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States to lose $8.4 billion without Medicaid expansion
Bloomberg
Texas, Louisiana and 12 other U.S. states that are declining to expand Medicaid under President Barack Obama's health overhaul will lose at least $8.4 billion in federal funding in 2016 alone, a study found.
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GOP governors' endorsements of Medicaid expansion deepen rifts within party
The Washington Post
Republican fissures over the expansion of Medicaid, a critical piece of the 2010 healthcare law designed to provide coverage to millions of uninsured Americans, continue to deepen, with battles in Arizona and elsewhere showing just how bitter the divisions have become.
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Senate to take up Maine Medicaid expansion
WMTW-TV
Legislation to expand Maine's Medicaid program to include roughly 70,000 more people is due for a vote in the Maine Senate. An expected Senate vote will come shortly after the House approved the bill, along with an amendment meant to draw more Republican votes.
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Top Democrats say it's possible New Hampshire governor could expand Medicaid without legislature's OK
Concord Monitor
The two top Democrats in the New Hampshire legislature said lawyers are exploring the possibility that Democratic Gov. Maggie Hassan could expand New Hampshire's Medicaid program without legislative approval.
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GOP governor invites Sebelius to meet on Medicaid expansion
The Hill
Michigan Gov. Rick Snyder said that he asked Health Secretary Kathleen Sebelius to meet with state officials on a proposal to cap Medicaid benefits for able-bodied adults. Officials remain divided on whether to pursue the Medicaid expansion available under President Barack Obama's healthcare law, a topic that would inevitably figure in the conversation with Sebelius.
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Kansas residents with mental illness would benefit from Medicaid expansion
Kansas Health Institute
If the state of Kansas expands its Medicaid program, more than 21,000 uninsured Kansans who are also known to be mentally ill would have access to the care they need, according to a report released by the National Alliance on Metal Illness.
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Truven Health Analytics projects Affordable Care Act will add 6 million Americans to Medicaid, 21 million to affordable insurance exchanges
Business Wire via Insurance Technology
Truven Health Analytics, formerly the Healthcare business of Thomson Reuters, has released a study that projects the impact to states, health plans and healthcare providers of insurance coverage expansion under the Affordable Care Act.
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'To play or not to play: Dual Eligible Integration Models, Challenges and Critical Success Factors:' A free webinar by PwC | June 12 | 3 p.m. EST
PwC
The Dual Eligible Financial Alignment Demonstration and state waivers are changing the face of the dual eligible marketplace. States are tackling dual eligibles in different ways, which means that plans cannot approach this population as "one size fits all." Health plans need to understand their market and regulatory environment and then consider if, when and how to successfully enter this market.

Objectives:
  • Gain insights into the arrangements states are using to manage the duals population
  • Understand the challenges and opportunities for health plans as the new marketplace evolves
  • Understand the success factors required to prevail in the new duals marketplace
  • Gain awareness of solutions being used by plans as they pursue participation in new state programs

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'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.
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'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.
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FEATURED ARTICLE
TRENDING ARTICLE
MOST POPULAR ARTICLE
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.

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Texas Legislature passes measure to prevent Medicaid expansion
Reuters via The Texas Tribune
Texas Gov. Rick Perry notified the Obama administration last summer his state would not expand Medicaid, which provides healthcare for low-income people. He repeated his opposition in an April news conference at which he called expansion "foolish."

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Details emerge on Arkansas 'private option' for Medicaid expansion
Arkansas Times
The House and Senate Public Health committees met to hear updates on the "private option" plan for expanding healthcare coverage.

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Deloitte job opportunities
Deloitte Consulting LLP
Health plans face a number of unique market and regulatory pressures that impact how they conduct business today and in the future. Deloitte Consulting LLP is one of the world's leading management consulting firms for executable strategy, operations, technology and human capital advisory services, and it is uniquely positioned to provide business solutions to our clients.

Deloitte's Government Programs practice is seeking candidates who have consulting, compliance and operational experience as it relates to Medicaid, Medicare Advantage, and Medicare D plans.

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Navigant job opportunities in DC, Chicago areas
Navigant

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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.
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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.
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TRENDING ARTICLES
Missed our previous issues? See which articles your colleagues read most.

    States: Medicaid managed care ready for new enrollees (The Hill)
Details emerge on Arkansas 'private option' for Medicaid expansion (Arkansas Times)
Texas Legislature passes measure to prevent Medicaid expansion (Reuters via The Texas Tribune)
Budget plan presses New Hampshire hospitals to join managed care networks (Pharmacy Choice)
MHPA reception with Chairman Fred Upton, legislative fly-in (MHPA)

Don't be left behind. Click here to see what else you missed.


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.
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MHPA on Twitter, LinkedIn and Facebook
MHPA
Follow us on Twitter, LinkedIn and Facebook to get industry-related news and the latest MHPA announcements.
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