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MHPA strengthens government affairs team with lobbyist Jeannine Bender
MHPA
Jeannine Bender joins Medicaid Health Plans of America as its new director of government affairs. In this role, Bender will represent MHPA, the leading national trade association for Medicaid managed care plans, before the executive and legislative branches of government, advocating for the industry's key issues. Bender has a significant background in health policy and has a deep understanding of the importance of being able to explain complex issues to federal and state policy makers.
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GAO calls for more oversight of managed care
The Hill
The Government Accountability Office said that state and federal Medicaid auditors need to increase their oversight of managed care organizations. In a new report, the GAO said Medicaid auditors are focusing their efforts on fraud and waste from fee-for-service payments while neglecting managed care organizations. The agency recommends the Centers for Medicare and Medicaid Services issue guidance to require states to audit payments to and by managed care organizations.
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Reform update: Pricey hepatitis C drugs strain Medicaid budgets
Modern Healthcare (login required)
State officials are scrambling to control the burden of Gilead's $1,000-a-pill hepatitis drug Sovaldi, particularly in states that have agreed to cap Medicaid spending under CMS waivers. Oregon plans to invoke an unusual provision of its waiver to deny coverage in all but the most severe cases. Officials estimate it would cost the state $168 million over the next 12 months to buy the drug for every Oregonian believed to have the disease.
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June 25 Webinar Wednesday: 'A Profile of the Concept of Medication Adherence and Strategies to Identify Non-Adherent Patients' by Merck
Merck
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  • Use the 10 Tenets model of medication adherence and the Adherence Estimator® screening tool
Click here to register for this event.

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Report: West Virginia could lose millions in Medicaid money
Charleston Daily Mail
West Virginia could lose roughly $230 million in federal Medicaid funding if it doesn't stop sending payments to healthcare providers facing "credible" accusations of fraud, according to a new report provided to lawmakers. The state Bureau for Medical Services sent that much money between March 2011 and June 2013 to providers accused of several different types of fraud, in violation of the Affordable Care Act, according to Brandon Burton, an analyst with the office of the West Virginia Legislative Auditor.
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Texas parents find access to Medicaid without expansion
The Texas Tribune
Texas' Republican leadership made sure the state didn't expand its Medicaid program to poor, uninsured adults — an optional provision of the Affordable Care Act. But low-income parents here are increasingly getting covered by the joint state-federal insurer anyway — through the Temporary Assistance for Needy Families program.
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Obamacare side effect: Alabama Medicaid enrollment goes over 1 million due to awareness, rule changes
AL.com
Alabama has so far rejected the federal government's proposal to expand Medicaid. Regardless, the Affordable Care Act still had the effect of increasing the size of Alabama's Medicaid rolls. Medicaid enrollment in Alabama jumped up noticeably in January 2014, from around 970,000 to just over 1 million.
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Drug delays cost US healthcare payers millions of dollars
The Wall Street Journal (Subscription required)
Delays to an Indian company's generic versions of three blockbuster drugs annually cost U.S. healthcare payers millions of dollars — and preserve millions of dollars in revenue for the makers of the brand-name versions.
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FEATURED ARTICLE
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MHPA welcomes Trusted Health Plan as newest member
MHPA
MHPA welcomes Trusted Health Plan as its newest member. A local plan, THP serves the people of Washington D.C., by helping them get the healthcare services they need to lead a long and healthy life. Staffed by many D.C. employees committed to serving the community, their headquarters in D.C. ensures convenient access to needy members in the city.

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AHIP: PhRMA wants to talk about anything but drug prices
The Hill
The top health insurance lobby group says drugmakers are trying to distract people from the rising price of drugs. A blog post headline by America's Health Insurance Plans says it all: "Wow, this drug is really expens — Look! A squirrel!!"

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More than 1.7 million consumers still wait for Medicaid decisions
Kaiser Health News and
The Washington Post

While an unprecedented 6 million people have gained Medicaid coverage since September, mostly as a result of the Affordable Care Act, more than 1.7 million more are still waiting for their applications to be processed — with some stuck in limbo for as long as eight months — according to officials in 15 large states.

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Did you miss Webinar Wednesday's 'Behavior change and ROI with Member Engagement & Incentives' by InComm and Finity Communications? Get the slides, other webinar presentations free
MHPA
View or listen to audio for the following webinars:
  • "Behavior change and ROI with Member Engagement & Incentives" by InComm and Finity Communications (PDF)
  • "Medication Monitoring in the Treatment of Substance Use Disorders (SUD)" by Millennium Laboratories (PDF request: Adam Rzetelny, Ph.D.)
  • "Transitioning to Managed Care for Individuals Receiving Long Term Services Support" by Deloitte (PDF request: Kim Donohue)
  • "Effective Administration of Dual Eligibles" by TriZetto (PDF request: Julie Sommer)
View additional webinars here.

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TRENDING ARTICLES
Missed our previous issues? See which articles your colleagues read most.

    MHPA asks OMB for separate Sovaldi analysis in Mid-Session Review (MHPA)
North Carolina governor draws line on Medicaid reform; MHPA's Myers weighs in (Carolina Journal)
Bidding on Georgia Medicaid contract strapped (Georgia Health News)
Michigan to reward Medicaid enrollees for 'personal responsibility' (Kaiser Health News and USA Today)
WellCare eliminates most copays, offers no-cost GED testing, coursework for Kentucky Medicaid members (PRWeb via Pharmacy Choice)

Don't be left behind. Click here to see what else you missed.


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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Colby Horton, Vice President of Publishing, 469.420.2601
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