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As FY 2013 ends, leading Medicaid directors looking toward healthcare reform implementation in 2014
Kaiser Family Foundation
In May 2013, a group of leading state Medicaid directors met outside Denver to discuss the current opportunities and challenges facing state Medicaid programs as they prepare to implement the Affordable Care Act coverage expansions and enrollment simplifications that will take effect in January 2014. Medicaid directors described a time of focused attention on their preparation for the implementation of significant and complex system and policy changes.
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'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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MHPA 2013 — Updated agenda for 'Health Reform from East to West: Preparing Medicaid Health Plans for 2014' | 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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HealthTeacher promotes good health and physical activity in youth; opportunities to partner with Medicaid plans
HealthTeacher Inc.
HealthTeacher Inc. is an innovative company that offers a number of Web-based programs to help schools promote health literacy and physical activity. Currently, more than 7 million K-12 students in 18 states have access to the company's online HealthTeacher health education curriculum. To ensure adoption of its health education programs, games and apps, HealthTeacher Inc. enters into corporate and foundation partnerships that allow school districts to offer its programs without adding extra costs to local school budgets, although a few school districts are also making direct purchases.

HealthTeacher Inc. is hoping to provide statewide access to its K-5 health education curriculum in a select number of states and expand access elsewhere. They also hope to make its interactive, in-class physical activity program, GoNoodle, which includes a partnership with the U.S. Track and Field Foundation, available to all elementary schools where HealthTeacher can be accessed. HealthTeacher is seeking partnerships with Medicaid health plans interested in promoting health education and physical activity among youth as part of their community outreach and engagement strategies.

For more information about partnership opportunities, please contact Roy Ziegler, executive vice president at HealthTeacher Inc. at roy.ziegler@healthteacher.com. For additional information about the company and its programs, please click Read More.

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New chief medical officer named for Horizon NJ Health
Horizon Blue Cross Blue Shield
Horizon Blue Cross Blue Shield of New Jersey announced that Dr. Mark Calderon will assume the position of vice president and Chief Medical Officer of its wholly owned subsidiary, Horizon NJ Health, the state's largest Medicaid and NJFamilyCare managed healthcare organization.
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California's Healthy Families transition concerns heightened as most difficult phases start
California Healthline
The third phase of the Healthy Families transition began recently, and it could be a bumpy passage. The first two phases moving about 615,000 Healthy Families children to Medi-Cal managed care plans have gone relatively smoothly, with almost all of those children retaining their health plan and roughly 94 percent of them retaining their primary care physician, according to the Department of Health Care Services, which is overseeing the transition.
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Working parents in Florida could lose Medicaid
Healthy News Florida
About 45,000 low-income working parents in Florida will lose their Medicaid coverage at the end of this year and become uninsured unless they quit their jobs, a coalition of children's advocacy groups says.
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Candidates for Virginia governor address Medicaid expansion
The Washington Post
Ken Cuccinelli II touted tax cuts and preschool vouchers while Terry McAuliffe embraced Medicaid expansion as the candidates for Virginia governor laid out different visions for improving mental health in Virginia.
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Michigan, Illinois partner on Medicaid technology
The Associated Press via WLNS-TV
Illinois will utilize Michigan's Medicaid Management Information System to save both states and the federal government nearly $339 million combined in the cost-effective maneuver.
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UnitedHealth finds savings with employee health incentive
Bloomberg
UnitedHealth Group Inc., the largest U.S. health insurer, said it saved $107 million in medical costs over three years by using incentives to persuade its employees to lose weight, make healthier lifestyle choices and get checkups.
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Grumpy Cat chimes in on the health insurance tax
Social media's ill-tempered cat that loves to hate gives his take on this misguided policy here and here
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Reminder: MHPA Best Practices Compendium Submissions Due Aug 16
Submit your best practices for inclusion in the 2013-2014 Best Practices Compendium. Details here.
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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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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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FEATURED ARTICLE
TRENDING ARTICLE
MOST POPULAR ARTICLE
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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US bans new home health, ambulance providers in 3 regions
Reuters
The U.S. government 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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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 health-care 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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'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.

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TRENDING ARTICLES
Missed our previous issues? See which articles your colleagues read most.

    KanCare: Aims to achieve savings and quality improvement (Kansas Health Institute)
The 48th anniversary of Medicare and Medicaid (A statement by HHS Secretary Kathleen Sebelius via Pharmacy Choice)
MHPA 2013 — Updated agenda for 'Health Reform from East to West: Preparing Medicaid Health Plans for 2014' | Oct. 20-22 | National Harbor, Md. (MHPA)
Florida set for launch of Medicaid managed long-term care program (Florida Today)

Don't be left behind. Click here to see what else you missed.


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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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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