This message contains images. If you don't see images, click here to view.
Click here to advertise in this news brief.




  Mobile version    RSS    Subscribe    Unsubscribe    Archive    Media Kit May. 30, 2013

Home   About   Policy & Advocacy   Education & Resources   Events        

 



States: Medicaid managed care ready for new enrollees
The Hill
Medicaid managed care programs are ready to take on new enrollees, as Obamacare expands healthcare access for low-income people, according to a new survey. Eight states reported to the Urban Institute that their Medicaid managed care programs — which tend to function like health maintenance organizations, or HMOs — will flexibly adapt to a greater beneficiary population thanks to past reforms.
   Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ MORE  




CMS urges consumer-friendly elements in Medicaid managed long-term care; MHPA's Moser on choice and quality improvement
InsideHealthPolicy
CMS is urging states to incorporate a list of consumer-friendly elements into Medicaid managed long-term care programs, but consumer advocates would still like to see more details on issues surrounding disenrollment, standards for community-based settings, provider qualification requirements and consumer rights.
Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ MORE


CMS to share beneficiary, provider information from 23 records systems;
MHPA supportive

InsideHealthPolicy
CMS plans to start offering health plans access to information that identifies beneficiaries and providers in 23 records systems as part of an effort to fight waste, fraud and abuse in the healthcare sector, a move praised by health plans that have long sought access to such data for program integrity purposes.
Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ MORE


PRODUCT SHOWCASE
  Manage Growth. Increase Efficiency.
Control Costs.


TMG Health has the experience and proven solutions you need
for SUCCESS in the Managed Medicaid, Medicare Advantage, and Medicare Part D markets. Our purpose-built applications ensure the highest level of ACCURACY and COMPLIANCE for Enrollment, Eligibility, Reconciliation, Premium Billing, Print Fulfillment,
Call Center, Claims Processing, and more. Contact us.
 


More than a quarter-million uninsured vets will miss out on Medicaid expansion
The Pew Charitable Trusts
More than a quarter-million veterans who lack health insurance will miss out on Medicaid coverage because they live in states that have declined to expand the program under the Affordable Care Act. Expanding Medicaid eligibility is a key component of the new federal health law, which aims to provide coverage to the vast majority of uninsured Americans.
Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ MORE


Medicaid expansion foes shift strategy in Arizona
The Arizona Republic
As Arizona House members work behind closed doors to reach consensus on Medicaid expansion, opponents — conceding lawmakers likely will broaden the healthcare program for the poor — are shifting their strategy to force its repeal once it passes. Two former state lawmakers and a Pima County Republican official are organizing a petition drive to have voters decide the Medicaid issue, which could postpone its implementation until after the November 2014 general election.
Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ MORE


The muddle over Medicaid in New Hampshire
New Hampshire Public Radio
VideoBriefThe Affordable Care Act encourages states to expand Medicaid coverage and provides funding to do so. So far, the tally is roughly even between states opting in and opting out, but some are still undecided, including New Hampshire. Medicaid expansion has support from the House and governor, but the Senate has some serious doubts.
Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ MORE




California counties may lose as governor shifts health costs
Bloomberg
California counties may lose as much as $2.5 billion in state funding over the next three years for indigent healthcare, as the state assumes responsibility under the federal Affordable Care Act, Gov. Jerry Brown said. The most populous U.S. state plans to cut $300 million this year from counties as its Medicare program expands, Brown told local officials in Sacramento.
Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ MORE


Federal court upholds 10 percent Medi-Cal provider cut
California Healthline
The United States Ninth Circuit Court of Appeals has upheld the right of California to impose a 10 percent rate reduction on providers of Medi-Cal services. The long-awaited ruling is the last judicial step, short of the U.S. Supreme Court, for the controversial cut to hospitals, physicians, emergency transport and dentists. Provider groups have said they would likely appeal the rate reduction to the Supreme Court.
Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ MORE


Illinois House approves Medicaid expansion
Illinois Issues
National politics played out on the Illinois House floor, as lawmakers voted to approve a massive Medicaid expansion, which is a key component to federal healthcare reform. Senate Bill 26 would allow people who have a household income of 133 percent of the poverty level to qualify for Medicaid. The federal government will pick up the cost of the expansion until 2017, when the funding drops to 95 percent. In 2020, federal support will drop to 90 percent.
Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ MORE


SHOWCASE
 
CUSTOM COST CONTAINMENT

Learn the latest tailored ways your plan can save. Visit Booth 451 at AHIP's Institute 2013. Drawing for a $500 gift card. Photo booth. Fun.

CELEBRATE CHOICES
 


Utah, Missouri tap LogistiCare for non-emergency medical transport management
St. Louis Post Dispatch
LogistiCare, the leader in non-emergency medical transport management, has been selected to manage the Medicaid transportation needs of Utah and Missouri following competitive RFP processes in the two states.
Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ MORE


'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.
Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ MORE


'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.
Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ MORE


FEATURED ARTICLE
TRENDING ARTICLE
MOST POPULAR ARTICLE
Increase in doctors' pay for Medicaid services off to a slow start
The Washington Post
The Obama administration's strategy of enticing more primary-care doctors to treat the poor by raising Medicaid reimbursement rates is off to a slow start.

Share on FacebookTwitterShare on LinkedinE-mail article
read more
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.

Share on FacebookTwitterShare on LinkedinE-mail article
read more
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.

Share on FacebookTwitterShare on LinkedinE-mail article
read more


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.

Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article


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.
Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ MORE


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.
Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ 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.
Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article


MHPA on Twitter, LinkedIn and Facebook
MHPA
Follow us on Twitter, LinkedIn and Facebook to get industry-related news and the latest MHPA announcements.
Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
 




Sponsored by ...


 

 

 

 

 

 

 

 

 


 

 

 


 

 

 


 

 

 


 

 

 


 

 

 


 

 

 


 

 

 


MHPA's Industry NewsBrief
Colby Horton, Vice President of Publishing, 469.420.2601
Download media kit

Damon Sayles, Content Editor, 469.420.2662   
Contribute news

This edition of MHPA's Industry NewsBrief was sent to ##Email##. To unsubscribe, click here. Did someone forward this edition to you? Subscribe here -- it's free!
Recent issues
May 30, 2013
May 28, 2013
May 23, 2013
May 21, 2013



7701 Las Colinas Ridge, Ste. 800, Irving, TX 75063