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Virginia to launch 4-year managed care program for
dual eligibles

Becker's Hospital Review
Virginia has received federal approval for a four-year managed care program for 78,000 dual eligibles that could save the state tens of millions of dollars by 2015, according to a report by The Washington Post.
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Advocates praise Virginia duals demo as leading way on beneficiary tracking
InsideHealthPolicy
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.
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Clock ticking on full Medicaid expansion funds
Politico
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.
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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
VideoBriefIowa 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.
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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.
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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.
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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.
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Doctor shortages may undercut Kentucky Medicaid expansion
Courier-Journal
VideoBriefDr. 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.
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WellCare board elects David J. Gallitano as chairman
PRWeb
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.
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Medicaid plans showing interest in healthy behavior programs
Healthy Worklife
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.
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Sandata signs letter of intent with home care personal services
Daily Markets
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.
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MHPA congratulates Tavenner on confirmation as CMS Administrator
MHPA
On May 15, the Senate voted, 91-7, for Marilyn Tavenner to lead CMS, which hasn't had a Senate-confirmed administrator in seven years. Tavenner has a well-established record of success in both industry and public service.

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North Carolina officials pitch Medicaid managed care to doctors
The News & Observer via InsuranceNewsNet.com
The McCrory administration's plan to convert the $13 billion Medicaid program to managed care remains an outline as two top health officials travel the state of North Carolina pitching it to doctors and other healthcare providers.

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Most doctors still reject Medicaid as program expansion nears
McClatchy
Doctors in several states have refused to operate on patients covered by Medicaid. Because of the program's history of low payments, fewer than half of U.S. doctors and other health care professionals accept Medicaid patients, according to a recent study.

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MHPA welcomes new partner Millennium Laboratories
MHPA
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.
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'Strategies to Succeed Under the New Commercial Payment Rules:' A free webinar by Altegra Health | June 19 | 3 p.m. EST
MHPA
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.
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Navigant job opportunities in DC, Chicago areas
Navigant
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.

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Aetna job opportunity: Director of medical management for
Delaware Physicians Care

Aetna
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.
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Recent webinar presentations from Deloitte, Reckitt Benckiser, ProgenyHealth available free on MHPA's website
MHPA
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.
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2012-2013 Best Practices Compendium on sale now
MHPA
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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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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