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In health care ruling, vast implications for Medicaid The New York Times Share ![]() ![]() ![]() ![]() 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 ![]() ![]() ![]() ![]() 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 ![]() ![]() ![]() ![]() 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 ![]() ![]() ![]() ![]() 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
New Keeping You Healthy video 'Foster Care' by UPMC Health Plan MHPA Share ![]() ![]() ![]() ![]() 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 ![]() ![]() ![]() ![]() 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 ![]() ![]() ![]() ![]() 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
MHPA submits comments on Primary Care Payment proposed rule MHPA Share ![]() ![]() ![]() ![]() 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 ![]() ![]() ![]() ![]() 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 ![]() ![]() ![]() ![]() 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 ![]() ![]() ![]() ![]() 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 ![]() ![]() ![]() ![]() 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 ![]() ![]() ![]() ![]() 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 ![]() ![]() ![]() ![]() 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 ![]() ![]() ![]() ![]() 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 ![]() ![]() ![]() ![]() 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
Dual Eligible Strategies for Managed Medicaid | Monday, June 25 at 11am ET MHPA Share ![]() ![]() ![]() ![]() 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 Register for MHPA's 2012 Annual Meeting | October 24-26 MHPA Share ![]() ![]() ![]() ![]() 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 http://www.mhpa.org/Events/2012_Annual_Meeting/. 2nd Annual Leadership Summit on Medicaid | July 24-25, Arlington, Va., Early Bird Rate Expiring Soon The World Congress Share ![]() ![]() ![]() ![]() 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 ![]() ![]() ![]() ![]() 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 tpowers@healthcare-conferences.com. More Banner advertising available with MHPA NewsBriefs MHPA Share ![]() ![]() ![]() ![]() 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 jdebois@multiview.com. MHPA on Twitter, Facebook and LinkedIn MHPA Share ![]() ![]() ![]() ![]() Follow us on Twitter, and Facebook and LinkedIn to get industry-related news and the latest MHPA announcements. |
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