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Home   About   Policy & Advocacy   Education & Resources   Events   Contact Us May 31, 2011
Job Opportunity: MHPA Seeks Director For Its Center For Best Practices
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Medicaid Health Plans of America seeks a Director for its Center for Best Practices, a new 501(c)3 affiliate organization of MHPA that supports MHPA's mission of improving quality and access to care for Medicaid beneficiaries. The Center convenes Medicaid health plans on research, quality improvement and dissemination of their best practices in clinical and operational performance. For more information, click here.

Administration opposes challenges to Medicaid cuts
The New York Times    Share    Share on FacebookTwitterShare on LinkedinE-mail
Medicaid recipients and health care providers cannot sue state officials to challenge cuts in Medicaid payments, even if such cuts compromise access to health care for poor people, the Obama administration has told the Supreme Court. More

More states expanding their move to Medicaid managed care
American Medical News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
As states continue to move Medicaid programs away from unrestricted fee-for-service payment toward various types of capitated care, the concept of Medicaid managed care is drawing more scrutiny. More

Text service helps new and expecting mothers
WABC-TV    Share    Share on FacebookTwitterShare on LinkedinE-mail article
It helps people buy things, listen to music, take pictures. Now a cell phone can help expectant mothers stay healthier. It's all about making medicine more mobile. Stephanie Harris gets a lot of text messages. More

GE, Thomson Reuters combine databases for outcomes research
InformationWeek    Share    Share on FacebookTwitterShare on LinkedinE-mail article
General Electric subsidiary GE Healthcare and media conglomerate Thomson Reuters have entered into a partnership to mine each company's massive storehouses of health care data on behalf of organizations interested in research across large patient populations. More

Medicaid spending soars with rise in childhood poverty
Anderson Independent Mail    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Stacy Brown worries when her one-year-old son, Mason, stops breathing. And what worries her even more is that she doesn't know exactly what causes him to stop. She's taken him to the hospital and to doctors, but she said she still has no answers. More

Report gauges effects of cutting funding for health reform law
California Healthline    Share    Share on
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Permanently defunding the federal health reform law would increase the number of uninsured U.S. residents and potentially end the Medicare prescription drug program, among other effects, according to a recent report by the Congressional Budget Office and the Joint Committee on Taxation, CQ Today reports. More

State budget difficulties and implementation of the Affordable Care Act are driving and shaping the Medicaid managed care market. Sellers Dorsey positions our clients for growth in the ever-changing world of Medicaid, the Affordable Care Act and more. Sellers Dorsey. Redefining the possibilities. more

The White House hearts Medicaid
The Washington Post with Bloomberg    Share    Share on FacebookTwitterShare on LinkedinE-mail article
There is enormous discussion about the revenue side and the Medicare side. But from a policy perspective, from a values perspective, we should be very deeply troubled by the Medicaid cuts in the House Republican plan. More

Impact of Medicaid copayments on patients with cancer: Lessons for Medicaid expansion under health reform
Medical Care    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Medicaid program plays a critical role in providing insurance coverage for many low-income beneficiaries who are diagnosed with cancer. Several states have increased their copayment requirements in the past few years and this provides a natural experiment to study the impact of copayments. More

New Jersey officials to ask HHS to sign off on reducing Medicaid eligibility
Insurance and Financial Advisor    Share    Share on FacebookTwitterShare on LinkedinE-mail article
New Jersey officials want to significant trim the number of state residents who would qualify for Medicaid, as they seek a potential cost savings of $300 million, if federal officials approve the plan. More

Medicaid services may be cut in North Carolina
The Asheville Citizens-Times    Share    Share on FacebookTwitterShare on LinkedinE-mail article
North Carolina's Medicaid program, second only to public schools in state spending, could be offering fewer services to save money before a wave of new consumers that is expected to enroll soon because of the federal health care overhaul. More

Texas Legislature convenes special session
Amarillo Globe News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Gov. Rick Perry has recalled the Texas Legislature for a special session to work out a new school finance law and Medicaid reforms. Lawmakers failed to pass a bill that would have slashed $4 billion from public schools by the deadline. That means the 2012-2013 budget won't balance. More

New York's Medicaid program expands coverage of Smoking Cessation Counseling
Utica Daily News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Recently the federal government announced that smoking cessation counseling will be covered by all Medicaid enrollees allowing for six counseling sessions during any 12 continuous months, provided on a face-to-face basis. More

Florida flunks in providing dental care for poor children
Miami Herald    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Here's news that shouldn't make the state of Florida smile: For the second year in a row, the Sunshine State has received an F for its efforts to help provide poor children with dental care. More

Health care IT spending to hit $40 billion this year    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Health care IT spending is expected to jump as a result of the move to electronic health records, the growth of mobile medical apps and new federal regulations. Much of that growth will come from spending on electronic health record systems, mobile health applications and efforts to comply with new government standards. More

HHS announces proposed changes to HIPAA Privacy Rule
U.S. Department of Health and Human Services    Share    Share on FacebookTwitterShare on LinkedinE-mail
A Notice of Proposed Rulemaking concerning the accounting of disclosures requirement under the Health Insurance Portability and Accountability Act Privacy Rule, is available for public comment. The proposed rule would give people the right to get a report on who has electronically accessed their protected health information. More

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Free Webinar: Ethicon Endo Surgery's 'Minimally Invasive Procedures — What's the Value for Health Plans?,' June 8 at 2-3:30 p.m. EST
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
There are over 4.4 million general surgical procedures annually. Once patients have exhausted other treatment alternatives and surgery becomes a necessary procedure, providing a minimally invasive approach, also referred to as laparoscopic surgery, improves clinical outcomes, decreases the hospital stay and brings a faster return to normal activity, AND costs the payor and the patient less money, when compared to standard open or abdominal surgery. Developing a product to encourage appropriate use of minimally invasive procedures can provide significant clinical and economic savings to patients and payors. Dr. Lou Hochheiser, Chief Medical Leader, Humana, Inc., will explore what health plans can do to drive the use of Minimally Invasive Procedures.

To register, please visit MHPA's Events page at

Event: Insuring the under and uninsured: The Health Plan Forum on Medicaid Expansion & Health Benefit Exchanges, San Francisco, July 18-19
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Healthcare Education Associates
Reaching, Servicing and Retaining the New Enrollee Population

Hear MHPA President and CEO, Thomas L. Johnson give his take on the Medicaid expansion and the health insurance exchange populations in "Analyzing the Numbers: How Will Plans Serve This New Market."

Other Conference Highlights Include:
• Defining the new enrollee population: Who are they? What can you expect from various market segments?
• Market segmentation and analysis: What are the pros and cons of the new markets?
• Assessing financial viability and adverse selection on the exchanges

Exclusive Discounted Pricing Available
As a Medicaid Health Plans of America member, you can register for the event as a guest of MHPA and receive 25 percent off the standard registration rate with the special discount code HMP027. To qualify for an exclusive membership discount, call Kathie Eberhard at 1.704.341.2439 or email

MHPA on Twitter, Facebook and LinkedIn
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Follow us on Twitter, become a fan of our Facebook page or see our profile on LinkedIn to get industry-related news and latest announcements.

Banner advertising available with MHPA NewsBriefs
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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











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