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Rockefeller pushes medical loss ratio provision for Medicaid managed care
Bloomberg BNA
The requirement that health insurers spend at least 80 percent of premiums on medical claims or quality improvements was added to the Affordable Care Act as a substitute for the so-called public option for a government-run health insurance plan. The so-called medical loss ratio has been hailed by ACA supporters for providing consumers with nearly $2 billion in rebates from health insurers who didn't meet the spending ratio, and they argue it has also led to lower premiums as insurers cut administrative costs to meet it.
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With Medicaid surges, cost concerns triggered for states
The Associated Press via Yahoo News
States from the east coast to the west coast are confronting new concerns that Medicaid costs will rise as a result of the federal health care law. That's likely to revive the debate about how federal decisions can saddle states with unanticipated expenses.
MHPA pushes insurer tax repeal, delay amendments to tax extenders bill
Inside Health Policy
Medicaid health plans want the Senate, as a part of the tax extenders package that has stalled, to take up amendments either repealing or delaying for two years the ACA health insurance tax, according to a letter recently sent to Senate Finance Committee leadership.
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Colorado Medicaid acts to limit painkiller overdoses
The Denver Post
Colorado's Medicaid program is paying for opioid painkillers at such high doses and in such large quantities that thousands of people are at increased risk of overdose, recent reports provided to the program show.
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.
Could states be penalized for Medicaid backlog under Obamacare?
The Hill
Top Republicans are asking the Centers for Medicare and Medicaid Services if it is considering penalizing states with a backlog of new Medicaid applications under Obamacare.
Safety-net hospitals already seeing more paying patients — and revenue
Kaiser Health News and USA Today
At Seattle's largest safety-net hospital, the proportion of uninsured patients fell from 12 percent last year to an unprecedented low of 2 percent this spring — a drop expected to boost Harborview Medical Center's revenue by $20 million this year. And the share of uninsured patients was cut roughly in half this year at two other major safety net hospitals — Denver Health in Colorado and the University of Arkansas for Medical Sciences Hospital in Little Rock, Arkansas.
Virginia senator thinks GOP secretly wants governor to expand Medicaid
The Hill
Virginia Sen. Tim Kaine says some Republicans secretly want Virginia Gov. Terry McAuliffe to expand Medicaid through an executive order. He said Republicans in Virginia want it to happen but don't want to have to be responsible for the vote.
2 hearings scheduled for Healthy Indiana Plan expansion
The Associated Press via Miami Herald
Public hearings have been scheduled on Indiana Gov. Mike Pence's plan to use Medicaid funds to expand the Healthy Indiana Plan to provide insurance under the federal healthcare overhaul.
Poll: Utah voters favor expanding Medicaid
The Salt Lake Tribune
In deferring a decision about whether to expand Medicaid, Utah's Republican legislative leaders may risk the ire of voters. Most voters — 76 percent — support using federal funds to cover the full expansion group, 111,000 poor and uninsured, according to a Brigham Young University poll.
Arizona families lose coverage, pay more for health insurance
The Arizona Republic
Chris Senn has a steady job, a supportive spouse and a loving family. What he doesn't have is health insurance for his three young daughters, ages 8, 10 and 12. The Mesa, Arizona, resident's daughters are among thousands of children who lost coverage at the end of January when Arizona largely phased out its KidsCare health-insurance program for low- and moderate-income families.
States consider using Medicaid to pay college health plan premiums
Kaiser Health News
Some students headed for college this fall will get top-drawer health coverage at little or no cost, because Medicaid will pay the premium for the college's student health plan. The program is already being used at some Minnesota and Montana colleges. Proponents say it gives students who are eligible for coverage under Medicaid, the state-federal health insurance program for low income people, access to a wider network of providers at the local, national and even international level.
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June 4 Webinar Wednesday: ' Stop the Bleed: A Hemophilia Update' by PartnerRe
PartnerRe
This webinar provides an overview of the hemostatic system, and hemophilia A and B including clinical manifestations and management, a discussion of treatment complications and inhibitors, information on acquired hemophilia and a cost management overview with a focus on case studies discussing claims due diligence and case management.
Did you miss Webinar Wednesday's 'Transitioning to Managed Care for Individuals Receiving Long Term Services Support' by Deloitte? 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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152 days until mhpa2014: Registration rates posted
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.
Missed our previous issues? See which articles your colleagues read most.
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.
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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