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In health care ruling, vast implications for Medicaid
The New York Times    Share    Share on FacebookTwitterShare on LinkedinE-mail article
As a construction worker and logger, Bryan L. Mashburn does what he describes as "backbreaking, muscle-pulling work," laying concrete foundations for water towers and felling 3,000-pound trees. More

Q&A: Supreme Court's decision on Obama's health care law unlikely to be the last word
The Associated Press via The Washington Post    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Some are already anticipating the Supreme Court's ruling on President Barack Obama's health care law as the "decision of the century." But the justices are unlikely to have the last word on America's tangled efforts to address health care woes. More

Obama administration would move ahead on parts of health law left intact by ruling
The Associated Press via Newser    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Covering all the bases ahead of a momentous Supreme Court ruling, the Obama administration plans to move ahead with major parts of the president's health care law if its most controversial provision does not survive, according to veteran Democrats closely involved with the legislation. More

Health care ruling voiding mandate could unravel law
The Washington Times    Share    Share on FacebookTwitterShare on LinkedinE-mail article
A Supreme Court decision to rule against the individual mandate that requires Americans to buy insurance coverage would sour the health care industry on President Barack Obama's health care reforms. But the extent of the damage such a ruling would create has a lot to do with whether the sickest Americans will still be able to enter the insurance market. More

Driving engagement, reducing healthcare costs

Healthx is the leading developer of portals and applications for the healthcare market. Over 130 payers and 39,000 groups, representing over 12 million individual lives, use our technology solutions. From our member and provider portals to our
mobile applications, we help payers increase constituent engagement while reducing costs. Visit

New Keeping You Healthy video 'Foster Care' by UPMC Health Plan
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
MHPA President and CEO Thomas Johnson talks with Lindsay Moore of UPMC Health Plan about UPMC's Foster Care program. This best practice's goal was to improve the coordination of physical and behavioral health care of children in foster care in Allegheny County, Pa. The interventions developed focused on better communication and care coordination among the physical and behavioral health managed care organizations. More

DST Health Solutions hosts Integrated Care Management Panel Discussion at AHIP Institute 2012
PRNewswire via Las Vegas Business Press    Share    Share on FacebookTwitterShare on LinkedinE-mail article
DST Health Solutions, will host "Integrated Care Management Beyond the Health Plan Walls," an industry panel discussion, during AHIP (America's Health Insurance Plans) Institute 2012, June 20-22, in Salt Lake City. More

UnitedHealthcare extends commitment to helping Floridians live healthier lives with completion of Preferred Care Partners, Medica HealthCare Purchases
Pharmacy Choice    Share    Share on FacebookTwitterShare on LinkedinE-mail article
UnitedHealthcare, a UnitedHealth Group company, has completed its planned purchase of Preferred Care Partners and Medica HealthCare Plans, senior-focused health plans with operations primarily in South and Central Florida. More

LIBERTY Dental Plan

A national leader in providing dental benefits for Medicaid, CHIP and Medicare programs;

• Nationwide Network
• Comprehensive Dental Disease Management
• Predictable Costs with Quality Programs

MHPA submits comments on Primary Care Payment proposed rule
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
On June 11, MHPA offered comments on the Primary Care Payment proposed rule that seeks to implement provisions in the Affordable Care Act that would require that primary care services provided in Medicaid by certain physicians be reimbursed at Medicare levels in 2013-2014. This letter states the support of MHPA member health plans for higher payments, but also provides comments on many other issues including the state responsibility to inform Medicaid health plans which physicians will receive higher payments; clarity on which physicians specifically should receive higher payments; standardization of qualifying criteria for physicians across state lines; and transparency regarding the total physician payment increase to Medicaid health plans to ensure that plans pass the full payment increase to physicians. Click here to read the full letter. More

Report to the Congress on Medicaid and CHIP
MACPAC    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Medicaid and CHIP Payment and Access Commission was established in the Children's Health Insurance Program Reauthorization Act of 2009, and its charge was later revised in the Patient Protection and Affordable Care Act of 2010. Appointed by the U.S. Comptroller General, the 17 Commissioners have diverse backgrounds, offer broad perspectives on Medicaid and CHIP, and represent different regions across the United States. More

Louisiana Medicaid pharmacy program changes in the works
The Associated Press via New Orleans City Business    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Louisiana's state health department wants to add a pharmacy benefit to private insurance networks that are providing health care for much of the poor who receive coverage through Medicaid. More

Florida in holding pattern as health care ruling nears
Pensacola News Journal    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Supreme Court's upcoming decision on the 2010 health care reform law will set off a scramble in Florida — no matter what the court decides. More

Supreme Court ruling on health care could force California to 'rethink everything'
Santa Cruz Sentinel    Share    Share on FacebookTwitterShare on LinkedinE-mail article
When President Barack Obama's health care overhaul became law two years ago, California lawmakers jumped into action. More

Georgia Medicaid faces daunting budget challenges
Georgia Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Georgia Medicaid agency has a projected $300 million hole to fill in next year's budget. If the shortfall remains at that level, the financial request to the General Assembly will be "very high" from a historical perspective, said Vince Harris, chief financial officer of the Department of Community Health, after the agency's board meeting. More

Advocates for poor condemn Illinois Medicaid cuts
The Associated Press via to St. Louis Post-Dispatch    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Advocates for the poor, disabled and elderly criticized Illinois Gov. Pat Quinn for signing legislation that cuts $1.6 billion from state health care spending. More

Medicaid decision looms for Virginia in health care debate
Richmond Times-Dispatch    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Nothing is more important to health care reform in Virginia than expansion of Medicaid. With an estimated 1 million residents uninsured, the Patient Protection and Affordable Care Act would make up to 425,000 people in Virginia eligible for Medicaid health coverage beginning on Jan. 1, 2014. More

Implementing the Federal health law in Rhode Island: More than insurance access
Kaiser Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Rhode Island has a long tradition of health policy innovation. The state's ambitious health agenda, under the leadership of Gov. Lincoln Chafee, focuses not only on insurance access but on improving the value of medical care in the state.  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
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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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