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MHPA reception with Chairman Fred Upton, legislative fly-in
MHPA
Medicaid Health Plans of America held a reception with Congressman Fred Upton, chairman of the House Energy and Commerce Committee at Sonoma Restaurant in Washington, D.C., before heading to Capitol Hill to meet with other members of Congress on Medicaid managed care issues, including the insurer fee.
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Partisan gridlock thwarts effort to alter health law
The Washington Post
When he talks to Republicans in Congress, Scott DeFife, a restaurant industry lobbyist, speaks their language: President Barack Obama's healthcare law is a train wreck well down the track. There will be collateral damage if changes are not made. Friends of the industry cannot sit back and let that happen. Speaking to Democrats, he puts on his empathy hat: The Affordable Care Act is the law of the land. Its goal of universal insurance coverage is laudable, but its unintended consequences will hurt the cause.
Budget plan presses New Hampshire hospitals to join managed care networks
Pharmacy Choice
The Senate Finance Committee approved a proposal to force New Hampshire state hospitals to join Medicaid managed care networks or face losing state aid for charity care. Hospitals have balked at the compensation offered by the three companies the state hired to run the Medicaid managed care program. Because the managed care program has not been begun, the state will not realize $15 million in savings budget writers planned this fiscal year.
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Texas Legislature passes measure to prevent Medicaid expansion
Reuters via The Texas Tribune
The Republican-majority Texas House and Senate recently sent Gov. Rick Perry a proposal to prevent the state from expanding its Medicaid program as outlined by President Barack Obama's healthcare reform law. Perry, a Republican, notified the Obama administration last summer his state would not expand Medicaid, which provides healthcare for low-income people. He repeated his opposition in an April news conference at which he called expansion "foolish."
Details emerge on Arkansas 'private option' for Medicaid expansion
Arkansas Times
The House and Senate Public Health committees met to hear updates on the "private option" plan for expanding healthcare coverage. Key Republican lawmakers — particularly Rep. John Burris, Sen. Jonathan Dismang and Sen. David Sanders — have been working closely on an informal basis with the Department of Human Services and the Insurance Department to develop the policy details since the session ended, but frequent check-ins with other lawmakers are likely in the interim between sessions.
Maine governor delivers instant veto after hospital debt; Medicaid bill
passes Senate
Bangor Daily News
Maine Gov. Paul LePage handed down an instant veto minutes after the Senate gave final passage to a bill that links repayment of Maine's hospital debt to an expansion of the state's Medicaid program. LePage, during an impromptu appearance in the State House Hall of Flags, also laid out the text for a new bill he plans to submit to the legislature that authorizes the state to repay its share of the $484 million debt to 39 hospitals. Republican legislators signed on as co-sponsors after LePage read his veto letter.
PCMA: Upgrading Medicaid drug benefits could save Florida $2.1 billion
PRWeb
A new report estimates that upgrading management of drug benefits in Florida's Medicaid program could save $2.1 billion without reducing access or the quality of benefits patients receive. The new report shows that Florida and other state Medicaid programs could make more use of the tools Medicare, unions and employers rely on to curb wasteful pharmacy spending.
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'Reaching Low-Income and Senior Patients with Digital Media:' A free webinar by dLife and MHPA | June 19 | noon EST
dLife
Communication channels are constantly evolving, and patients are accessing health information in new and innovative ways. The best channel to reach the Medicaid population might not be the best fit for the Medicare population — or even the Medicare/Medicaid dual eligible population. This webinar, co-presented by dLife and MHPA's Liza Greenberg, will address the latest trends in reaching and engaging these populations in their own diabetes self-care.
'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.
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.
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.
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.
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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