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MHPA Statement for the Record for the hearing, "Examining Medicare and Medicaid Coordination for Dual-Eligibles."
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The comments for the July 18, 2012 hearing address the need for more care coordination for the dual-eligible population, the scope of the Capitated Financial Alignment Demonstrations (CFADs), the importance of passive enrollment, Medicaid managed care organizations’ experience serving elderly and disabled populations, and the plan selection process for the capitated demonstrations. Read the full letter.

New Keeping You Healthy video: Stylin' Healthier Futures by UnitedHealthcare Community Plan-Wisc.
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Stylin' Healthier Futures enlists licensed hair stylists as lay health promoters to help create awareness about women's health. They engage their customers in health chats which include ways to improve diet and the importance of regular exercise and doctor visits. Then, they work with their clients to style their hair so they can exercise and still look great. More

Massachusetts moves to keep health costs at bay
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Massachusetts is poised, once again, to become a national bellwether on health care. The question is who's actually watching? Bay State lawmakers Tuesday gave final approval and were sending to Gov. Deval Patrick a bill that would pressure the health care industry to keep costs at or below the state’s economic growth rate. More

Improving Lives. Reducing Costs.
Health Integrated, the leading innovation partner for health plans, provides evidence- based solutions to achieve health management goals for clinical outcomes, quality measures and cost containment.

Our expertise with vulnerable populations and 360-degree view of the impact of bio-psycho-social risk factors on health makes us the perfect partner for Medicaid and Medicare plans.

Medicaid: life & death politics?
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A Harvard study that found a longer life expectancy in states where Medicaid was expanded years ago could have significant implications for Florida, with thousands of lives each year riding on a decision that until now rested only on money and politics. Gov. Rick Scott, a Republican who has been highly critical of the Affordable Care Act, calls Medicaid expansion a budget-buster. More

Maine asks Medicaid benefit cuts preserved
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Gov. Paul LePage's administration is formally asking the federal government to approve cuts in Medicaid programs that were included in Maine's budget-balancing law enacted this spring. The cuts, due to take effect Oct. 1, eliminate Medicaid coverage for 19- and 20-year-olds; remove 1,825 people from the Medicare Savings Program; and increase eligibility requirements for non-disabled, non-pregnant adults on Medicaid. More

Technology to help CMS revamp Medicaid
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The Medicaid expansion was supposed to be the least controversial part of the health reform lawsuit. But since the Supreme Court essentially made broadening its eligibility voluntary for states, not a day goes by without news reports guessing how Medicaid will fare in the future. States are crunching the numbers, consulting with stakeholders and, in many instances state legislatures will be actively engaged. More

Medicaid expansion is a good business decision for Florida
Marcois Land Florida    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Promoting life and preventing premature death should be paramount when our Legislature decides whether to implement the Affordable Care Act's Medicaid expansion in Florida. So far, Gov. Rick Scott has trumpeted unsubstantiated claims that the Medicaid expansion will break the state budget. The Urban Institute projects Florida's spending on Medicaid will increase less than 2 percent through 2019. More

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

Altegra Health Improves Healthcare Performance

Altegra Health is a leading provider of business, technology, and consulting solutions that improve healthcare organization performance by aligning the company’s best–in–class capabilities with health plan and provider clients’ existing capabilities, resulting in comprehensive, integrated solutions for revenue management. For more information, visit

Insights webinar: 'How Can We Get Risk-Based Capital Relief' by Summit Reinsurance Services Inc. | 11 a.m. EDT Aug. 13
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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.

Insights webinar: Reduce Outsourcing Risk | 11 a.m. EDT Aug. 27
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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

LIBERTY Dental Plan

A national leader in providing dental benefits for Medicaid, CHIP and Medicare programs;

• Nationwide Network
• Comprehensive Dental Disease Management
• Predictable Costs with Quality Programs

Inaccurate or incomplete data wastes time and money.

LexisNexis® data hygiene services make it easy to maintain updated member contact information and reduce undeliverable and returned mail.

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
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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

Enhance Membership Expansion with CareCall

Rapid expansion is on the horizon as a result of the Affordable Care Act. Will you be able to effectively communicate with your members? Specializing in managed care for over 20 years, CareCall can provide cost-effective outsourcing solutions for overflow support and member outreach efforts.
Call Today! 1-866-730-0426

Free Webinar by MHPA partner LexisNexis: Why Identity Management Matters to Medicaid | 1pm EST, November 8
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As a Medicaid Plan you should not just be addressing the "what" of identity management — the technical side — but, more important, the question of "who?" How do we know who the person on the other end is who they say they are and what risks they may pose for the environments and systems they are attempting to enter. More

Agenda available for MHPA's 2012 Annual Meeting | Oct. 24-26
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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.

Job Opportunity: Supervisor of Advertising and Production at Health Partners (Philadelphia)
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For more details and to apply online, click here.

MHPA on Twitter, LinkedIn and Facebook
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MHPA's Industry NewsBrief
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