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Medicaid fight enlivened with Romney-Ryan ticket
KPBS-TV    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The addition of Wisconsin Congressman Paul Ryan to the Republican ticket is certain to elevate healthcare as a campaign issue this fall. Most of the debate likely will be about Medicare, and Ryan's controversial plan to transform the popular program for the elderly and disabled. But some of the attention likely will focus on Medicaid, the healthcare program for those with low incomes, as well. More

Paul Ryan's biggest budget cuts are to Medicaid, not Medicare
The Washington Post    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Paul Ryan's Medicare overhaul may be the most controversial part of his budget. But the proposed cuts to the program are not the biggest cuts in the plan. As Washington Post columnist Ezra Klein notes, Ryan's cuts to Medicare "are only 60 percent as large as the cuts to Medicaid and other healthcare programs." What's more, his biggest change to Medicare wouldn't kick in until 2023 — the start date for his voucher-based premium support program. By comparison, Ryan's cuts to Medicaid are more drastic, and they start sooner: Between 2013 and 2022, it would make nearly $1.4 trillion in cuts to Medicaid that "would almost inevitably result in dramatic reductions in coverage" as well as enrollment, according to the nonpartisan Kaiser Family Foundation. More

Report: Medicaid expansion would help childless adults
The Hill    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Single adults without children significantly would benefit from the Medicaid expansion in President Barack Obama's healthcare law, according to new research. The report, written by the Urban Institute and the Robert Wood Johnson Foundation, says roughly 82 percent of the people newly eligible for Medicaid do not have a dependent child. More

Early-bird rate for MHPA's 2012 Annual Meeting expires Aug. 31
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Register now for the MHPA 2012 Annual Meeting in October at the Hyatt Regency Washington on Capitol Hill in Washington, D.C., to take advantage of the early-bird discount. For meeting details, including travel/lodging info and the agenda for the Oct. 24 pre-conference, "Developments in the States," click here. To register, email Thanh Duong at

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Changes under way for determining in-home Medicaid services in Kansas
Kansas Health Institute    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Kansas officials are changing the way they determine which in-home Medicaid services are provided to the frail elderly and people who are physically disabled. The new system will rely on a single agency or organization with a presence in each of the state's 105 counties to assess what services a person will receive. Currently, there are more than 30 organizations involved with the process. Some assess only the elderly. Others focus solely on the physically disabled. More

KanCare: Ready or not?
Kansas Public Radio via Kansas Health Institute    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Less than five months from now, the Kansas Medicaid program is scheduled to convert to a privatized system called KanCare. In January, three for-profit, managed-care organizations will take over the federal/state program that pays for healthcare for low-income children, seniors and people with disabilities. State officials have been conducting meetings across the state to help people prepare for the change. More

Medicaid cuts loom; Georgia to extend insurer pacts
Georgia Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
State officials say proposed budget cuts to Georgia Medicaid and PeachCare would total $170 million in state funds through the next fiscal year. And with the matching federal funds generated by that state spending, the reductions would have a more than $500 million impact on the two health insurance programs. The cuts would come on top of a current shortfall in the two programs that the Department of Community Health's budget director estimates at about $300 million. More

Medicaid: Flood of funds await approval in Georgia
The Atlanta Journal-Constitution    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The federal healthcare law would inject $36 million into Georgia's healthcare economy over 10 years by adding more than 650,000 low-income Georgians to the Medicaid program. Deal, a strong opponent of the law, is wary of the proposition. The state projects that Georgia’s share of the law’s $40 billion cost for a fully expanded Medicaid program would reach $4.5 billion over a decade, a sum the governor fears would break a state budget already stretched by health costs. More

Medicaid projection at issue in Georgia
The Atlanta Journal-Constitution    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Budget gurus and health officials in every state are trying to project the costs and benefits of the Affordable Care Act. Georgia is no exception. As state officials try to decide whether Georgia will agree to expand its Medicaid program, putting a price tag on that decision has been the first order of business. Some experts who have reviewed the numbers say the state's projections may overstate the likely costs. More

Brewer advisers form health pact to push to expand Medicaid in Arizona
The Arizona Republic    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Two key advisers to Gov. Jan Brewer are attempting to create a coalition of hospitals, insurance plans, providers and other players to push Arizona to expand Medicaid under federal healthcare reform. Last week, the board of a statewide group of human-services providers agreed to hire Chuck Coughlin and Peter Burns, and the state's largest hospitals and health plans are considering signing on. More

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Virginia healthcare professionals urge Medicaid expansion
Daily Press via Pharmacy Choice    Share    Share on FacebookTwitterShare on LinkedinE-mail article
An additional 100,000 Hampton Roads, Va., residents would qualify for Medicaid under the proposed expansion authorized by the Affordable Care Act to take effect in 2014, according to new figures released by the Urban Institute. Those account for more than a quarter of the newly eligible in the whole state. More

As Medi-Cal soars, higher education loses
San Francisco Chronicle    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The U.S. Supreme Court decision upholding the Obama administration's healthcare law opens the door for millions more to get coverage through the expansion of Medicaid, the public health insurance for the poor. But if history is any guide, college students could feel the pinch as states cut aid to higher education to expand healthcare. More

Michigan could scale back Medicaid expansion if costs become too burdensome    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Supporters of the Affordable Care Act are hopeful that Michigan will expand its Medicaid program now that a federal official has said states could opt out down the road. But a spokesman for Michigan House Leader Jase Bolger, R-Marshall, said that's not necessarily enough to sway his opinion in favor of the measure. More

Obama pushes for state help on health exchanges
Reuters    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Obama administration will try to encourage reluctant U.S. states to move forward with health insurance exchanges amid fears that time is running out for states to act on a reform provision meant to extend coverage to millions of low-to-moderate income uninsured Americans. More

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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

Free webinar: Making the Business Case — Fundamentals, Opportunities and Risks for Health Plans Considering Participation in the Dual Eligible Market | 1 p.m. EDT Aug. 29
Sellers Dorsey    Share    Share on FacebookTwitterShare on LinkedinE-mail article
This webinar will examine the opportunities and potential risks for Medicaid health plans to manage the duals population. Health plan execs will learn the crucial external and internal points that influence their decisions such as market size, provider capacity, ROI, provider contracting constructs, compliance risk and capacity for clinical integration. Presenters: Mike Fox, senior consultant, is a leading expert in major Medicaid managed-care expansion, oversight, contract and rate development. Having both state Medicaid agency and health plan experience, he offers a deep understanding of managed care policy, operations and business development. Also, Kip Piper, senior consultant, is a top expert in Medicaid, Medicare and health reform. Kip advises health plans, hospitals and health systems, state Medicaid agencies, drug and device manufacturers, and investment firms. His experience includes senior adviser to the CMS administrator, head of Wisconsin Medicaid, state health commissioner and health plan executive. Click here to register.

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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
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
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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.

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