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MHPA's Moser live on 'Medicaid Matters' July 9 at 1 p.m. ET
MHPA
MHPA's Joe Moser will be live on Richard Yadon's "Medicaid Matters" talk show to discuss the state of Medicaid managed care. Watch it here.
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Moser on Medicaid plans' experience in LTC, standardization of quality measures
USA Today
When discussing privatizing Medicaid, advocates and experts say that the need for oversight is growing nationally as states increasingly contract out the huge state-federal program for the poor to insurance companies, aiming to control costs and improve quality through close management of patient care. MHPA's Joe Moser weighs in on how health plans are frustrated with the hodgepodge of state quality measures.
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Duals guidance prohibits low-performing plans from passive enrollment
InsideHealthPolicy
Beneficiary advocates say CMS' recent guidance on enrollment rules for the dual eligibles demonstrations adds much needed detail to the process, especially surrounding passive enrollment, though advocates said they had hoped CMS would go further in blocking low-performing plans from participating in the demonstrations beyond prohibiting those plans from passive enrollment. Advocates also said that despite the additional detail, there are still some areas where questions remain.
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Is this the end of health insurers?
The Washington Post
In 2012, MedStar Health, like many large employers, struggled to keep up with rapidly rising healthcare costs. For three years, the company held down premiums for its 19,000 employees by absorbing the increases itself. Most employers would have had no choice but to raise premiums — in this case, by about $550 for a family — and cope with frustrated employees. MedStar, one of the Washington area's largest health systems, saw another option.
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Study: Some on Medicaid lose out under Obamacare
Politico
As millions of low-income adults gain access in just a few months to Medicaid coverage under Obamacare, those already in the program could be shut out of some of the key preventive services included in the law. And the new enrollees could have a hard time actually getting a doctor.
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Researchers look at why poor patients prefer hospital care
Kaiser Health News
Long wait times, jammed schedules, confusing insurance plans — there's no shortage of obstacles between a patient and her doctor. That is, if she has a doctor. But a Health Affairs study says the barriers for poor people looking to get care are even higher, and it's leading them away from preventive doctor visits and toward emergency rooms and costly, hospital-based care.
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Paul Ryan wants Obamacare's new cost
The Hill
House Budget Committee Chairman Paul Ryan is requesting a new cost estimate for Obamacare in light of a decision to delay the law's employer mandate. Ryan's staff asked the Congressional Budget Office to reevaluate the law's budget impact after the White House said that larger employers will not be required to offer health insurance until 2015.
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After healthcare law delay, Medicaid expansion in Florida remains in the shadows
Miami Herald
The Obama administration's decision to delay the Affordable Care Act health insurance mandate on employers has lessened some of the leverage advocates of expanding Medicaid in Florida had on lawmakers, but it won't end the debate.
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Doctor visits likely to rise in Iowa with new health plan
Des Moines Register
Iowa clinics and hospitals should expect a wave of chronically ill people when a new state health insurance program starts in January, a report suggests. The report from the Public Policy Center assesses the health of people now on IowaCare, a limited health care program for poor adults.
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Medicaid studies kick off with marathon hearings in Missouri
St. Louis Post-Dispatch
The battle lines were familiar as a Missouri Senate committee kicked off an in-depth study of Medicaid, the healthcare program for the poor. While Democrats urged that Medicaid be expanded to cover the uninsured, Republicans said their top priority is overhauling the $9 billion system, to make it more cost-efficient and promote personal responsibility.
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Study touts progress for health IT
The Hill
U.S. healthcare providers have made significant progress in adopting health information technology, though they still lag behind their international peers, according to a new study. Research published in the journal Health Affairs revealed that the number of hospitals using a basic electronic health record (EHR) has nearly tripled since 2010, when federal health officials began to distribute funds for EHR adoption.
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SPONSORED CONTENT


'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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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 news service from InsideHealthPolicy.com. Act now by clicking here to activate a 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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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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FEATURED ARTICLE
TRENDING ARTICLE
MOST POPULAR ARTICLE
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.

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PA House strips Medicaid expansion from bill
Pittsburgh Post-Gazette
The Pennsylvania 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.

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With Dartmouth on board, NH managed Medicaid transition closer
New Hampshire Public Radio
Dartmouth-Hitchcock is agreeing to join the Medicaid managed care program. The state of New Hampshire's largest healthcare system had been a key hold out in the new effort.

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

    With Dartmouth on board, NH managed Medicaid transition a step closer (New Hampshire Public Radio)
Those left out of Medicaid expansion won't have to buy insurance (Kaiser Health News)
Mississippi Democrats: We were 'bamboozled' on Medicaid (Kaiser Health News)
Transitioning beneficiaries with complex care needs to Medicaid managed care (Kaiser Family Foundation)
Commission discusses shifting more long-term care to private insurance (Inside Washington Publishers)

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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