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Sebelius signals openness to state alternatives to
Medicaid expansion

Kaiser Health News
Speaking to the National Conference of State Legislatures, Health and Human Services Secretary Kathleen Sebelius said she is willing to work with states experimenting with new ways to insure poor Americans. Meanwhile, outlets in Virginia and Michigan report on the debate in those states about expanding the program.
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MHPA at booth #601 at the 2013 NCSL Legislative Summit in Atlanta
MHPA
The MHPA staff is currently on hand to answer questions from state legislators on Medicaid managed care at the National Conference of State Legislatures Legislative Summit in Atlanta, which will conclude Thursday, Aug. 15. Please stop by booth #601 for information on how Medicaid health plans can help improve access to care while providing budget predictability for your state.
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States scramble to drive down Medicaid drug costs
USA Today
A little-known provision of the 2010 healthcare law has states and their governors scrambling to take advantage of potential savings in how states distribute medication to Medicaid patients. The Affordable Care Act allows states to receive drug rebates even if they move their Medicaid prescription benefit to managed-care organizations. The federal government has also asked states to fix the wide disparities in dispensing costs for drugs distributed through Medicaid.
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Sebelius: We're open to 'uniquely Texan' approach
Kaiser Health News and The Texas Tribune
The federal government is open to expanding Medicaid coverage under the Affordable Care Act in a way that is more tailored to Texas' preferences, Health and Human Services Secretary Kathleen Sebelius said while visiting Austin City Hall.
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Michigan GOP lawmakers criticize Medicaid expansion plan, push alternatives
The Detroit News
Two Republican state lawmakers from Michigan were joined by other Medicaid expansion critics in attacking the federal Affordable Care Act and urging rejection of a proposed expansion of the government healthcare coverage program for the poor in favor of their free-market alternative.
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Texas awaiting feds' OK to boost Medicaid payments
The Texas Tribune
Under a provision of the Affordable Care Act, payments to primary care doctors under Medicaid — the joint state-federal insurer of children, the disabled and very poor parents — are supposed to rise to the same level as rates for Medicare, the federal health program for the elderly. It's an increase intended to encourage more physicians to take on Medicaid patients.
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Virginia candidates using funny math on Medicaid
Richmond Times-Dispatch
Republican Ken Cuccinelli and Democrat Terry McAuliffe have diametrically opposed positions on whether Virginia should expand its Medicaid program under the Affordable Care Act. But both candidates for governor get creative with potential savings from expanding the program to as many as 400,000 uninsured Virginians who earn no more than 138 percent of the federal poverty level.
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In states that don't expand Medicaid, some of the uninsured may still get help
Kaiser Health News
Some of the millions of poor people expected to lose out on Obamacare coverage next year because their states are not expanding Medicaid might have a way to get help, but the strategy carries risk. Experts say the key is for them to project their 2014 income to at least the federal poverty level, about $11,500 per person or $23,500 for a family of four.
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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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Reminder: MHPA Best Practices Compendium Submissions due Aug. 16
MHPA
Submit your best practices for inclusion in the 2013-2014 Best Practices Compendium. The deadline is Friday, Aug. 16. Details are included 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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SPONSORED CONTENT


'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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Recent webinar presentations from Altegra Health, 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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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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FEATURED ARTICLE
TRENDING ARTICLE
MOST POPULAR ARTICLE
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 GOP backs 'free-market' Medicaid
Daily Press & Argus
The Livingston County Republican Party is formally supporting a "free-market" plan intended to reduce Medicaid rolls over expansion of the program to Michigan's working poor.

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New Jersey doctors rank last in nation in accepting new Medicaid patients
NJ Spotlight
Doctors cite low reimbursements and high costs, while experts note affluent state's abundance of residents with health insurance. New Jersey has the nation's lowest percentage of doctors who accept Medicaid patients — while the state is anticipating the addition of more than 200,000 new patients to the program's rolls.

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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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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.

    As 2013 ends, Medicaid directors looking at reform implementation (Kaiser Family Foundation)
California's Healthy Families transition concerns heightened as difficult phases start (California Healthline)
UnitedHealth finds savings with employee health incentive (Bloomberg)
Health insurers tune in to Twitter for customer service (Kaiser Health News)
NH Medicaid panel looks at Arkansas, Iowa models (Valley News)

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


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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MHPA's Industry NewsBrief
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