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Uninsured rate hits lowest level to date, boosting Obamacare
The uninsured rate has dropped to its lowest level since Gallup began tracking the statistic in 2008. A total of 11.4 percent of people remained uninsured in the second quarter of this year, between April and June, according to a Gallup poll released Friday. The new figures, which are the result of surveys with 44,000 people, offer the first glimpse at how Obamacare's second enrollment period has reduced the overall uninsured rate.
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July 15 Webinar Wednesday: 'Delivering Healthy NICU Outcomes through a Coordinated Model'
Many times, it's the most fragile members that use the most resources. ProgenyHealth addresses this by managing the care coordination delivered to infants admitted to the NICU. Join Jerry Lee, M.D., and Letitia Lieb, MHA, medical director and strategic business executive, respectively, for ProgenyHealth to discuss specialized population management in managed care that's expected to improve outcomes and save costs.
The webinar will preview some of the successes achieved through collaborative partnerships with providers, families and managed care plans. Specific findings will be discussed that address current NICU trends and variations in care.
New Medicaid beneficiaries are costing more than expected
Federal and state costs associated with the Affordable Care Act's Medicaid expansion are proving higher than previously estimated, which could rekindle the political debate over the law in the 2016 presidential race.
Alaska governor to announce plans for Medicaid expansion Thursday
Alaska Dispatch News
Gov. Bill Walker will announce his plans to expand Medicaid in Alaska on Thursday, bringing him closer to fulfilling one of this top campaign promises, his spokeswoman said Monday. The scheduled announcement Thursday morning won't mark the initiation of the program, but will explain how Walker intends to go forward on expansion without a mandate from the Republican-controlled legislature, said Grace Jang, Walker's spokeswoman.
Healthy Indiana Plan working smoothly
The Associated Press via Miami Herald
Industry representatives say Indiana's expanded healthcare program for low-income residents has functioned smoothly in the months since it was implemented following federal approval. The federal Centers for Medicare and Medicaid Services in January approved expanding the existing Healthy Indiana Plan into a larger program that Gov. Mike Pence has dubbed HIP 2.0. That program uses federal Medicaid funds under President Barack Obama's healthcare law to cover people with incomes under 138 percent of the federal poverty level.
Indiana Medicaid director Joe Moser lauds Lake County HIP response
Lake County is one of the leading counties in the state when it comes to previously uninsured residents signing up for the Healthy Indiana Plan 2.0. In a Monday speech before the Gary Chamber of Commerce, Indiana Medicaid Director Joe Moser spotlighted the fact that 20,309 of 25,557 of Lake County enrollees were purchasing insurance for the first time through HIP 2.0 — and not rolled over from the previous version of HIP or other Medicaid programs. Statewide, around 289,000 residents have signed up for the Medicaid expansion program, with 187,000 becoming newly insured.
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Many Medicaid-expansion foes in Arizona Legislature get prime
The Arizona Republic
More than two-thirds of Republican lawmakers who sued to overturn Medicaid coverage for low-income Arizonans took state-sponsored health-insurance plans that offer more-robust medical benefits than what the average Arizonan gets from private employers.
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Ohio governor talks up Medicaid expansion in Tennessee
John Kasich is the first to admit he's not an expert on Tennessee politics. But the Ohio governor and likely Republican presidential contender did successfully implement Medicaid expansion in his state, a move unpopular with GOP critics who note its ties to Obamacare. During a Thursday visit to Nashville, Kasich argued the program is working in his state and offered some advice for fellow Republican Gov. Bill Haslam and his allies on how they could pass their own plan in Tennessee.
Federal government gives Oklahoma health plan an extension
The Associated Press via Miami Herald
A state program that uses a combination of state tobacco tax revenue and federal Medicaid money to help provide health insurance coverage for nearly 18,000 low-income Oklahoma will receive federal funding through the end of 2016, state officials said on Friday. Gov. Mary Fallin and Oklahoma Health Care Authority Chief Executive Officer announced that Oklahoma's request for an extension has been approved by the federal Centers for Medicare & Medicaid Services.
Reducing Medicaid churning: Extending eligibility for 12 months or to end of calendar year is most effective
Medicaid churning — the constant exit and reentry of beneficiaries as their eligibility changes — has long been a problem for both Medicaid administrators and recipients. Churning will continue under the Affordable Care Act because, despite new federal rules, Medicaid eligibility will continue to be based on current monthly income. Researchers developed a longitudinal simulation model to evaluate four policy options for modifying or extending Medicaid eligibility to reduce churning.
Lessons from Medicaid's divergent paths on mental health and
Over the past 50 years Medicaid has taken divergent paths in financing mental health and addiction treatment. In mental health, Medicaid became the dominant source of funding and had a profound impact on the organization and delivery of services. But it played a much more modest role in addiction treatment. This is poised to change, as the Affordable Care Act is expected to dramatically expand Medicaid’s role in financing addiction services.
In this article, researchers consider the different paths these two treatment systems have taken since 1965 and identify strategic lessons that the addiction treatment system might take from mental health's experience under Medicaid.
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.
July 29 Webinar Wednesday: 'Transforming Medicaid
Join Neng Bing Doh, 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.
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.
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