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MHPA
Medicaid Health Plans of America has joined a bipartisan group of 191 national and state leaders on a letter to the president and Congress praising Medicaid's effect on the nation's health as the program marks its 50th anniversary. MHPA is a member of The Partnership for Medicaid, which collected the signatures and sent the letter. The Partnership is a nonpartisan coalition of 23 national organizations representing physicians, hospitals, clinics, health plans, counties and labor.
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MHPA
On July 30, 1965, exactly fifty years ago today, President Lyndon B. Johnson signed the law that created Medicaid, the federal and state program that cares for those in need. Over its five decades, Medicaid has provided access to care to countless Americans who otherwise would have gone without.
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USA Today
President Barack Obama marked the 50th anniversary of Medicare and Medicaid Thursday by saying the U.S. should do more to expand and improve healthcare for all Americans, including the law he signed in 2010.
"We must recognize that this work, though begun a half-century ago and continued over the decades that have followed, is not yet complete," Obama said in a proclamation. "For too many, quality, affordable healthcare is still out of reach — and we must recommit to finishing this important task."
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The New York Times
As Medicare and Medicaid reach their 50th anniversary, the two vast government programs that insure more than one-third of Americans are undergoing a transformation that none of their original architects foresaw: Private health insurance companies are playing a rapidly growing role in both.
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The New York Times
When President Lyndon B. Johnson signed Medicare and Medicaid into law on July 30, 1965, roughly half of Americans 65 and older had no health insurance. Fifty years later, virtually all seniors have coverage, a far higher rate than younger people.
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U.S. News & World Report
There's an important lesson for today's politicians in the genesis of Medicare, one of the nation's landmark social programs, which was created July 30, 1965 — 50 years ago this week. It's that government can do big things and succeed in massive projects if officials stick to their guns, offer effective leadership, nurture public support and take advantage immediately when the public mood shifts in their direction.
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SHOWCASE
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Complex Clinical Reviews. Dependent Audits. And More.
Contact HMS today!
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Politico
Healthcare spending is rising at a faster clip than at any time since the Great Recession, with costs ticking up by 5.5 percent in 2014, CMS announced Tuesday. Over the next decade, healthcare costs are expected to rise by 5.8 percent annually, according to the agency's latest projections. The growth in spending is being driven by the coverage expansion provisions of the Affordable Care Act, the continuing economic recovery and a population that's steadily aging.
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The Associated Press via Baltimore Sun
Lawyers will argue over the constitutionality of Arizona's hospital "bed tax" Thursday in a case that could determine whether 350,000 residents remain covered under the state's Medicaid expansion. The case hinges on whether the assessment is a tax that should have been passed by a 2/3 vote in the state Legislature or a fee that can be passed by a majority vote.
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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.
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MHPA
We are pleased to announce that we are now accepting submissions from member plans that highlight best practices for Medicaid and CHIP beneficiaries. The Center for Best Practices Advisory Committee will review submissions for potential inclusion in the 2015-2016 MHPA Best Practices Compendium that will be published in November 2015. Additionally, the selected best practices will be honored during the MHPA annual conference luncheon.
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MHPA
To request a copy of the presentation or for additional information please contact Neng "Bing" Doh, or visit www.healthcrowd.com.
For copies of other past webinars, visit here.
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Janssen Healthcare Innovation
Care4Today Mobile Health Manager is a free and secure mobile app and website that helps patients schedule and manage their health care while enabling remote interaction with their care providers. This presentation will walk through both the free application that sits on the patient phone, as well as the provider-side dashboard that allows the remote monitoring of patient-entered adherence information.
Please join Jon Zifferblatt, M.D., MPH, leader, mental health and Fran Devlin, marketing director/mobile health manager for Janssen Healthcare Innovation (JHI), where they will highlight the use of the platform in an applied context of supporting patients with serious mental illness. They will also discuss lessons from a real-world implementation of the platform at a behavioral health program in California as well as future plans for development.
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MTM
Home and community-based services (HCBS) can help waiver populations and other special needs members with costly chronic health conditions avoid expensive long-term care and reduce readmissions — but coordinating these services can be a daunting task for case managers. As a service coordinator, MTM partners with health plan case managers to relieve the burden of coordinating disparate provider networks. MTM created a comprehensive solution that offers high-quality network building, credentialing and monitoring; continuous performance tracking and trending; and consolidated claims adjudication and payment, including 100 percent claims verification.
In this webinar, MTM Vice President of Client Services Aaron Crowell will demonstrate how the organization's HCBS coordination model can help solve health plans’ biggest challenges in connecting members to nonclinical care. Additionally, Vice President of Field Health Services Cindi Scollins with WellCare — one of MTM's HCBS clients — will discuss how this model has benefited members using innovative services like equine therapy in the Florida market.
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LexisNexis Health Care
Member information, demographic or other is at the heart of every health plan's operations. Unfortunately, this information is often siloed, incomplete or completely unavailable. This is particularly true for minor populations and the "underbanked" or those with little to no credit fingerprint against which information can be verified or gathered.
Please join Albert Gimbel, senior director of product management for LexisNexis Health Care, and explore the challenges with member demographic data and, more important, what payers can employ to solve the data challenge and ensure they have the information they need to locate, contact, engage and manage their member populations.
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Project Transition
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.
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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.
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Aetna
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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