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Justices uphold individual mandate, set limits on Medicaid expansion
Kaiser Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The U.S. Supreme Court upheld nearly all of the landmark federal health law Thursday, affirming its mandate that most everyone carry insurance, but complicating the government's plan to extend coverage to the poorest Americans. Chief Justice John Roberts Jr. joined the court's four liberals in upholding the mandate, the best-known and least popular part of the law. The court also upheld hundreds of other rules embedded in the law designed to help millions more Americans obtain insurance and to refashion the healthcare industry. But a majority of the justices voted that the government could not compel states to expand Medicaid. More

Medicaid Health Plans of America reacts to Supreme Court ruling on healthcare law
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Medicaid Health Plans of America President and CEO Thomas L. Johnson issued a statement Thursday after the Supreme Court of the United States ruled to uphold the Patient Protection and Affordable Care Act. "We commend the Supreme Court for keeping in place key elements of this historic legislation. MHPA and its member health plans remain committed to a strong partnership with the states and CMS to find a way to cover this population in need," Johnson said. "The Medicaid health plan industry has been growing and will continue to grow as states continue to see Medicaid health plans as part of the solution to their budget woes, whether or not they participate in the expansion of Medicaid." More

What the healthcare ruling means to you
CNN    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Supreme Court's decision Thursday to uphold the Affordable Care Act means that the predictions about how it will affect Americans remain in place. The court did rule that a part of the law involving Medicaid must change. The law calls for an expansion of eligibility for Medicaid, which involves spending by the federal government and the states. The law threatens to remove existing Medicaid funding from states that don't participate in the expansion. The high court said the government must remove that threat. CNN highlights portions of the law. More

After the healthcare ruling: Which states will refuse Medicaid expansion?
ProPublica via Herald de Paris    Share    Share on FacebookTwitterShare on LinkedinE-mail article
For many people without insurance, a key question raised by the Supreme Court's decision to uphold the Affordable Care Act is whether states will decline to participate in the law's big Medicaid expansion. Although the court upheld the law's individual mandate to buy insurance, it found that the act could not force states to extend Medicaid to millions by threatening to withhold federal funding. The 26 states that challenged the law before the court together account for an estimated 8.5 million people who would benefit from Medicaid's expansion by 2019, more than half the total number, according to ProPublica's analysis of an Urban Institute report prepared for the Kaiser Family Foundation. More

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Court takes away Medicaid stick, but leaves big carrot
Bloomberg    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The healthcare law had both a carrot and a stick to encourage states to expand Medicaid eligibility. The stick was the potential loss of all federal Medicaid funds if they didn't. The carrot was that the federal government will pay for nearly the entire cost of Medicaid expansion — 100 percent of it in the early years, gradually declining to 90 percent. That's a pretty big carrot. States that refuse to expand Medicaid will be rejecting nearly free federal money. Such a rejection would be tantamount to saying that government health insurance for low-income people is so undesirable that a state is not even willing to pay 10 cents on the dollar for it. More

Boehner: Ruling strengthens GOP's 'resolve' to repeal healthcare law
The Hill    Share    Share on FacebookTwitterShare on LinkedinE-mail article
House Speaker John Boehner, R-Ohio, said the Supreme Court's decision to uphold the majority of President Barack Obama's healthcare reform law would "strengthen [the] resolve" of the GOP to repeal it entirely. Boehner and other House Republican leaders pledged to redouble their efforts to legislatively scrap the 2010 law, but they said the law's fate ultimately rests with the voters in November. "The Supreme Court spoke today, but they won't have the final word. The American people will have the final word in November," said U.S. Rep. Cathy McMorris-Rodgers, R-Wash., the vice chairman of the GOP conference who was tapped to help lead its response to the ruling. More

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Florida may resist Medicaid expansion
Health News Florida    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Florida elected officials have been griping about the forced expansion of Medicaid under the Affordable Care Act ever since it was passed in 2010. Today's Supreme Court decision appears to give them an out. The current Medicaid program is jointly funded by the federal government and the states; this year, the state's share is about 44 percent, according to State Health Facts. The ACA increased the number of individuals that the states had to cover under Medicaid up to 133 percent of the federal poverty level; while the federal government said it would cover all of the cost of the increase for the new population for the first two years and then a majority of the cost until the end of the decade, when it rests at 90 percent, state officials blanched. More

Kansas awards Medicaid contracts to 3 companies
The Associated Press via    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Kansas hired subsidiaries of three multibillion-dollar, out-of-state health insurance companies Wednesday to manage its Medicaid program, and Gov. Sam Brownback's administration said the contracts should produce even greater cost savings over the next five years than previously anticipated. The contracts are key to the conservative Republican governor's efforts to overhaul the state's $2.9 billion-a-year program, which provides health coverage to the poor, disabled and elderly. He and top administration officials have said the changes — moving all Medicaid participants into managed care — will provide better-coordinated care while controlling the state's costs. More

Health insurance for low-income children on the chopping block in California
KQED    Share    Share on FacebookTwitterShare on LinkedinE-mail article
California lawmakers have voted to kill Healthy Families — a medical insurance program that serves some 900,000 children from low-income families. Those children will now be shifted over to the Medi-Cal system, which already serves nearly 4 million of the state's poorest children. The move is part of the budget compromise that will save the state an estimated $13 million this year — although the savings are expected to grow to $73 million by 2015. More

Emdeon revenue cycle management solutions earn HFMA Peer Reviewed designation
Emdeon Inc. via Pharmacy Choice    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Emdeon Inc., a provider of healthcare revenue and payment cycle management and clinical information exchange solutions, has announced three of its revenue cycle management solutions have earned the Peer Reviewed designation of the Healthcare Financial Management Association. The company noted that the HFMA Peer Reviewed designation places these Emdeon solutions on a short list of products and services that have been shown to be effective by industry volunteers, product customers and independent HFMA staff. More

Trizetto achieves CMS certification in end-to-end testing
Targeted News Service via Pharmacy Choice    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The TriZetto Group Inc. announced that it has achieved certification in end-to-end testing from the Centers for Medicare and Medicaid Services) and is officially approved to begin submitting client claims that include professional encounter production data. Encounter data include diagnosis and treatment information for all medical or behavioral services obtained by Medicare patients. CMS collects encounter data to determine risk-adjustment factors, analyze utilization, adjust plan payments and update risk-adjustment models for plan payment. More

DST Health Solutions appoints 2 healthcare industry veterans to its leadership team
PR Newswire via MarketWatch    Share    Share on FacebookTwitterShare on LinkedinE-mail article
DST Health Solutions announced the addition of two key executives to its leadership team. Teri Mullaney, a 20-year healthcare veteran with expertise in corporate strategy and solutions management, will help drive innovation in solutions development as vice president of business solutions. Chris Henry, a seasoned sales and delivery executive for global healthcare organizations, will lead DST's national sales initiatives as vice president of sales and account management. More

New Insights Webinar on July 16: Improving Member Retention/Reducing Churn
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Paul Frenkel and Lance Scott of Altegra Health present on most effective methods of outreaching to/communicating with Managed Medicaid members to ensure they remain enrolled in Medicaid and therefore stay enrolled in their plan. For more information and to register, click here.

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.

2nd Annual Leadership Summit on Medicaid | July 24-25, Arlington, Va.
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

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