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Do patients really need to go the ER?
FierceHealthcare    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Eighty-five percent of Americans who have been to the emergency department said they couldn't wait to see their regular medical provider, according to a recent Harris poll from the American College of Emergency Physicians. More

Expert series from MHPA partner Thomson Reuters
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Bob Kelley, SVP, Thomson Reuters recently discussed the current market trends and issues affecting health plans. Market trends and payer/provider relationships is the first of a six-video series — click the link below to hear what he has to say. Coming up next week: How health plans can leverage data to better position themselves for reform changes. More

Georgia faces risk in Medicaid managed care switch
Georgia Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The potential state move of all Medicaid patients into managed care comes with a multimillion-dollar catch. Georgia could lose roughly $175 million to more than $220 million in federal funding annually for the program if it makes the managed care switch, based on figures for the last two fiscal years. 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

New survey finds enrollees hold positive views of Medi-Cal Program
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Nine of ten Californians who receive health insurance coverage from Medi-Cal have a positive view of the government-run program; 69 percent are satisfied with the quality of their care; and 78 percent believe the program covers the care people need, according to a survey released by the California HealthCare Foundation. More

Medi-Cal users struggle ahead of expansion
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As California's Medi-Cal program readies for an influx of 2 million to 3 million people when national health reforms kick in, major challenges lie ahead, including finding enough specialists who will see participants. More

LIBERTY Dental Plan

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

• Nationwide Network
• Comprehensive Dental Disease Management
• Predictable Costs with Quality Programs

Pennsylvania expands Medicaid coverage for Telehealth Services
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Pennsylvania Gov. Tom Corbett announced that the state's Medicaid program now will cover more telehealth services from additional types of specialty physicians. More

Oregon's $2 billion Medicaid bet
Oregon Public Broadcasting with Kaiser Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The things that Amy Vance does for James Prasad are pretty simple: She helps him call doctors, organizes his meds, and helps him keep tabs on his blood pressure, blood sugar and weight. These simple things — and the relationships between a health coaches such as Vance and chronically ill Medicaid patients such as Prasad — are a big part of a $2 billion health care experiment in Oregon. More

DST Health Solutions support ICD-10 Compliance in advance of deadline
PRNewswire via The Seattle Times    Share    Share on FacebookTwitterShare on LinkedinE-mail article
DST Health Solutions announced that their PowerSTEPP, PowerMHC, PowerMHS and AMISYS Advance core administration platforms have been designed to support ICD-10 compliance, including both ICD-9 and ICD-10 processing. Coupled with DST's ICD-10 compliant integrated care management suite, DST Health Solutions offers one of the most comprehensive suites of clinical and administrative solutions in the industry. DST's integrated care management suite is core platform agnostic and designed to integrate with any claims administrative system. More

Registration now open for MHPA's 2012 Annual Meeting | October 24-26
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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
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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.

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.

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
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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
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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

Dual Eligibles Best Practices Summit | July 30-31 | Orlando, FL
Healthcare Education Associates    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Learn how to execute a well-run dual eligibles plan, from outreach campaigns to managed long term care and everything in between. Members of MHPA are entitled to a 15 percent discount. Mention HMP122 during registration to enjoy this offer. For more information, click here or contact Theresa Powers at 704.341.2437 or More

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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MHPA's Industry NewsBrief
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