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As House votes to scrap device tax, stakeholders urge action on health insurance tax; MHPA comments
Inside Health Policy (Subscription required)
The House's move to repeal the health law's medical device tax on June 18 quickly spurred a coalition of stakeholders urging Congress to likewise repeal the ACA's tax on health insurers.

"The health insurance tax was ill-conceived policy from the start, but it's especially nonsensical for Medicaid plans," said Jeff Myers, President and CEO of MHPA. "A better use of these funds would be to help Medicaid improve the care for our country’s sickest and poorest citizens."
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CMS rattles Medicaid directors with guidelines for managed-care rates
Modern Healthcare
New CMS guidelines intended to ensure Medicaid managed care plans are adequately reimbursed will frustrate state agencies and create paperwork the CMS might not have the staff to handle, according to the National Association of Medicaid Directors. The agency issued an under-the-radar, 17-page Medicaid managed care rate guidance on June 5 that wasn't posted through traditional policy channels like the Federal Register or Medicaid.gov's home page.
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June 24 Webinar Wednesday: 'The New Frontier: Measuring Patient Engagement and Experience'
Avalere Health
Why "pay and chase" when you can cost avoid? It's not easy to discover if a Medicaid enrollee has primary commercial coverage at the point of sale — costing time and money, chasing reimbursements for claims that others should have paid. On average less than 17 percent of the dollars billed to primary insurers are paid back to Medicaid plans that paid claims in error.

This webinar will focus on a very unique and powerful data source that has the potential to revolutionize the way Pharmacy & Medical OHI (Other Health Information) is discovered. Cost avoidance is more attainable than ever before. Capture savings by having the latest active insurance coverage information available to you in real time.

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Uninsured rate falls one-fifth under Obamacare
The Hill
The uninsured rate declined by nearly one-fifth to 16 percent of the population in the first year of Obamacare's coverage expansion, according to federal data released Tuesday. The uninsured rate in states that expanded Medicaid fell from 18.4 percent to 13.3 percent last year. The drop was much smaller in non-expansion states, at 22.7 percent to 19.6 percent.
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Health plan bolts dual-eligible demo in Massachusetts
Modern Healthcare
A troubled Massachusetts managed-care program for low-income people who are dually eligible for Medicaid and Medicare will continue despite one of its leading plans dropping out of the program. Nearly two years ago, Massachusetts became the first state to enter into an agreement with the CMS to offer dual-eligible beneficiaries coverage plans that combined Medicaid and Medicare benefits into one plan to better coordinate their care. Enrollment in the so-called One Care program began Oct. 1, 2013. Participation is optional, but beneficiaries must explicitly opt out.
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Florida's battle over health care likely to return in 2016
The Associated Press via The Baltimore Sun
A bruising budget battle that divided Republicans in the Florida Legislature is over for now, but the truce is likely only to last a few months. Legislators passed a nearly $79 billion budget Friday with just days to spare. Legislators had until July 1 to pass a budget or state government would have been partially shut down. They didn't pass a budget during their regular session because they were divided over health care spending. That sparked a stalemate — and finger-pointing will remain when legislators return for their 2016 session.
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Missed an issue of MHPA's Industry NewsBrief? Click here to visit the brief's archive page.


Tennessee says lawsuit not needed to protect TennCare applicants
The Associated Press via The Baltimore Sun
An attorney for the state of Tennessee told a federal appeals court Thursday that a court order is not needed to protect TennCare applicants because they are no longer being left in indefinite limbo. The state wants the court to dismiss on technical grounds a lawsuit filed last July by applicants for TennCare, the state's version of Medicaid.
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Failed Medicaid foot care proposal could cost Nevada taxpayers more
Las Vegas Review-Journal
A proposal to include routine foot care by podiatrists for adult Medicaid recipients failed to gain the Nevada Legislature's approval this year. But Nevada podiatrists say the state risks spending more money to address bigger problems that could be prevented.
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July 8 Webinar Wednesday: 'Transforming Medicaid
Member Communications'

HealthCrowd
Join Neng "Bing" Dohing, CEO of HealthCrowd, for a presentation on how macro healthcare trends are requiring a transformation in Medicaid member communications. This webinar will cover current hot topics including how to scale text messaging programs to affect HEDIS scores, using multiple modalities "in concert" to improve member experience while optimizing outreach budget, the need to move away from transactional communications, and how to make each outreach campaign better than the last. Accompanied by case studies and even comics, this Wednesday webinar will be one every health plan employee can derive value from.
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Did you miss Webinar Wednesday: 'The Latest Trends in OHI Discovery and Cost Avoidance for Payers of Last Resort'?
MHPA
Download the presentation (PDF).
View and listen to the webinar recording.

For additional information, please contact Stephen N. Konsin, or visit www.syrtissolutions.com.

For copies of other past webinars, visit here.

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Philadelphia Asthma Summit set for June 26
U.S. Housing and Urban Development
The Philadelphia Asthma Summit will take place from 8 a.m. to 4 p.m. on Friday, Jun 26, at the Children's Hospital of Philadelphia. This is the fifth asthma summit that the U.S. Housing and Urban Development has hosted in collaboration with federal, state and local partners.

While each meeting is unique, the overall intent is to advance the conversation locally (state or region) around securing sustainable financing for in-home services targeting children disproportionately impacted by asthma. This Philadelphia Asthma Summit is designed to meet this intent with a specific focus on promoting the value of home-based interventions for children with poorly controlled asthma and reimbursement mechanisms for these services by healthcare insurers for children in low-income households.

Health plans participating in the meeting will hear perspectives and experiences from other health plans serving Medicaid populations. The meeting agenda includes a "Payers' Perspectives Panel" featuring Family Health Network (Barbara Hay, Retired COO), Keystone First (Dr. Lily Higgins, Medical Director) and Aetna Better Health (Dr. Guerra-Garcia, Chief Medical Officer).

RSVP here.

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Job opportunity: Vice president of marketing and sales | Chalfont, PA
Project Transition
Project Transition enables people with serious mental illness, co-occurring substance use disorder and/or a dual diagnoses of SMI and IDD live meaningful lives in the community on terms they define. This position is responsible for the planning, development, and implementation of marketing and sales strategies. View the complete job description.

To apply, please email your resume to Adorable Harper.

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Job opportunity: Senior Medicaid Strategist | Raleigh-Durham, NC
North Carolina Department of Health and Human Services
The Senior Medicaid Strategist has responsibility for the execution of the day to day activities in all efforts related to implementing Medicaid Reform for DMA. This position acts a project manager by directing internal and external resources to successfully operationalize reform policy. This individual will report directly to the DHHS Deputy Secretary for DMA.

For more details and to apply: click here.

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Job opportunity: RN, manager, Clinical Health Services,
pre-authorization | Detroit

Aetna
Aetna seeks an experienced RN with managed care, leadership and prior authorization expertise. Reinforces clinical philosophy, programs, policies and procedures. Ensures implementation of tactics to meet strategic direction for cost and quality outcomes. Creates direction and communicates a business case for change by focusing on and addressing key priorities to achieve business results. Identifies opportunities to implement best practice approaches and introduce innovations to better improve outcomes.

Visit here and search for requisition #24937BR to learn more and apply.

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