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State officials submit first quarterly KanCare report to feds
Kansas Health Institute
Kansas officials have made public their first quarterly report to federal authorities on the progress of KanCare, Gov. Sam Brownback's initiative to move virtually all the state's Medicaid enrollees into privately run managed care plans.
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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.
'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.
PRODUCT SHOWCASE
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TMG Health has the experience and proven solutions you need
for SUCCESS in the Managed Medicaid, Medicare Advantage, and Medicare Part D markets. Our purpose-built applications ensure the highest level of ACCURACY and COMPLIANCE for Enrollment, Eligibility, Reconciliation, Premium Billing, Print Fulfillment,
Call Center, Claims Processing, and more. Contact us.
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House panel vote rejects Arizona Medicaid expansion
Capitol Media Services via Arizona Daily Sun
With all Republicans opposed, a House panel voted to reject the proposal by Arizona Gov. Jan Brewer to use federal dollars to expand the state's Medicaid program. Foes said they cannot count on Washington, D.C., to continue the flow of money to add 300,000 or more to the rolls of the Arizona Health Care Cost Containment System. And that, they said, will leave Arizona taxpayers holding the bag when the federal cash dries up.
Community Catalyst launches new dual eligibles advocacy project
InsideHealthPolicy
Community Catalyst recently launched the "Voices for Better Health" project to boost the role of advocates in Michigan, New York, Ohio and Washington, as the states continue with demonstrations to coordinate care for those dually eligible for Medicare and Medicaid. The multi-year project is funded by a $3 million grant from The Atlantic Philanthropies and will seek to institutionalize ways to make dual eligibles active and meaningful participants in the demonstrations, Community Catalyst said.
California 'de-links' mandatory enrollment from duals project
California Healthline
The Department of Health Care Services recently announced a new provision of Cal MediConnect that would establish a means of abandoning the state of California's duals demonstration project if it doesn't meet a financial benchmark.
Doctors brace for pain as 10 percent cut to Medi-Cal rates looms
Los Angeles Times
Upcoming cuts in California, which will affect physicians, dentists and pharmacists, were enacted in 2011 to counter a budget deficit. But with the state on surer footing, medical providers want to restore funds for poor Californians.
Mississippi's Medicaid plan may fail
Politico
A partisan feud over Obamacare's Medicaid expansion is threatening health care for thousands of low-income and elderly Mississippians whose coverage could be in jeopardy at the end of the month if lawmakers don't come to a consensus. Both Republican Gov. Phil Bryant and Democratic state lawmakers face pressure to resolve their staring contest.
Members propose bipartisan reforms to stop Medicare, Medicaid waste
The Hill
A bipartisan group of House and Senate members has introduced legislation aimed at cutting billions of dollars of waste, fraud and abuse from Medicare and Medicaid. The Preventing and Reducing Improper Medicare and Medicaid Expenditures (PRIME) Act is an attempt to find a middle-ground solution to the problem of waste in the country's two huge health programs.
SHOWCASE
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Learn the latest tailored ways your plan can save. Visit Booth 451 at AHIP's Institute 2013.
Drawing for a $500 gift card. Photo booth. Fun.
CELEBRATE CHOICES
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Key lessons from Medicaid and CHIP for outreach and enrollment under the Affordable Care Act
The Henry J. Kaiser Family Foundation
Based on a review of existing research, this brief from the Kaiser Commission on Medicaid and the Uninsured identifies five key lessons learned through previous Medicaid and CHIP experience to help inform outreach and enrollment under the Affordable Care Act.
Meridian Health Plan wins CIO 100 award
PR Newswire via EIN Presswire
Meridian Health Plan was named a 2013 CIO 100 award recipient by IDG's CIO magazine. This annual award program recognizes organizations around the world that exemplify the highest level of operational and strategic excellence in information technology.
New payer enterprise platform from DST Health Solutions responds to health plan industry needs
PR Newswire via SYS-CON Media
DST Health Solutions, LLC, a leading provider of technology solutions and services to health plans, integrated delivery systems, and healthcare providers, has announced the launch of Exeter 1.0, a next-generation enterprise payer platform.
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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.
Navigant job opportunities in DC, Chicago
Navigant
Navigant is a specialized, global expert services firm dedicated to assisting clients in creating and protecting value in the face of critical business risks and opportunities. Navigant's Healthcare Practice strives to be the premier independent management consulting practice assisting senior level healthcare executives deal with their core business challenges.
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.
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.
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.
Missed our previous issues? See which articles your colleagues read most.
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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