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Insurers react as Avalere finds newly eligible Medicaid beneficiaries in poorer health Inside Health Policy Share    
A new Avalere Health analysis has found that people who are newly eligible for Medicaid under the health reform law report poorer health than Medicaid's current enrollees, suggesting Medicaid health plans need to prepare for increased rolls of these types of patients when Medicaid is expanded in 2014, the health care advisory company said. More
Pelosi announces picks for super committee National Journal Share
House Minority Leader Nancy Pelosi, D-Calif., picked Democratic Reps. Chris Van Hollen of Maryland, Jim Clyburn of South Carolina and Xavier Becerra of California to serve on the bipartisan House and Senate super committee that will seek $1.5 trillion in additional deficit reduction cuts by Nov. 23. More 'Super committee' could have big impact on Medicare, Medicaid spending Kaiser Health News Share
Party leaders in both chambers have been naming their picks for a "super committee" created in the deal President Barack Obama and Congress struck to raise the nation's debt ceiling. Nine of the 12 committee members have been selected; House Minority Leader Nancy Pelosi has yet to pick the three Democratic representatives. More
Experts wonder if debt panel can overcome ideological obstacles California Healthline Share
As congressional leaders appoint members of a new bipartisan, bicameral debt panel created by the recent debt deal, experts wonder if staunch liberal and conservative lawmakers will be able to agree on deficit-reduction strategies, the AP/Washington Post reports. More Debt deal may not be as rough on states as initially feared Stateline Share
For states, the federal agreement to raise the debt ceiling has inspired confusion and consternation in equal parts. State officials knew that cuts in federal aid were coming their way, but when the deal was struck Aug. 1, they had little sense of how deep the reductions would be and which programs they'd cover. More Report: Most Medicaid, CHIP changes involve benefit, payment cuts California Healthline Share
The majority of changes by states to Medicaid and the Children's Health Insurance Program have reduced benefits or reimbursement rates, according to a report by the National Association of Children's Hospitals and Related Institutions, CQ HealthBeat reports. More
Medicaid to test expanded mental health coverage The Hill Share
A new federal program will test the impact of removing a decades-long ban on Medicaid coverage for some mental health treatments. More GOP raises more questions about health care waivers The Hill Share
House Republicans threatened to use a "compulsory process" if the Health and Human Services Department doesn't voluntarily turn over more documents about controversial waivers from part of the health care reform law. More
Judge allows cuts to Arizona's Medicaid program The Associated Press via Forbes Share
A judge ruled that Gov. Jan Brewer can legally reduce enrollment in Arizona's Medicaid program to help balance the state budget. The state has barred childless adults with incomes above the federal limit for Medicaid from either enrolling for the first time or re-enrolling in the state program. More Report: States cutting kids' access to health care The Hill Share
More states have cut payments for children's health care services than have raised them this year, according to the National Association of Children's Hospitals. More
Fall-ballot ruling awaited on health care law The Columbus Dispatch Share
The Ohio Supreme Court must decide soon whether voters can weigh in on a ballot measure seeking to exempt Ohioans from being forced to buy health insurance. More Dell and ikaSystems form strategic alliance to help payers reduce administrative costs through advanced processing automation and business process solutions Business Wire via TMCnet.com Share
Dell and ikaSystems announced that they have formed a strategic alliance to deliver advanced administration and care management solutions to health care payers. More
Register now for Medicaid Health Plans of America's 2011 annual meeting, 'The Changing Landscape for Medicaid Health Plans,' Nov. 6-8 at the Hyatt Regency Washington on Capitol Hill in Washington, DC MHPA Share
Keynote speakers: Former HHS Secretary Donna Shalala; Political Strategist and Commentator Donna Brazile and more. Issues addressed: health reform implementation, quality improvement, cost-containment and improving access to care. Other meeting highlights: pre-conference, networking opportunities, sponsor tradeshow and entertainment by The Capitol Steps. Click here for more details Click here for sponsorship opportunities CLICK HERE TO REGISTER ONLINE The World Congress presents the 2nd Annual Health Care Reform Congress on Health Insurance Exchanges World Congress Share
The latest legislation, building the business plan, examining state-by-state implementation Sept. 19-20 | Washington, D.C. SAVE $300 on your current registration fee when you mention PROMO CODE: MXB855 and PRIORITY CODE: HL11022-12549! (Not valid for government rate. Cannot be combined with additional discounts or applied to a current registration.) Call 800-767-9499 or visit www.worldcongress.com/exchanges for more information or to register today. The World Congress Presents the 2nd Annual Health Care Reform Congress on Medical Loss Ratios World Congress Share
Best Practices for Preparing and Adhering to New Reform Mandates and Regulations Sept. 19-20 | Washington, D.C. SAVE $300 on your current registration fee when you mention PROMO CODE: MXB855 and PRIORITY CODE: HL11041-12550! (Not valid for government rate. Cannot be combined with additional discounts or applied to a current registration.) Call 800-767-9499 or visit www.worldcongress.com/MLR for more information or to register today. Opal events' 2nd Annual Medicaid Business in Focus: CFO Forum, Sept. 26-27, Crystal Gateway Marriott, Arlington, Va. Opal Events Share
The next event in our Medicaid Business series continues to explore medical management strategies as an answer to the growing problems that Medicaid health plans face. More patients with more complex medical conditions are costing more, not only in care but also in enrollment adjudication, risk adjustment and claims processing. This event will offer solutions to this dilemma, providing medical management strategies that are grounded in evidence-based clinical practices, predictive outcomes modeling, member engagement and multi-disciplinary professional collaboration. This conference is designed for executives from Medicaid health plans, specifically the CFO-level and others with finance and medical management responsibilities. www.opalevents.org/trk/cfoc1111.html Webinar: Thomson Reuters and MHPA present 'Medicaid Expansion: who will your future members be?' Oct. 11, 2 p.m. EST MHPA Share
An estimated 16 million people will soon gain coverage through the expansion of Medicaid. For health plans that will serve this population, this dramatic growth requires adjustments to business strategies for membership growth, as well as network and care management strategies to serve the unique needs of this population. Health Plans that drive these strategies from a deeper understanding of consumers will be enabled to compete more successfully in this rapidly changing market. Tony Glebe, Vice President of Analytic Consulting and Research Services and Gary Pickens, Chief Research Officer at the Center for Healthcare Analytics at Thomson Reuters, will share their research and insights into the varying size of Medicaid expansion across the country, and the health behavior and attitudinal profiles of the individuals gaining coverage through expanded Medicaid. To log in, go to www.pcconf.com and click join. Call-in number: 1.800.839.9416; Participant ID for video and audio portions: # 3183287. Questions? Please contact Thanh Buscarini at 202.857.5728. Multiple job opportunities, Health Services for Children with Special Needs The HSC Foundation Share
HSCSN is an innovative care management network coordinating health, social, and education services for the pediatric Supplemental Security Income and SSI-eligible populations of Washington, D.C. They are currently looking for candidates for the following positions: Director of Enterprise Data Management organizes, oversees and is responsible for the maintenance and development of the data and budget repositories and all associated reporting. Director of Medical Economics is responsible for providing leadership and strategic vision for the Business Intelligence Department in transforming business intelligence into action plans and providing strategic recommendations to improve care coordination plan performance. Clinical Quality Improvement Analyst develops, maintains, and evaluates the quality improvement and process improvement corporate plan, initiatives, and activities in collaboration with HSCSN management to develop and implement strategies that ensure the delivery of quality health care and services. For more information or to apply, please click here. MHPA's August Best Practice of the Month: 'Biggest Winner' Nutrition Program Health Partners Share
Each month, MHPA features a Best Practice selected from MHPA's 2010-2011 Best Practices Compendium, a collection of programs and services from member health plans that combines innovation, expertise, and caring to improve the health of Medicaid recipients of all ages. MHPA has selected the "Biggest Winner" Nutrition Program by Health Partners as its August 2011 Best Practice of the Month. Read a description of "Biggest Winner," the specific actions taken and the resulting outcomes on MHPA's website at http://bit.ly/qQO8Yt. For more information on Health Partners, click here.
MHPA on Twitter, Facebook and LinkedIn MHPA Share
Follow us on Twitter, and Facebook and LinkedIn to get industry-related news and the latest MHPA announcements. Banner advertising available with MHPA NewsBriefs MHPA Share
Now you can ensure that your message gets out to the Medicaid managed care industry. For rate information, contact James Debois for opportunities 469.420.2618 or email at jdebois@multiview.com. |
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