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Senate Democrats beat back attempts to defund health care law
The Hill    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Democrats on the Senate Appropriations Committee on Thursday beat back attempts by Republicans to use the 2013 Labor, Health and Human Services bill to defund President Obama's health care reform. The bill was reported out to the Senate on a party-line 16-14 vote, a break from the normally bipartisan nature of the spending panel. More

MedPAC to critique duals demo in June report; Ways and Means plans hearing    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The June report to Congress from the Medicare Payment Advisory Commission will critique the state-led demonstrations on dual-eligible beneficiaries, according to a House Ways and Means release announcing a health subcommittee hearing on the broader report. Some stakeholders, including seniors advocates, say CMS and states are implementing the demo too aggressively, and a few MedPAC members have also raised concerns with the program, but the commission up to now had declined to say if it would weigh in on the demo before CMS negotiates agreements with states and private health plans that are running them. More

Finance GOP: Duals demo should not surpass 2 million people, maintain Part D    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Several Republican Senate Finance Committee members are telling CMS that they have significant reservations about the financial alignment demonstration to integrate care for those dually eligible for Medicare and Medicaid, saying many state demonstration proposals show there is potential for harm to Part D and the contract process to choose health plans may not be competitive. More

Projections: ACA will have small impact on spending growth
Politico    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Health care spending will spike in 2014 as millions of people gain coverage, but the overall rate of annual growth for the decade ending in 2021 will average 5.7 percent — 0.9 percentage point faster than the economy, according to new Centers for Medicare & Medicaid Services projections released Wednesday. More

Driving engagement, reducing healthcare costs

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AHIP seeks to phase in age band compression, repeal insurer fee pre-SCOTUS ruling    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The insurance industry will continue to push for a phase-in to the health law requirement that limits, starting in 2014, the amount insurers can charge older patients for premiums to three times the cost of what younger consumers pay, America's Health Insurance Plans President and CEO Karen Ignagni told Inside Health Policy in a recent interview. More

State Medicaid spending outpacing all other expenditures, report says
Bloomberg BNA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Medicaid has been the largest single expenditure in state budgets in recent years, accounting for nearly 24 percent of total state spending in fiscal year 2011, according to a report released June 12. In addition, the report by the National Governors Association (NGA) and the National Association of State Budget Officers (NASBO) said state spending on Medicaid increased by 20 percent in the next fiscal year, 2012. More

GOP probes $10 billion innovation center in health law
The Hill    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Rep. Charles Boustany, R-La., questioned Wednesday whether President Obama's health care law is wasting money with its efforts to create a more efficient health care system. The Affordable Care Act created the Center for Medicare and Medicaid Innovation (CMMI), which will test new models for lowering cost and improving quality. The law gave the CMMI $10 billion over the next 10 years — money that may be going to waste, Boustany said. More

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Bill to strike 'mentally retarded' from US code
The Hill    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Bipartisan legislation introduced Wednesday would strike the term "mentally retarded" from the section of the U.S. Code that governs major federal entitlements. The bill from Sens. John Kerry, D-Mass., and Chuck Grassley, R-Iowa, would also expand the mental health services available to young people on Medicaid. More

Illinois Gov. Quinn signs Medicaid cuts
Chicago Tribune    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Gov. Pat Quinn signed a package of bills into law Thursday that will slash health care coverage for the poor and hike cigarette taxes by $1-a-pack to help pay for the struggling Medicaid program. The $1.6 billion in cuts to the program come amid the state's ongoing budget problems despite last year’s major income tax increase. More

California Democrats ready to send Gov. Jerry Brown a budget that rejects $1 billion in cuts
The Sacramento Bee    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Legislative Democrats are poised to send Gov. Jerry Brown a budget that avoids deep new cuts in safety-net programs while reducing state worker pay and taking funds from courts and counties. To help bridge a $15.7 billion deficit, the Democratic governor has asked his own party's lawmakers to overhaul welfare-to-work, slash in-home care and require low-income students to earn higher grades for scholarship aid. More

Medicaid numbers spike in Minnesota
Star Tribune    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The number of Minnesotans on Medicaid shot up at nearly twice the national rate over the past two years, while state costs soared by 40 percent to surpass $4 billion for the first time. There now are about 733,000 Minnesotans in the state-federal health insurance program for the poor - called Medical Assistance in Minnesota - an increase of 125,000 in two years, according to a new federal study. More

Medicaid Health Plans of America joins steering committee of the STOP Obesity Alliance
STOP Obesity Alliance    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Click here for more.

State of Maryland awards Cognosante $10.1 million contract to support Medicaid Enterprise Restructuring Project
Virtual-Strategy Magazine    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Cognosante, a leading provider of IT services for healthcare organizations, announced it was awarded a contract with the State of Maryland's Department of Health and Mental Hygiene to establish and support the state's Medicaid Project Management Office. The contract, which began on June 4, 2012 is valued at $10.1 million and will continue through May 31, 2016 with two one-year options. More

Understanding the Dual Eligible Opportunity

Dual Eligibles present unprecedented market opportunities, but bring with them unparalleled cultural, financial, and operational challenges. Read GHG’s white paper: Understanding the Dual Eligible Opportunity. MORE

Dual Eligible Strategies for Managed Medicaid | Monday, June 25 at 11am ET
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
An Insights Webinar by Truven Health (formerly Thomson Reuters)

While a small handful of states have used managed care purchasing strategies for long-term services and supports for a number of years, the shift to managed LTSS has grown rapidly, and is expected to grow even more rapidly in 2012. Since LTSS represent a large percentage of total Medicaid spending, this shift represents a major new opportunity for Medicaid Managed Care plans to grow their businesses by effectively addressing the unique needs of these recipients.

This webinar will provide an overview of the projected growth in managed LTSS, and highlight selected strategies for how plans can successfully compete in this marketplace.


Register for MHPA's 2012 Annual Meeting | October 24-26
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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

2nd Annual Leadership Summit on Medicaid | July 24-25, Arlington, Va., Early Bird Rate Expiring Soon
The World Congress    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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, Fla.
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

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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