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CMS: States may drop Medicaid expansion
HealthLeaders Media    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The federal announcement this week that states may choose to expand their Medicaid programs to 138 percent of the federal poverty level for some period of time and then later drop out, could provoke some states deeply opposed or on the fence to reconsider. But the news doesn't answer many of the big questions that remain, says Matt Salo, executive director of the National Association of Medicaid Directors. More

Health Partners makes national list of Best Places to Work in Healthcare
Health Partners    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Health Partners of Philadelphia Inc., the not-for-profit, managed care health insurance organization, is among Modern Healthcare's 2012 Best Places to Work in Healthcare. Health Partners was recognized by the national magazine as among the 100 most outstanding healthcare employers in the country. Modern Healthcare is a national source of healthcare business/policy news, research and information. Its recognition program honors workplaces that provide employees with the support and resources to offer the best possible care and services. More

Urban League gives Centene 1st national award for health
St. Louis American    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Centene Corporation, a St. Louis-based national leader in the healthcare services field, will receive the National Urban League's first national award for innovation in health. The award recognizes Centene's locally based approach to serving vulnerable communities and its achievement in developing innovative patient programs that reduce the number of premature births and babies born with low birth weight. Through its Start Smart for Your Baby Program, Centene's state health plans annually coordinate healthcare services for more than 60,000 pregnant women. More

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Research: Increasing federal match funds for states boosts enrollment of children in healthcare programs
University of Michigan Health System via Government Health IT    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Significantly more children get health insurance coverage after increases in federal matching funds to states for Medicaid and the Children's Health Insurance Program, according to new research from the University of Michigan. The research, published in the journal Health Affairs, showed that a 10-percentage-point increase in the federal match for Medicaid and CHIP, similar to the increase that occurred with the American Reinvestment and Recovery Act, is associated with an increase of 1.9 percent in the number of children enrolled in Medicaid nationwide, or approximately 500,000 additional children. More

What effect will healthcare have on 2012 state elections?
Governing    Share    Share on FacebookTwitterShare on LinkedinE-mail article
In many respects, despite being a federal law, the onus of implementing the Affordable Care Act falls on the states: the Medicaid expansion, health insurance exchanges, dual-eligible demonstration projects, etc. The difference in action (or inaction) in states controlled by Democrats versus Republicans has been substantial since the law passed in 2010. Add the U.S. Supreme Court's decision to make the ACA's Medicaid expansion (the largest single provision in terms of meeting the goal of universal health insurance coverage) optional, and it seems possible that the outcome of the 2012 state elections could have as much of an effect on the law's ultimate fate as whether President Barack Obama or Mitt Romney reside in the White House for the next four years. More

New York seeks federal waiver to transform healthcare
Rochester Democrat and Chronicle via HealthLeaders Media    Share    Share on FacebookTwitterShare on LinkedinE-mail article
New York has submitted an application to the federal government asking to reinvest into the state's healthcare infrastructure $10 billion of savings created by Gov. Andrew Cuomo's Medicaid Redesign Team. Phase 1 of the team's recommendations is estimated to save $34 billion in Medicaid funds — about half to the state and half to the federal government. The waiver application requests that $10 billion of the estimated $17.1 billion federal savings over five years be reinvested into New York's industry. More

Kansas trying again with KanCare application
The Wichita Eagle    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Brownback administration resubmitted its KanCare proposal to the federal government. It had to withdraw its initial waiver application because it failed to notify two Native American health clinics about the proposal. The administration maintains that it will save about $1 billion over five years by switching Medicaid to a managed-care system, without cutting provider rates or changing eligibility requirements. But many are skeptical and have noted major problems in other states where private insurance companies manage Medicaid. More

South Carolina's Keck named to national Medicaid association
The State    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The director of South Carolina's Medicaid program has been appointed to the board of the National Association of Medicaid Directors. Tony Keck, appointed by Gov. Nikki Haley to lead the South Carolina Department of Health and Human Services, will represent the southern region. He was voted in by the members of the association's southern region. More

Report: Medicaid won't bust Utah's budget
KCPW-FM    Share    Share on FacebookTwitterShare on LinkedinE-mail article
A new report by a Utah advocacy group says Medicaid spending is not going to cripple Utah's budget, despite fears expressed by some state leaders. "What we found is that the share of Utah funds spent on Medicaid has risen in the past three years, but in 2013, the state expects to spend only eight percent of its total local funds on Medicaid," said Allison Rowland, director of research and budget at Voices for Utah Children. "That's the same amount it spent in 2006." More

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Medicaid workgroup holds 1st meeting in Idaho
Targeted News Service via Pharmacy Choice    Share    Share on FacebookTwitterShare on LinkedinE-mail article
About 100,000 low-income Idaho adults would become newly eligible if the state expands its Medicaid coverage, according to consultants hired by the state. The Leavitt Partners recently presented a preliminary review of its data and analysis at the first meeting of the governor's workgroup to evaluate whether Idaho should opt to expand Medicaid eligibility. The governor formed the 15-member workgroup, headed by Department of Health and Welfare Director Richard Armstrong, to analyze the advantages and liabilities of expanding Medicaid coverage to low-income adults under the Affordable Care Act. More

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Insights webinar: How Can We Get Risk-Based Capital Relief? By Summit Re | 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 Re 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
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

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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

Free webinar by MHPA partner Baxter: Importance of Coordinated Care in the Management of Members with Hemophilia | 11 a.m. EDT | Sept. 18
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
This webinar is focused on coordinating care in hemophilia, improve outcomes and reduce costs. Best practice coordination of care includes the plan's relationship with the patient, specialty pharmacy, and hemophilia treatment centers. A managed Medicaid plan will discuss management of hemophilia patients through working with the state as well as outcomes associated with care through a specialty pharmacy. A hemophilia physician will discuss the uniqueness of coordinated care through the hemophilia treatment center and demonstrated outcomes. More

Free webinar by MHPA partner LexisNexis: Why Identity Management Matters to Medicaid | 1 p.m. EDT Nov. 8
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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

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

Reaching, Retaining, and Serving Dual Eligible Beneficiaries | Sept. 19-20
Healthcare Education Associates    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Explore effective marketing, outreach and engagement for Medicare/Medicaid dual eligibles. Healthcare Education Associates and the Risk Adjustment Initiative & Society for Education are pleased to present the Reaching, Retaining, and Serving Dual Eligible Beneficiaries Summit, slated for Sept. 19-20 in Scottsdale, Ariz. This groundbreaking two-day intensive event designed to tackle the unique challenges of marketing and outreach to the dual eligible population, will feature MHPA President and CEO Thomas Johnson as a guest speaker. MHPA members get 15 percent off registration by using Priority Code: HMP122. Call Theresa Powers at 704-341-2437 or register online here.

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.

Job opportunity: Supervisor of advertising and production at Health Partners (Philadelphia)
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For more details and to apply online, click here.

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