|This message contains images. If you don't see images, click here to view.|
Advertise in this news brief.
New analysis reveals high-priced hepatitis C drugs could have costly effect on state
California Association of Health Plans
A new analysis and infographic released estimate California's exposure to high-priced Hepatitis C medications could range from hundreds of millions of dollars, even if only 5 percent of
Californians infected with Hepatitis C receive treatment through state programs. The analysis, which looks at the costly impact of new Hepatitis C treatments on public programs, comes at a time when state and federal agencies grapple with hefty price tags for drugs like Gilead Sciences' Harvoni and Sovaldi.
| Share this article:
mhpa2015 registration now open!
MHPA via YouTube
Thanks to all of you who made our 2014 annual conference a smashing success. For a recap of the event, please watch this short video.
This year, we will examine Medicaid's 50-year evolution through thought-provoking sessions on the latest in managed healthcare operations, policies and populations, as well health plan best practices. Please visit our mhpa2015 home page for info on registration, lodging and sponsorships.
For more information, please contact Erin Liberatore via email or by phone at 202-857-5773.
After Obamacare's court victory, supporters push to expand Medicaid
The Affordable Care Act narrowly escaped a judicial decision that would have shrunk its reach Thursday when the Supreme Court ruled the IRS could continue distributing insurance subsidies nationwide. Now, with the law no longer under an immediate meaningful threat of repeal, some are looking to stretch Obamacare further. Specifically, governors in several states are renewing their push to expand Medicaid, hoping to bring the federal low-income health insurance program to more of their state's residents.
How far is Obama willing to go to expand Medicaid?
President Obama is taking his Medicaid expansion pitch to Tennessee this week to urge Republican officials to expand the low-income insurance program through the Affordable Care Act.
Expect more of that. After the law survived its latest potentially devastating legal challenge, Medicaid expansion will be a legacy-defining issue for the president during his last 18 months, one that will determine whether Obamacare achieves its full, desired impact. But how far can — and will — his administration go to achieve that goal?
Obamacare's next 5 hurdles to clear
Kaiser Health News
In its first five years, the Affordable Care Act has survived technical meltdowns, a presidential election, two Supreme Court challenges — including one resolved Thursday — and dozens of repeal efforts in Congress. But its long-term future still isn't ensured. Here are five of the biggest hurdles remaining.
Complex Clinical Reviews. Dependent Audits. And More.
Contact HMS today!
Tennessee: Obama to speak in Nashville area Wednesday about ACA
President Barack Obama is set to speak about the Affordable Care Act in the Nashville, Tennessee, area on Wednesday, making what will be his third swing through Middle Tennessee in the past year and a half. According to a White House official, the president plans to "discuss how we can move forward and continue building on the progress made under the Affordable Care Act, which has helped more than 16 million Americans gain health insurance."
Missed an issue of MHPA's Industry NewsBrief? Click here to visit the brief's archive page.
Insure Tennessee supporters renew push for Medicaid expansion
Chattanooga Times Free Press
Fresh off last week's U.S. Supreme Court ruling that upheld one key provision of the federal Affordable Care Act, supporters of Tennessee Gov. Bill Haslam's failed Insure Tennessee plan are renewing their push to pass the Medicaid expansion to an estimated 280,000 low-income Tennesseans. Backers of the plan, including state Sen. Richard Briggs, U.S. Rep. Jim Cooper, business leaders and others filled an auditorium at St. Thomas Midtown Hospital in Nashville on Monday for a news conference.
Senator calls on Alaska governor to expand Medicaid
Alaska Public Media
A prominent Democrat in the Alaska Senate is calling on Gov. Bill Walker to expand Medicaid in Alaska without approval from the legislature. Anchorage Senator Bill Wielechowski says now that the U.S. Supreme Court has upheld insurance subsidies in Alaska there is no reason for the governor not to expand Medicaid.
Alabama pediatricians: Medicaid cuts could hurt all patients
Roughly 548,000 Alabama children, including 40,000 babies, are eligible for Medicaid, which is also a necessity for Alabama's pediatricians. Linda Lee, executive director of the Alabama chapter of the American Academy of Pediatrics, said that pediatric practices in the state get between 30 to 50 percent of their funding from Medicaid.
Does Medicaid make a difference?
The Commonwealth Fund
As millions of Americans gain Medicaid coverage under the Affordable Care Act, attention has focused on the access to care, quality of care, and financial protection that coverage provides. This analysis uses the Commonwealth Fund Biennial Health Insurance Survey, 2014, to explore these questions by comparing the experiences of working-age adults with private insurance who were insured all year, Medicaid beneficiaries with a full year of coverage and those who were uninsured for some time during the year.
How does gaining coverage affect people's lives? Access, utilization and financial security among 'newly insured' adults
The Henry J. Kaiser Family Foundation
In 2014, millions of people gained health insurance as the major coverage provisions of the Affordable Care Act (ACA) were implemented. While much attention has been paid to enrollment in new coverage options and changes in the number of uninsured over the past year, less is known about how this coverage has affected people’s lives. This report, based on the 2014 Kaiser Survey of Low-Income Americans and the ACA, aims to understand the impact that gaining coverage has had on the lives of the "newly insured" adult population.
July 8 Webinar Wednesday: 'Transforming Medicaid
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 webinar will be one every health plan employee can derive value from.
Did you miss Webinar Wednesday: 'The New Frontier: Measuring Patient Engagement and Experience' by Avalere?
View and listen to the webinar recording.
For additional information, please contact Madeline Abram, visit www.avalere.com or follow Avalere on Twitter.
For copies of other past webinars, visit here.
Share this article:
Job opportunity: Vice president of marketing and sales | Chalfont, PA
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.
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.
Job opportunity: RN, manager, Clinical Health Services,
pre-authorization | Detroit
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.
MHPA has more than 2,200 Twitter followers! Are you one of them? If not, start following
@mhpa for the latest in Medicaid and MHPA news.
Sponsored by ...
7701 Las Colinas Ridge, Ste. 800, Irving, TX 75063