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Medical specialists push back on duals initiative from health care law
The Hill    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Medical specialists are urging regulators to slow implementation of the duals initiative funded by the 2010 health care law that aims to streamline care for some low-income elderly and disabled patients. More

Clock ticking on Illinois Medicaid, pension reforms
Reuters    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Democratic-controlled legislature sent Gov. Pat Quinn a bill that would slice spending on Medicaid, the joint federal-state health care program for the poor, by $1.6 billion by reducing eligibility and provider rates and cutting or eliminating programs. More

Fewer Americans draw on federal relief programs shrink as economy rises; only Medicaid remains at its peak
USA Today    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Three years after the recession officially ended, most of the nation's safety-net programs finally are serving fewer people, an analysis of government data shows. 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
Pharmacy Choice    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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

Dual eligibles account for varying share of Medicaid enrollees by state    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The proportion of state Medicaid beneficiaries who are also enrolled in Medicare varies from a low of 10 percent in Arizona and Utah to 26 percent in Maine, according to a new report by the Kaiser Commission on Medicaid and the Uninsured. More

LIBERTY Dental Plan

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

• Nationwide Network
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• Predictable Costs with Quality Programs

Study says: Veterans would benefit under health law
Kaiser Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
If the 2010 health law is upheld by the Supreme Court, it would extend health coverage to thousands of the nation's veterans, a new study says. The study, released recently, said about 630,000 uninsured veterans would likely qualify for Medicaid, the state-federal health insurance program for the poor, which would be expanded under the law. More

State-based insurance marketplaces hang in balance of Supreme Court health care ruling
The Washington Post    Share    Share on FacebookTwitterShare on LinkedinE-mail article
While partisan gridlock and logistical disputes have stalled preparations for the 2010 health care law in about two dozen states, more than a dozen others have moved swiftly to set up the insurance marketplaces at the statute's core. More

Report looks at state adoption of five Medicaid options under ACA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Twenty-nine states approved or submitted plans to upgrade their Medicaid eligibility systems in 2011 and 19 states have expressed interest in upgrading their systems this year, according to a new report from the Kaiser Commission on Medicaid and the Uninsured. More

Big Medicaid data breach in South Carolina
Health Data Management    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The department discovered that an employee, since terminated, transferred 17 spreadsheets dating back to Jan. 31, to a personal email account. Police are investigating but the department does not yet know the reason for the transfers. 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.

Class claims Arizona hiked Medicaid co-pays
Courthouse News Service    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Arizona is forcing single adults and couples without minor children living with them to pay copayments that exceed the "nominal" co-pays authorized by the federal Medicaid Act, according to a federal class action. More

West Virginia: Managed care provides relief for Medicaid
Charleston Daily Mail    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The West Virginia Department of Health and Human Resources in December plans to begin turning over management of the care of 57,000 elderly and disabled Medicaid patients to three health insurance companies. More

Nurtur receives national 'Outreach Award' for its diabetes program from Medicaid Health Plans of America Center for Best Practices
Healthcare BizDev    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Nurtur, the behavior change company serving multiple market segments, was honored to receive the "Outreach Award" at the second annual Awards Forum hosted by Medicaid Health Plans of American's Center for Best Practices. More

GHG Forum 2012: Don't miss out!

Gorman Health Group, the leading solutions provider in Government programs, invites you to DC on June 12 & 13 for a conference event designed for plans and cross-functional team attendance. Register your team now. MORE.

Registration now open for MHPA's 2012 Annual Meeting | October 24-26
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The MHPA 2012 Annual Meeting at the Hyatt Regency Washington on Capitol Hill in Washington, D.C., again will be the country's largest gathering of top-level executives in the Medicaid health plan industry. This year's meeting, "A Pivotal Time for Medicaid Health Plans," kicks-off just one week before Americans cast their ballots in a presidential election in which health care is one of the foremost issues. As you've come to expect, the MHPA Annual Meeting will provide the perfect opportunity to participate in thought-provoking sessions and hear from compelling speakers, including Charlie Cook, political analyst and publisher of The Cook Report; Donna Brazile, political strategist and commentator; and Robert Brownstein, political director for Atlantic Media Corp.

For more info and to register online, visit

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.
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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.
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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.
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MHPA's Industry NewsBrief
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