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6 percent need new providers in transition from healthy families to managed Medi-Cal
California Healthline
About three-quarters of the way through the transition of 768,000 California children from the Healthy Families program to Medi-Cal managed care plans, a little more than 6 percent have needed to switch providers and an even smaller number have had to change health plans.
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White House touts slow increase in healthcare costs
USA Today
Personal healthcare costs rose in the 12 months ending in May at the slowest rate in the last 50 years, as spending on hospital and nursing home services declined, the White House announced. Personal consumption spending rose 1.1 percent, said Alan Krueger, chairman of the White House Council of Economic Advisers. Hospital readmissions rates dropped from an average of 19 percent to 17.9 percent for Medicare patients since the passage of the 2010 healthcare law, Krueger said.
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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.
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Budget cuts force scale back of healthcare fraud investigations
The Washington Post
Facing major budget and staff cuts, federal officials are scaling back several high-profile healthcare fraud and abuse investigations, including an audit of the state insurance exchanges that are set to open later this year as a key provision of the Affordable Care Act.
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US bans new home health, ambulance providers in 3 regions
Reuters
The U.S. government recently said it would temporarily ban new home health providers and ambulance suppliers from enrolling in Medicare, Medicaid and the Children's Health Insurance Program in three areas of the country, citing the risk of fraud.
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ACA likely to deliver bigger bang in rural areas
MedPage Today
The rural uninsured may reap a bigger benefit from the Affordable Care Act than their city-dwelling counterparts, which prompted health policy experts to call for a ramped-up campaign to publicize ACA in rural communities.
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New webinar: 'Financial Impact of Incontinence: Guiding Patients/Families toward Cost Effective Management,' by First Quality | Aug. 28 | 3 p.m. ET
MHPA
Incontinence affects individuals of all ages and disabilities. There are a number of ways to manage incontinence that are patient-centered while containing costs. This webinar, with Christine Pruneau RN, RAC-CT scheduled to be the speaker, will discuss:
  • Types and causes of incontinence — why this matters
  • Choosing the right product and incontinence type — how to decrease costs
  • Solutions to manage incontinence while being cost effective
  • Frequently asked questions on incontinence and educational pieces available

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Mississippi insurance commissioner's Affordable Care Act plan
Politico
After suffering through a high-profile intraparty squabble with the governor and averting a near disaster for the state's insurance marketplace, Mississippi Insurance Commissioner Mike Chaney is giving another go at running an Obamacare exchange.
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Clock ticks down in Minnesota to start of MNsure exchange
Minnesota Public Radio
VideoBriefThe state health-insurance exchange known as MNsure is getting ready to begin operating on its mandated launch date of Oct. 1. On the way to meeting that date, MNsure staff have asked the federal government for $40 million more, on top of the $110 million the program has already received in federal funds.
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KanCare beneficiaries asked to submit new information by Sept. 15
Kansas Health Institute
Some Medicaid beneficiaries are being asked to submit new information to the state by Sept. 15, officials from the Kansas Department of Health and Environment announced. In the coming days, about 130,000 households with Medicaid coverage — also known as KanCare — will receive a mailing asking them to list each in person in the household who plans to file an income tax return in 2014.
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Health coverage for the black population today and under the Affordable
Care Act

The Henry J. Kaiser Family Foundation
As of 2011, 37 million individuals living in the United States identified as Black or African-American. Blacks currently comprise the third-largest racial or ethnic group in the United States after non-Hispanic Whites and Hispanics.
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Long-term care commission to hold hearing Aug. 1
InsideHealthPolicy
The Commission on Long-Term Care will hold its third hearing on Thursday, Aug. 1, this time focusing on the interaction of Medicare, Medicaid and private long-term care insurance. The commission, created by the fiscal cliff law that repealed the embattled CLASS program, is supposed to recommend changes to long-term care policy by September.
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DST Health Solutions earns 2013 ISO recertification
PR Newswire via Pharmacy Choice
DST Health Solutions, LLC, a leading provider of technology solutions and services to health plans, integrated delivery systems and health care providers, has announced the company has passed its 2013 ISO recertification audit with zero nonconformances.
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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.
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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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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 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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FEATURED ARTICLE
TRENDING ARTICLE
MOST POPULAR ARTICLE
Gubernatorial race could be key to fate of Virginia Medicaid expansion
Politico
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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HHS secretary hopes Texas will reconsider decision not to expand Medicaid
The Dallas Morning News
Health and Human Services Secretary Kathleen Sebelius recently was was in Dallas to meet with local leaders to talk about the federal Affordable Care Act and open enrollment for the state-based health insurance exchanges, which will run Oct. 1 through March 31.

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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.

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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.

    Medicaid in North Carolina's final HHS budget (North Carolina Health News)
Massachusetts duals demo increases plans' protections against pay rates (InsideHealthPolicy)
The cost of not expanding Medicaid (The Henry J. Kaiser Family Foundation)
Illinois governor signs Medicaid expansion for Obamacare into law (WTVO-TV)
New Hampshire residents left in limbo as legislature blocks Medicaid expansion (The Boston Globe)

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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