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Dual Eligible Strategies for Managed Medicaid | Monday, June 25, at 11 a.m. Eastern time
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, presented by Brian Burwell, Vice President, Community Living Systems at Truven Health Analytics and Paul Saucier, Director of Integrated Care Systems at Truven, will provide an overview of the projected growth in managed LTSS, and highlight selected strategies for how plans can successfully compete in this marketplace.


Cassidy Medicaid reform bill would set FMAP at 76 percent for all states    Share    Share on FacebookTwitterShare on LinkedinE-mail article
U.S. Rep. Bill Cassidy, R-La., introduced a bill Wednesday that would set the federal government's share of every state's Medicaid expenditures at 76 percent — the highest of any state today — and would determine federal payment to state Medicaid programs based on a risk-adjusted per-capita calculation in four categories of Medicaid beneficiaries. The bill would let states combine Medicaid and Medicare payments for dual eligibles. However, in exchange for setting the federal medical assistance percentage at 76 percent for all states, states no longer would be allowed to use provider taxes or intergovernmental transfers to bring in more federal funding. More

Tensions rise as justices kick healthcare ruling to next week
The Hill    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Supreme Court did not rule on President Barack Obama's healthcare law Thursday, raising tensions before a decision next week. The ruling was possible Thursday but not expected. The court traditionally holds its biggest decisions until the last day of the term, and the healthcare case is among the most highly anticipated decisions in decades, overshadowing the current term. The next possible day for a decision is Monday, but justices will add more days to the schedule later next week. More

Court challenge could result in Medicaid cutbacks instead of expansion
Kaiser Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The future of the nation's largest health insurance program — Medicaid — hangs in the balance of the Supreme Court's decision on the 2010 health law. The state-federal program which covers 60 million poor and disabled people would be greatly expanded under the health law, adding 17 million more people starting in 2014. But if the entire law is struck down, states for the first time since 2009 would be free to tighten eligibility and make it more difficult for people to apply. The law had barred such changes. 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

Experts predict Supreme Court won't strike more than mandate; ruling could be 'anti-climactic'    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Key health policy experts said Wednesday they do not believe that the Supreme Court will do more than strike the health law's individual mandate — if they decide at all that a part of the law is unconstitutional — and the highly watched high court ruling very well could be "anti-climactic." Two of the experts suggested stakeholders focus their attention on post-election budget negotiations, which they said could lead to a one-year delay of the law even if it is upheld by the high court. More

Experts: Healthcare reform law will survive even if mandate doesn't
Christian Science Monitor via Yahoo News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
When the U.S. Supreme Court rules on President Barack Obama's Affordable Care Act, there's a distinct possibility that the federal mandate requiring most people to buy health insurance — a pillar of the law — will be declared unconstitutional. So if just the mandate goes, does the rest of the law fall apart? In a word, no. Healthcare experts, gaming out scenarios for how the court might rule, say the end of the mandate indeed means that some people wouldn't buy insurance — but if the court lets stand other provisions of the law, the ranks of the insured will still go up. More

WellCare grants $100,000 to help Texas seniors with chronic conditions
WellCare Health Plans Inc., via Yahoo Finance    Share    Share on FacebookTwitterShare on LinkedinE-mail article
WellCare Health Plans Inc., a leading nationwide provider of Medicare and Medicaid health insurance plans, presented a $100,000 grant to the Texas A&M Health Science Center Program on Healthy Aging and launched a new public-private partnership that will focus on conducting evidence-based research and addressing chronic illness among older populations in Texas. WellCare and Texas A&M Health Science Center will be working in partnership with the Houston YMCA, Neighborhood Centers Inc., Catholic Charities, Gateway to Care, Harris County Area Agency on Aging, Houston-Galveston Area Agency on Aging, and Texas Department of Aging and Disability Services to conduct a series of Better Choices, Better Health workshops that expand current programming into the Houston-Galveston area. 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

Category leader will bring innovative multichannel communications to engage members
Pharmacy Choice    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Altegra Health, a national provider of technology-enabled, performance-improvement services to health plans, announced the acquisition of Warm Health. Based in Minneapolis, Warm Health is a category leader in providing innovative, multichannel care management, quality measurement, and health education communications to health plan members throughout the United States. Altegra Health leads the healthcare industry with business and technology solutions that improve health plan performance by aligning member health status, member benefits, and accurate reimbursement. More

CMS tells New Jersey that adults on CHIP can be 'newly eligible' Medicaid beneficiaries    Share    Share on FacebookTwitterShare on LinkedinE-mail article
A trio of New Jersey lawmakers praised CMS for allowing adults covered under the state's CHIP program — called FamilyCare — to be counted as "newly eligible" Medicaid beneficiaries, meaning they will be 100 percent covered by the federal government for the first two years of the health reform law's Medicaid expansion. The Democratic lawmakers had been working with CMS on the issue since being approached by state officials, and applauded CMS' decision, outlined in a June 18 letter to the state's Department of Health and Human Services. It is unclear to what extent CMS' stance on the New Jersey program has implications for other states. More

Imminent court ruling could undercut California's health plans
The Sacramento Bee    Share    Share on FacebookTwitterShare on LinkedinE-mail article
It was just three months ago that the Brown administration, following arguments before the U.S. Supreme Court over the fate of the federal healthcare overhaul, promised to press forward with provisions of the law even if the court struck part or all of it down. If the court did rule the law unconstitutional, California Health and Human Services Secretary Diana Dooley said at the time, the state might consider enacting legislation of its own. Three months later — with the court's ruling now imminent — it is clear some provisions of the law will almost certainly remain intact More

Florida to carry out health law if upheld by court
The Associated Press via Yahoo News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Florida's Republican governor — one of the staunchest opponents of President Barack Obama's healthcare overhaul — says his state will carry out the law if the Supreme Court upholds it. Gov. Rick Scott told reporters Wednesday: "If it is the law of the land, then we are going to comply." The highly anticipated ruling is expected before the end of next week. More

North Carolina Medicaid director is out of a job
The Associated Press via Rocky Mount Telegram    Share    Share on FacebookTwitterShare on LinkedinE-mail article
A management shake-up within North Carolina's health department settled Tuesday with the dismissal of the state Medicaid director, days after it became public that the government health insurance program faces a larger shortfall this year than previously expected. State Department of Health and Human Services acting Secretary Al Delia announced several changes that left Dr. Craigan Gray out of a job. Gray has been director of the Division of Medical Assistance since 2009 and managing Medicaid. More

Register for MHPA's 2012 Annual Meeting | Oct. 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

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

2nd Annual Leadership Summit on Medicaid | July 24-25, Arlington, Va., early-bird rate expiring tomorrow
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
Thomas Johnson, president and CEO of MHPA, participates as a faculty member of the 2012 Dual Eligibles Best Practices Summit. 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 More

'Reducing readmissions and length of stay' webinar slides posted on MHPA website
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Did you miss last week's free webinar "Reducing readmissions and length of stay" by VITAS? View the slides from that webinar here.

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