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Commission discusses shifting more long-term care to private insurance
Inside Washington Publishers
At the first meeting of the long-term care commission, panel members requested suggestions for bringing more private resources into the long-term care sector, as Medicaid, one health analyst testified, is supposed to be a safety-net program, not a form of insurance. Bill Hoagland, of the Bipartisan Policy Center, testified that although Medicare and Medicaid are a major funding source of long-term care, the budget is under pressure, and continued reliance on those programs cannot continue at the current pace.
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Those left out of Medicaid expansion won't have to buy insurance
Kaiser Health News
Low-income Americans who live in states that have decided not to expand Medicaid eligibility will not face penalties if they fail to buy insurance next year. That's according to a final rule on exemptions to the health law's individual mandate — the law's controversial requirement that most Americans have health coverage or pay a penalty in 2014.
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With Dartmouth on board, New Hampshire managed Medicaid transition a step closer
New Hampshire Public Radio
Dartmouth-Hitchcock is agreeing to join the Medicaid managed care program. The state's largest healthcare system had been a key holdout in the new effort. A transition from traditional Medicaid to so-called managed care is already a year behind schedule, costing the state an estimated $15 million in expected savings. One problem has been a lack of participation from hospitals.
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Transitioning beneficiaries with complex care needs to Medicaid managed care: Insights from California
Kaiser Family Foundation
This brief examines how health service providers, plan administrators and community-based organizations in the California counties of Contra Costa, Kern and Los Angeles experienced the transition of Medi-Cal-only seniors and persons with disabilities to managed care as part of the state's Bridge to Reform Medicaid waiver. Findings presented may inform similar transitions of high-need beneficiaries in other states and coverage expansions in 2014 under the Affordable Care Act.
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Pennsylvania House strips Medicaid expansion from bill
Pittsburgh Post-Gazette
The House of Representatives stripped from a budget-related bill a proposal to expand Medicaid eligibility, returning the legislation to a Senate that had easily approved the healthcare provision. It was unclear how the Senate would address the change. House Majority Leader Mike Turzai, R-Pa., said Senate Republican leaders had told him they would agree to send the amended bill — without a provision for Medicaid expansion — to Gov. Tom Corbett.
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Ohio's Gov. Kasich signs budget, but veto keeps alive Medicaid expansion
The Columbus Dispatch
Gov. John Kasich vetoed language attempting to block him from moving forward with Medicaid expansion, but did not touch any of the anti-abortion language before signing the new two-year, $62 billion state budget. In all, Kasich vetoed 22 items, including some earmarks. However, Ohio State University's STAR House, which helps homeless youth, kept its $665,000 per year in funding.
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Mississippi Democrats: We were 'bamboozled' on Medicaid
Kaiser Health News
With just two days to spare, and with plenty of political drama, Mississippi lawmakers approved a plan to renew Medicaid for another year. The joint federal-state program, which provides health insurance to some 700,000 poor Mississippians, was set to expire recently. Democrats had pushed hard to expand coverage to 300,000 more people under a provision of the federal health law.
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Sign up for a free trial to Health Exchange Alert, a news service from InsideHealthPolicy.com
Inside Washington Publishers
The Affordable Care Act's mandated health exchanges are on the front burner for policymakers and should be for you too. Stay on top of the evolution and implementation of health exchanges with Health Exchange Alert, the just-launched news service from InsideHealthPolicy.com. Act now by clicking here to activate your no-obligation, four-week free trial to gain immediate access to InsideHealthPolicy.com and Health Exchange Alert. Your free trial will include access to the numerous articles and documents posted every business day, as well an email alert every morning highlighting the latest news. You'll also have access to our three weekly newsletters (Health Exchange Alert, Inside CMS and FDA Week) which you can download in PDF format and circulate.
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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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HHS awards $32 million to help enroll children in Medicaid
The Hill
The Health and Human Services Department awarded $32 million in grants recently to help enroll children in Medicaid and the Children's Health Insurance Program. The funding came from part of President Barack Obama's healthcare law and the latest CHIP reauthorization.

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States to lose $8.4 billion without Medicaid expansion
Bloomberg
Texas, Louisiana and 12 other U.S. states that are declining to expand Medicaid under President Barack Obama's health overhaul will lose at least $8.4 billion in federal funding in 2016 alone, a study found.

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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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'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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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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Providence Health & Services job opportunity
Providence Health & Services
Providence, the largest healthcare system and largest private employer in Oregon, is calling a full-time health plan Medicaid program director in Portland, Ore. In this position, you will:
  • Lead the development, implementation and ongoing operation of Medicaid products and services, with full responsibility for revenue and expense for the Medicaid product line.
  • Direct and coordinate all activities associated with the Medicaid program to assure that corporate performance objectives are met in a timely, effective and efficient manner.
  • Establish and lead a comprehensive Medicaid program for Providence Health Plans in conjunction with Providence Integrated Delivery System.
Please view more details about this job here, position number 33824. You can reach the recruiter Judy Stenson-Musa directly at 503-893-7479.

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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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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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TRENDING ARTICLES
Missed our previous issues? See which articles your colleagues read most.

    DHS releases draft of 1115 Medicaid waiver request for 'private option' (Arkansas Times)
Working poor losing Obamacare as states resist Medicaid (Bloomberg)
35 patient, consumer groups propose beneficiary protections
for duals
(InsideHealthPolicy)
Governor, feds jockey over efforts to expand Medicaid in Pennsylvania (Pittsburgh Post-Gazette)
Michigan governor won't force Senate back in to vote on Medicaid expansion (Detroit Free Press)
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)

Don't be left behind. Click here to see what else you missed.
 




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