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Survey: Medicaid expansion favored in general, less so near home
Kaiser Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Americans are broadly supportive of the healthcare law's expansion of Medicaid to cover millions of uninsured people, according to a new poll. But they are less enthusiastic about expanding it in their own states after they realize state taxpayers will pick up some of the cost. The U.S. Supreme Court last month upheld most of the Affordable Care Act, but allowed states to opt out of the law's plan to enlarge Medicaid, the state-federal health program for the poor. Nationally, two out of three people surveyed by the Kaiser Family Foundation said they had a favorable view of expanding Medicaid to cover more low-income uninsured adults. More

Obama administration expects states will join Medicaid expansion
Reuters    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Obama administration said it expects that U.S. states eventually will join its planned expansion of the Medicaid healthcare program as they evaluate the benefits of providing health coverage to more low-income people. U.S. Medicaid director Cindy Mann said states likely will spend the next several months analyzing the plan, which under President Barack Obama's healthcare law, would extend health coverage to about 16 million uninsured people based on new criteria that broadens eligibility to people with incomes of up to 133 percent of the federal poverty line. More

Medicaid directors push back against criticism of CMS duals demo    Share    Share on FacebookTwitterShare on LinkedinE-mail article
National Association of Medicaid Directors officials are defending CMS' duals demonstration as necessary to figure out ways to improve care for beneficiaries dually eligible for Medicare and Medicaid, complaining in a Health Affairs blog post that "instead of welcoming the Medicare-Medicaid demonstration initiatives, a growing chorus of voices at the national level is fixating on preserving this inefficient, unsustainable system." More

MHPA statement on Medicaid's 47th anniversary
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Thomas L. Johnson, president and CEO of Medicaid Health Plans of America, issued a statement commemorating the 47th anniversary of the Medicaid program. More

Medicaid could be sharply scaled back under GOP plans
Los Angeles Times    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Nearly half a century after President Lyndon Johnson signed Medicaid into law, conservative critics of the massive government health insurance program for the poor are readying a new push to dramatically scale it back if Republicans control the White House and Congress next year. GOP governors, emboldened by the Supreme Court decision on President Barack Obama's healthcare law, already are balking at expanding Medicaid to meet the goals of the Affordable Care Act. Some are rolling back coverage now, arguing that the program is ineffective and unaffordable. More

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The CBO's new Medicaid numbers and the cost of saving lives
Kaiser Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Congressional Budget Office updated its numbers this week on the cost of the health law, the Affordable Care Act. The verdict? Now that the Supreme Court has overturned part of the Medicaid expansion — thereby allowing states to opt out of this portion of the overhaul without penalty, the law's cost likely will be around $84 billion lower over 11 years than previously estimated. More

White House projects larger savings on big-ticket items in new report
The Wall Street Journal    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Buried in the White House's annual "midsession review" budget update are some steep reductions in projected spending for some of the government's largest expenditures — Medicare, Medicaid, Social Security and interest on the debt. The White House updated its outlook for the U.S. economy, forecasting that the unemployment rate would be lower and deficits would be smaller than the Obama administration previously expected. The White House, however, lowered its projection for economic growth, saying it sees the U.S. economy growing 2.3 percent in 2012 and 2.7 percent in 2013. Previously, the White House expected growth of 2.7 percent in 2012 and 3 percent in 2013. More

States eye way to shift expense of Medicaid
Charleston Daily Mail via Pharmacy Choice    Share    Share on FacebookTwitterShare on LinkedinE-mail article
As states decide whether to expand their state Medicaid programs, the true cost remains elusive, an expert on healthcare reform told a group of lawmakers from across the southern United States. At the same time, there may be some way to shift a larger share of costs to the federal government. At the same time, there may be some way to shift a larger share of costs to the federal government. In West Virginia, officials are beginning to wrestle with a rather monumental decision: Will the state spend millions to expand its Medicaid program to insure an estimated 130,000 low-income West Virginians? More

New Jersey's Medicaid managed behavioral health still in holding pattern
NJ Spotlight    Share    Share on FacebookTwitterShare on LinkedinE-mail article
New Jersey's plans to move more Medicaid patients, including those receiving behavioral health services, into managed care remain on hold pending federal approval of the state's proposal. Initially, officials from the state Department of Human Services had hoped to have put out a request for proposals for a firm to oversee the new medical system that would begin Jan. 1. But the state can't make any changes without approval of the Centers for Medicare and Medicaid Services. More

Tennessee cuts Medicaid benefit funding for some long-term care patients
The Washington Post, Kaiser Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
In a unique experiment being watched nationally, Tennessee is revising its Medicaid long-term care options to make it harder for certain low-income elderly people to qualify for state-paid nursing home care. The state is focusing on seniors who officials say need assistance but not in a nursing home and not with an equivalent level of treatment in home or community-based services. The state TennCare Medicaid program will pay up to $15,000 a year to help these participants stay in their homes or receive meals and other services in adult day care facilities or other less restrictive community settings. More

Medicaid changes under ACA will simplify enrollment, reduce number of uninsured in Michigan
CHRT via KPTV-TV    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Center for Healthcare Research & Transformation released a policy paper that shows how the Patient Protection and Affordable Care Act will streamline eligibility categories in 2014 and also may help between 400,000 and 500,000 citizens to become newly eligible for Medicaid coverage. Currently, there are at least 40 different ways — each with varying eligibility requirements — to qualify for Medicaid in Michigan. More

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UnitedHealthcare receives Technology Award from MHPA's Center for Best Practices
ENP Newswire via Pharmacy Choice    Share    Share on FacebookTwitterShare on LinkedinE-mail article
UnitedHealthcare has received the Technology Award from Medicaid Health Plans of America's Center for Best Practices for its telemedicine services used to treat children with complex medical conditions on the Navajo Nation. The program, launched by UnitedHealthcare Community Plan of Arizona, uses telemedicine technology that enables pediatric neurologists to provide medical services to children with complex health conditions like cerebral palsy and spin bifida who live in remote locations on the Navajo Nation, which comprises nearly 27,000 square miles in Arizona, New Mexico and Utah. More

2012-2013 Best Practices Compendium submissions deadline extended to Aug. 24
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Click here for details.

Insights webinar: 'How Can We Get Risk-Based Capital Relief' by Summit Reinsurance Services Inc. | 11 a.m. EDT Aug. 13
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Medicaid enrollment is expected to grow by an estimated 14 million to 16 million lives due to the expanded Medicaid eligibility provisions of the Patient Protection and Affordable Care Act. As a result, many Medicaid health plans have legitimate concerns about meeting risk-based capital requirements. Summit Reinsurance Services Inc. will be presenting information on quota-share reinsurance solutions for risk-based capital relief. Click here to register.

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Insights webinar: Reduce Outsourcing Risk | 11 a.m. EDT Aug. 27
CGS    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The CGS presentation, "Reduce Outsourcing Risk with a Vendor Qualification and Review Process," demonstrates how to qualify a supplier during the selection process using a defined set of scoring criteria, and how to use the same criteria to manage the supplier during ongoing operations. More

Insights webinar: Evolving Toward a New Model of Care | 11 a.m. EDT Sept. 10
Daiichi Sankyo Inc.    Share    Share on FacebookTwitterShare on LinkedinE-mail article
This presentation reviews the challenges that PCPs face, case studies where PCMH has been undertaken, and barriers/challenges associated with its implementation. More

Free webinar from MHPA partner Verizon: Fraud Waste and Abuse — The Next Generation | 2 p.m. EDT Sept. 12
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Understanding the patterns of fraud, where to find it, how to detect, and when to act. The old pay-and-chase model of fraud management is inefficient and costly. Connie Schweyen, Debra Faulkner, MBA, MHA; and David Botsko, Ph.D., CFE, managing principals at Verizon Connected Healthcare, will show you how to catch crime before it happens and how a near real-time fraud management solution can ensure near-time results. More

Agenda available for MHPA's 2012 Annual Meeting | Oct. 24-26
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The agenda for the MHPA 2012 Annual Meeting at the Hyatt Regency Washington on Capitol Hill in Washington, D.C., is now online at MHPA's website. The meeting agenda for A Pivotal Time for Medicaid Health Plans includes keynote speeches from Tim Engelhardt, director of models and demonstrations at the CMS Medicare-Medicaid Coordination Office; Charlie Cook, political analyst and publisher of The Cook Report; Donna Brazile, political strategist and commentator; and Robert Brownstein, political director for Atlantic Media Corp. Also read about our new pre-conference, "Developments in the States" as well as other informative sessions and presentations at this three-day event. View the full agenda and register here.

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For more details and to apply online, click here.

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