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35 patient, consumer groups propose beneficiary protections
for duals

InsideHealthPolicy
A coalition of 35 patient and consumer groups outlined beneficiary protections on which they believe CMS should insist when reviewing state proposals to pilot test new approaches to delivering care to residents with both Medicare and Medicaid.
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Working poor losing Obamacare as states resist Medicaid
Bloomberg
Expansion of Medicaid eligibility was intended to provide coverage for the working poor, those with incomes barely exceeding the poverty line yet low enough that they would struggle to make premium payments on insurance bought through the new exchanges set to open Oct. 1. Though last year's U.S. Supreme Court ruling upheld President Barack Obama's 2010 Affordable Care Act, it also let states choose not to expand Medicaid.
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DHS releases draft of 1115 Medicaid waiver request for 'private option'
Arkansas Times
Arkansas still needs federal approval to proceed with the "private option" for Medicaid expansion, approved by the legislature last April. The plan would offer coverage to low-income Arkansans by paying for the full price of premiums for private health insurance on the exchange, rather than using the traditional Medicaid program.
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Michigan governor won't force Senate back in to vote on Medicaid expansion
Detroit Free Press
Gov. Rick Snyder said that he won't try to legally force the Michigan Senate to return from summer vacation to vote on his Medicaid expansion plan. For one thing, it's unclear whether he has the legal power to do so, he said.
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Mississippi governor: Special session won't include Medicaid expansion talk
The Clarion-Ledger
Mississippi state lawmakers are expected to be back at the Capitol on June 27 to deal with Medicaid funding and reauthorization, but Mississippi Gov. Phil Bryant hasn't included Medicaid expansion as an option for discussion.
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Mississippi governor may lose Medicaid authority
Politico
Mississippi Gov. Phil Bryant lacks the legal authority to single-handedly run Medicaid in his state should lawmakers fail to renew it amid partisan squabbling over Medicaid expansion, the state's attorney general has determined.
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Political fight jeopardizes Mississippi's entire Medicaid program
Kaiser Health News
Medicaid and controversy are welded together in many states lately, but for the most part, the wrangling is about "new" Medicaid — the Obamacare expansion of the health program for the poor and disabled. Mississippi, though, is raising the stakes.
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Governor, feds jockey over efforts to expand Medicaid in Pennsylvania
Pittsburgh Post-Gazette
For months, Gov. Tom Corbett has said that without concessions he will not expand Medicaid eligibility in Pennsylvania under the federal healthcare law. Now the Obama and Corbett administrations are increasingly taking their closed-door discussions into public view, as officials from both camps pitch reporters on the reasonableness of their positions.
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Iowa governor signs landmark healthcare expansion legislation
Des Moines Register
Iowa Gov. Terry Branstad enacted a major expansion of state-sponsored healthcare for the poor when he signed the Iowa Health and Wellness Plan into law at a ceremony in Mason City. The bill creates a new public healthcare program for individuals earning up to 100 percent of the federal poverty level and fully subsidizes the purchase of private insurance for those making up to 138 percent.
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Health status, risk factors among those enrolled in Medicaid vs. uninsured, low-income adults potentially eligible under the Affordable Care Act
The Journal of the American Medical Association
Compared with those already enrolled in Medicaid, uninsured adults were less likely to be obese and sedentary and less likely to report a physical, mental, or emotional limitation. They also were less likely to have several chronic conditions.
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Research paper: 'Medicaid Insurance in Old Age'
National Bureau of Economic Research
The old age provisions of the Medicaid program were designed to insure poor retirees against medical expenses. However, it is the rich who are most likely to live long and face expensive medical conditions when very old. We estimate a rich structural model of savings and endogenous medical spending with heterogeneous agents and use it to compute the distribution of lifetime Medicaid transfers and Medicaid valuations across single retirees.
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'Medicaid/Commercial Exchange Churn: Creating Market Advantage:' A free webinar by Altegra Health | Aug. 7 | 3 p.m. EST
MHPA
Health plans that serve both Medicaid and the Commercial Exchange will face operational and financial challenges as enrollee income levels shift. State-specific Medicaid expansion and benefit changes can further exacerbate these challenges. If well managed, enrollee turnover can become a market advantage. This webinar will discuss proactive strategies to address operational, service and financial challenges related to the anticipated turnover between Medicaid and the Exchange enrollees.
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'The Value of Medication Monitoring with Urine Drug Testing in the Clinical Setting:' A free webinar by Millennium Labs | Aug. 21 | 3 p.m. EST
MHPA
This webinar will help you better understand how Urine Drug Testing (UDT) provides an evidenced-based monitoring tool that can enhance the clinician-patient relationship. There is an emphasis on differences in testing methodologies, illustrated with case studies involving UDT results.
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'Opportunities to Improve Medication Adherence:' A free webinar by
Eli Lilly and Co. | Sept. 18 | 3 p.m. EST

MHPA
The introduction of three new medication adherence measures, each with a triple weight, makes Medicare Advantage and Part D pharmacy measures matter more than ever. But focus on driving improvement in medication adherence proliferates many other government and private insurer programs. In fact, medication adherence is a subject of importance now to Medicare, plans, hospitals, integrated delivery systems, retail pharmacies, industry and patients. With the patient at the center of these measures, you will learn key patient insights from a consumer marketer around medication adherence.
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FEATURED ARTICLE
TRENDING ARTICLE
MOST POPULAR ARTICLE
MHPA celebrates 218th cosponsor on bill to repeal health insurer fee
InsideHealthPolicy
Medicaid health plans are pleased that the House bill to repeal the ACA insurer fee has gained 218 cosponsors, enough to secure its passage in the lower chamber. MHPA interim executive director Joe Moser said called the benchmark for repealing the health insurer fee "symbolic."

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Slow start predicted for expanded Medicaid enrollment
Modern Healthcare
Officials hoping to enroll millions more beneficiaries into Medicaid programs this fall are signaling the possibility of a slow start. Ultimately, they hope to use some past success to overcome obstacles that have long left uncovered millions of Medicaid-eligible enrollees. (Free subscription required)

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Florida gets OK for Medicaid managed care
Politico
Obama administration health officials have officially approved a plan expanding Medicaid managed care throughout Florida. The move was widely anticipated after the Centers for Medicare & Medicaid Services gave its initial approval Feb. 20, a few hours before Gov. Rick Scott announced his support for the Medicaid expansion.

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Submit your program for MHPA's 2013-2014 Best Practices Compendium
MHPA
MHPA's 2013-2014 Best Practices Compendium is the seventh edition of our annual publication that contains Medicaid health plans' best practices, as well as helpful resource information. For details on how to submit your health plan's programs click the headline above.
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Deloitte job opportunities
Deloitte Consulting LLP
Health plans face a number of unique market and regulatory pressures that impact how they conduct business today and in the future. Deloitte Consulting LLP is one of the world's leading management consulting firms for executable strategy, operations, technology and human capital advisory services, and it is uniquely positioned to provide business solutions to our clients.

Deloitte's Government Programs practice is seeking candidates who have consulting, compliance and operational experience as it relates to Medicaid, Medicare Advantage, and Medicare D plans.

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Navigant job opportunities in DC, Chicago
Navigant
Navigant is a specialized, global expert services firm dedicated to assisting clients in creating and protecting value in the face of critical business risks and opportunities. Navigant's Healthcare Practice strives to be the premier independent management consulting practice assisting senior level healthcare executives deal with their core business challenges.

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Recent webinar presentations from dLife, PwC, Deloitte and others available free on MHPA website
MHPA
View PDFs or listen to audio for the following webinars: Additional webinars can be viewed here.
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TRENDING ARTICLES
Missed our previous issues? See which articles your colleagues read most.

    Florida gets OK for Medicaid managed care (Politico)
MHPA celebrates 218th cosponsor on bill to repeal health insurer fee (InsideHealthPolicy)
Meridian Health Plan growing team by over 700 percent, moving offices (PRNewswire via Pharmacy Choice)
Some states rethinking Medicaid expansion refusal (PBS NewsHour)
Maine governor vetoes Medicaid expansion, says state 'can do better' (Bangor Daily News)

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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