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Home   About   Policy & Advocacy   Education & Resources   Events   Contact Us June. 16, 2011
MACPAC's June report released: Managed care focus
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The Medicaid and CHIP Payment and Access Commission released their June report that presents a baseline description of managed care in Medicaid.

The Report is divided into seven policy areas:
  • Context and Overview of Medicaid Managed Care
  • Populations and Enrollment in Medicaid Managed Care
  • Managed Care Plans
  • Payment Policy in Medicaid Managed Care
  • Access and Quality in Managed Care
  • Program Accountability, Integrity, and Data
  • Issues Facing Medicaid and CHIP Managed Care
View the fact sheet or the full report.

States to cut Medicaid benefits as federal help ends
The New York Times via The Boston Globe    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Faced with a deepening recession two years ago, the Obama administration injected billions of dollars into Medicaid, the nation's low-income health program. The money runs out at the end of this month, and benefits are being cut for millions of people, even though unemployment has increased. More

Hatch vague on attaching Medicaid cuts to debt vote deal
The Hill    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Sen. Orrin Hatch, R-Utah, said he believes he can marshal bipartisan support for a bill to let states cut their Medicaid programs, but he didn't indicate whether the bill's cost savings could help it find a place in a deal on the debt ceiling. Medicaid advocates are openly concerned about Hatch's bill, which would repeal "maintenance of effort" provisions in the healthcare reform law that block states from cutting Medicaid eligibility before 2014. 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

Republican governors seek Medicaid flexibility
Bloomberg    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Republican governors are renewing a push for more flexibility in running Medicaid health programs for the poor, urging Congress to roll changes into a debt-cutting deal federal lawmakers are negotiating. Twenty-nine Republican governors asked for more independence from the U.S. in designing and running programs in a June 13 letter to Senator Orrin Hatch, R-Utah, the top Republican on the Senate Finance Committee. Medicaid is being expanded as part of the 2010 U.S. health care overhaul. More

Negotiators consider Medicaid cutbacks
The Wall Street Journal (subscription required)    Share    Share on
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The Medicaid program for the poor is facing significant cuts in an emerging bipartisan budget deal as Republicans seek to shrink entitlements and Democrats protect other priorities. Vice President Joe Biden and a group of negotiators from both parties met for the eighth time at the Capitol, seeking an agreement that would pave the way for Congress to raise the debt ceiling. More

The Health Literacy Advisor

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Penn study finds doctors delaying or rejecting specialty care for publicly insured children
The Philadelphia Inquirer    Share    Share on FacebookTwitterShare on LinkedinE-mail article
A University of Pennsylvania study in which callers posed as mothers seeking pediatric specialty care found that two-thirds of publicly insured children were refused a doctor's appointment, compared with only 11 percent of privately insured children. Even the low-income children who were not rejected had to wait an average of 42 days for appointments for urgent conditions such as diabetes, seizures, asthma, or a bone fracture - 22 days longer on average than children with private insurance. More

Snyder declines to sign GOP governors' Medicaid letter
The Detroit News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Michigan Gov. Rick Snyder is the nation's only Republican governor not to sign a letter to Congress outlining a seven-point plan the governors say will improve Medicaid. Asked why he didn't sign, Snyder said his top priority at the moment is education reform and government reform in Michigan. He noted he will deliver a special message on health and wellness in September. More

Accountable care is not just for Medicare
Healthcare Finance News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Applying the principles of coordinated and integrated care beyond the Medicare market is essential if this country is going to successfully manage healthcare costs. The momentum is beginning to build across both the private and government sectors – even before Medicare ACOs become a reality. More

AHRQ to study how to overcome Medicaid meaningful use challenges
Becker's Hospital Review    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Agency for Healthcare Research and Quality plans to develop technical assistance and support for Medicaid providers who struggle to meet meaningful use requirements, according to a Government Health IT news report. In order to develop its recommendations, AHRQ will survey 300 Medicaid health care providers to better understand the challenges they face when adopting and using electronic health records. The study, which will span over a two-year period, will also help guide development of stage 2 and 3 meaningful use requirements. More

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Job opportunity: MHPA seeks director for its Center for Best Practices

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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

MHPA on Twitter, Facebook and LinkedIn
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Follow us on Twitter, become a fan of our Facebook page or see our profile on LinkedIn to get industry-related news and latest announcements. More

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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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