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Home   About   Policy & Advocacy   Education & Resources   Events   Contact Us June. 2, 2011
Medicaid managed care expands in California as state requires seniors and disabled to join
Kaiser Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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
Stateline    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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    Share on FacebookTwitterShare on LinkedinE-mail article
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    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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

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

Message is key in debate over Medicaid block grant plans
Kaiser Health News    Share    Share on
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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    Share on FacebookTwitterShare on LinkedinE-mail article
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    Share on FacebookTwitterShare on LinkedinE-mail article
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    Share on FacebookTwitterShare on LinkedinE-mail article
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    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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    Share on FacebookTwitterShare on LinkedinE-mail article
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    Share on FacebookTwitterShare on LinkedinE-mail article
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

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Changes in per member per month expenditures after implementation of Florida's Medicaid reform demonstration
Health Service Research (Abstract)    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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.

Job Opportunity: MHPA Seeks Director For Its Center For Best Practices
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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
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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

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.
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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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