annual publication that contains Medicaid health plans' best practices, as well as helpful resource information. Get yours today ($25 for members, $30 for nonmembers). To order, call 202-857-5720, or email us.
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