Medicaid managed care expands in California as state requires seniors and disabled to join
Kaiser Health News Share
More than 1 million of California's older and disabled population will receive a birthday gift this year that they may not have asked for: membership in a state-sponsored managed-care plan. More
Managed care explained: Why a Medicaid innovation is spreading
One of the most controversial state health initiatives this year is a plan in Florida to cut Medicaid costs by dramatically expanding the use of managed care. Florida lawmakers voted to move all Medicaid enrollees in the state—more than 3 million people who are poor, elderly or disabled—to commercial managed care programs. More
Illinois starts enrolling residents in private Centene Medicaid plans
St. Louis Business Journal Share
Illinois said it has started enrolling seniors and people with disabilities in private Medicaid plans run through Centene Corp. and Aetna. The Illinois Department of Healthcare and Family Services said its Integrated Care Program will cover nearly 40,000 Medicaid recipients in the suburban Cook, DuPage, Kane, Kankakee, Lake and Will counties. More
TMG Health Inc. announces a new agreement with Blue Cross and Blue Shield of Minnesota
TMG Health, the leading provider of strategic Business Process Outsourcing solutions to the government health plan market, and Blue Cross and Blue Shield of Minnesota, the largest health plan in Minnesota, have announced that the two companies have entered into a five year agreement. More
Message is key in debate over Medicaid block grant plans
Kaiser Health News Share
Some congressional Democrats are concerned that Medicaid will become even more of a target for funding cuts and, as a result, are rallying the troops. More
Democrats summon advocates to plot strategy on Medicaid
The Hill Share
Democratic leaders in the House and Senate are lining up the troops for a concerted attack against Republicans' plan to turn Medicaid into a block-grant program and slash its funding by $750 billion. Leadership staff will brief a wide array of advocates, The Hill has learned, and seek their support as bipartisan budget talks continue. More
New survey: State tax revenues up but so are Medicaid costs
Kaiser Health News Share
State tax collections are picking up after several years but a recent survey found states are still collecting less tax revenue and spend less money in the coming fiscal year than they did before the Great Recession. While Medicaid is the biggest portion of state spending, has been rising, driven up by higher enrollment as many people have lost their jobs and their health insurance. More
CMS interest in comparative effectiveness will affect all payers
Managed Healthcare Executive Share
Comparative effectiveness research will take a more prominent role in payer policies as the Patient-Centered Outcomes Research Institute drives the research efforts. CER will be used by Medicare and managed care organizations for their clinical policies and programs, according to an Avalere Health audio conference. More
CMS to reduce Medicaid payments to providers in cases of HAIs
The Centers for Medicare and Medicaid Services has issued a final regulation based on the Affordable Care Act to reduce or prohibit payments to hospitals and other health care providers for services that results from certain preventable health care-acquired illnesses or injuries. More
Medicaid cuts looming for Louisiana hospitals
Fierce HealthFinance Share
The Louisiana House of Representatives approved a $25 billion budget that includes $81 million of health care-related cuts, many of which are likely to be directed to the state's hospitals, reports the New Orleans Times-Picayune. More
Massachusetts has new Medicaid director, and medical society is pleased
Boston Herald Share
Saying that "the physician perspective is becoming increasingly important in health care delivery," the Massachusetts Medical Society today offered its congratulations and assistance to Dr. Julian Harris on his appointment as director of the state Office of Medicaid by Governor Deval Patrick. More
Changes in per member per month expenditures after implementation of Florida's Medicaid reform demonstration
Health Service Research (Abstract) Share
Objective. To determine the impact of Florida's Medicaid Reform Demonstration on per member per month Medicaid expenditures.
Data. Florida Medicaid claims data from the two fiscal years before implementation of the Demonstration (FY0405, FY0506) and the first two fiscal years after implementation (FY0607, FY0708) from two reform counties and two nonreform counties.
Study Design. A difference-in-difference approach was used to compare changes in expenditures before and after implementation of reforms between the reform counties and the nonreform counties. More
Job Opportunity: MHPA Seeks Director For Its Center For Best Practices
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.
Event: Insuring the under and uninsured: The Health Plan Forum on Medicaid Expansion & Health Benefit Exchanges, San Francisco, July 18-19
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 email@example.com. More
Ethicon Endo Surgery's 'Minimally Invasive Procedures—What's the Value for Health Plans?,' free webinar scheduled for June 8 has been postponed to a date TBD.
Banner advertising available with MHPA NewsBriefs
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 firstname.lastname@example.org