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CMS flipped in final rule to make Medicaid expansion prescription drug benefit slimmer
InsideHealthPolicy
Patient advocates are reeling from CMS' surprise flip in a final rule that significantly narrows the minimum prescription drug benefit for the Medicaid expansion population to mirror that of private insurance exchanges. The move, which CMS calls a "clarification," shocked beneficiary advocates who were told by Medicaid chief Cindy Mann in April that CMS intended to offer Medicaid expansion beneficiaries the same expansive prescription drug coverage provided by traditional Medicaid, a patient advocate says.
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'Rural Reality: More Coverage, Enough Care?' Lunch panel by the Alliance for Health Reform and Centene | Fri, July 26 | 12:15 p.m. | Columbus Club, Union Station, Washington, DC
Alliance for Health Reform
The ACA contains provisions relating to access to care, coverage and delivery system reform. But the effect of these provisions is uncertain in rural America, with its unique challenges. What provisions in the ACA address rural healthcare challenges? How key is Medicaid in access to care in rural areas? What role will state practice acts and licensing play in the use of allied health professionals and in the delivery of telehealth services?
Keith Mueller, director of Rural Policy Research Institute Center for Rural Health Policy Analysis; Tom Morris, director of HRSA's Office of Rural Health Policy; Art Kaufman, vice chancellor for community health sciences at the University of New Mexico Health Sciences Center; and Lisa Miller, former member of the Maine House of Representatives, will address these and related questions. For more information, contact Marilyn Serafini via email or phone at 202-789-2300, or visit here, and click on the "Info and Registration" link in the "In the Spotlight" section. RSVP by noon ET on Thursday, July 25.
Support for Obamacare repeal rises
The Hill
Support for repealing President Barack Obama's healthcare law is as high as it has ever been, according to a new poll from CBS News. CBS said 39 percent of the voters it surveyed want to repeal the healthcare law, compared with 36 percent who said it should be left alone or expanded.
MHPA 2013 — 'Health Reform from East to West: Preparing Medicaid Health Plans for 2014' registration now open | Oct. 20-22 | National Harbor, Md.
MHPA
Register now for MHPA 2013, Medicaid Health Plans of America's annual conference Oct. 20-22 at the Gaylord National Resort & Convention Center in National Harbor, Md. Register by Aug. 31 to receive the early-bird discount. Details on conference and registration can be found here.
North Carolina budget wins final legislative approval
The News & Observer
The House and Senate recently gave their final approval to a $20.6 billion budget, sealing changes to state education, healthcare and economic development. Democrats were united against the budget. Some House Republicans didn't want some of the provisions on education — namely ending teacher tenure and phasing out extra teacher pay for advanced degrees — but voted for it anyway.
Gubernatorial race could be key to fate of Virginia Medicaid expansion
Politico
You won't see it listed on the ballot, but a major piece of Obamacare could be decided by Virginia voters this November.
The fate of the Medicaid expansion in Virginia could hinge on whether Democrat Terry McAuliffe or Republican Attorney General Ken Cuccinelli — who boosted his national profile with his fight against the healthcare law — moves into the governor's mansion next year.
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Feds to Florida: Not too late for Medicaid expansion
Miami Herald
Federal officials recently renewed calls for Florida lawmakers to accept an estimated $50 billion over the next 10 years to expand Medicaid, the joint state and federal health insurance program for the poor, to cover an additional 1 million Floridians who would otherwise remain uninsured even after Jan. 1 when healthcare reform begins in earnest.
Flaws seen in Medicaid ballot push in Arizona
The Arizona Republic
Organizers of a petition drive to refer Medicaid expansion to the November 2014 ballot have made significant errors in their paperwork that could doom the effort, attorneys for pro-Medicaid forces say.
Michigan Senate work group unveils new Medicaid proposal, calling for more reforms with expansion
Michigan Live
A bipartisan state Senate work group has unveiled its draft proposal to reform Medicaid in Michigan and expand eligibility to up to 470,000 working adults using federal funding provided through the Affordable Care Act.
New Hampshire state officials seek to lower cost of Medicaid expansion
New Hampshire Union Leader
State health officials want to help low-income residents stay on their private health insurance rather than go on Medicaid if the program is expanded under the Affordable Care Act. State Health and Human Services Department officials suggest expanding the current Health Insurance Premium Payment program as one way to lower the cost of expanding Medicaid eligibility to those at or below 138 percent of the federal poverty level.
Survey: Medi-Cal children having trouble getting dental care services
California Healthline
A new study by The Children's Partnership indicates some Medi-Cal families are having difficulty accessing dental care, particularly Spanish-speaking families. California children aren't getting the dental care they need through Medi-Cal, according to a survey.
Study: Doctors look to others to play biggest role in curbing health costs
Kaiser Health News
When it comes to controlling the country's healthcare costs, doctors point their fingers at lawyers, insurance companies, drug makers and hospitals. But well over half acknowledge they have at least some responsibility as stewards of healthcare resources.
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FEATURED COMPANIES
LeadCare II: a point-of-care blood-lead testing system that helps ensure compliance with testing mandates. Learn more about this 2011 MHPA Best Practices Award winning solution. MORE
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To find out how to feature your company in the MHPA eNewsletter and other advertising opportunities, Contact James DeBois at 469-420-2618.
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State budget officials in Alaska for annual gathering
Kaiser Health News
It may be the dog days of summer, but it's peak conference season. And as much of the nation melts under a heat wave, one conference stands out for both its location and its attendees. The National Association of State Budget Officers — representing the state officials who count the pennies and balance the accounts — is having its annual meeting in Alaska.
Novo Nordisk's online Diabetes Barometer sports new diabetes policy section
Novo Nordisk
Novo Nordisk's U.S. Diabetes Barometer, a comprehensive online resource that highlights important research about the current state of diabetes in the U.S., has launched a revamped diabetes public policy page. This resource provides a framework for educating policymakers about opportunities for improving quality of care and outcomes for people living with diabetes. Visit the new page here.
'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.
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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'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.
'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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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.
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.
Missed our previous issues? See which articles your colleagues read most.
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.
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.
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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