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Online registration for MHPA's 2012 Annual Meeting reopened!
MHPA    Share   Share on FacebookTwitterShare on LinkedinE-mail article
Register online now for the MHPA 2012 Annual Meeting in October at the Hyatt Regency Washington on Capitol Hill in Washington, D.C. The pre-conference "Developments in the States" ($295 for all attendees before Aug. 31) will run from noon to 6 p.m. Oct. 24 and will feature state Medicaid directors and leadership from Michigan and Florida health plan associations who will discuss current trends and what's in store for Medicaid health plans at the state level. The main event, "A Pivotal Time for Medicaid Health Plans," kicks-off Oct. 25, just two weeks before Americans vote in a presidential election that, with the addition of Wisconsin Congressman Paul Ryan to the Republican ticket, will decide the future of Medicaid. For meeting details, including travel/lodging info and agendas, click here. Remember: Sign up before Aug 31 to take advantage of the early bird discounts on both conference and pre-conference fees. Register online from your PC or PDA here.



Latinos fall through the cracks in anti-Medicaid states
Fox News Latino    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The nonpartisan Kaiser Family Foundation estimated last year that the Affordable Care Act — referred to by its opponents as "Obamacare" — would extend Medicaid coverage to some 8 million Latinos. That was before the July Supreme Court ruling that allowed states to refuse to expand Medicaid without incurring penalties. Now, several states, including Florida and Texas, say they will decline to expand Medicaid under President Barack Obama's healthcare law, leaving many Latinos too poor to afford health insurance, but not poor enough for Medicaid. More

Study: Medicaid rolls to expand by 14 million people by 2019
Becker's Hospital Review    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Medicaid rolls in the United States likely will surge by 14 million people to a total of 68 million by 2019, and nearly 10 million of the new Medicaid enrollees will be in states that adopt the healthcare law's coverage expansion, according to a report from Booz & Company. Booz & Company created estimates based on interviews with state Medicaid directors, policy analysts and health plan executives as well as state-level projections and modeling. Dr. Sanjay Saxena, partner with Booz & Company, led the study. More

Medicaid cuts Ryan doesn't tout would cut aid to seniors
Bloomberg    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Congressman Paul Ryan's plan to overhaul Medicare wouldn't affect today's seniors. His Medicaid proposal would. While the Republican vice-presidential candidate is careful to avoid touching Medicare benefits for anyone at or near retirement, his budget would impose immediate cuts to Medicaid, the healthcare program for the poor that funds nursing-home care and other benefits for 6 million U.S. seniors. More

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Mann: Congress generally adds to Medicaid match rate as states fret over expansion funds
InsideHealthPolicy.com    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Seeking to assuage worries that Congress could reduce the Affordable Care Act's higher matching fund rate for the Medicaid expansion when tackling deficit reduction, CMS Medicaid chief Cindy Mann noted that historically, Congress has added to the match rate rather than reduce it. But an official representing state Medicaid directors tells Inside Health Policy that Congress is facing unprecedented fiscal challenges and even the Obama administration has proposed changing the Medicaid funding formula to cut federal spending. More

States crack down on mental health prescriptions
The Pew Charitable Trusts    Share    Share on FacebookTwitterShare on LinkedinE-mail article
In the past two years, Illinois has done just about everything it could to reduce the amount it spends on prescription drugs for mental health. It has placed restrictions on the availability of 17 medications used to treat depression, psychosis and attention-deficit disorder. Doctors now have to explain to Medicaid why the drugs are necessary before a patient can get access to them. Then in July, as part of an effort to cut overall Medicaid spending by $1.6 billion, the state capped the number of prescriptions for Medicaid recipients to four a month, even if they previously were taking a broader cocktail of behavioral medications. More

What Paul Ryan's reforms would mean for California
California Healthline    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Golden State's deficit is nearing $16 billion. Lawmakers are counting on new taxes that may never come. The state's obligations are enormous, even as public-sector cuts mean that social services are being stretched thin. It's a microcosm of the budget wrangling happening on a national level. But the fiscal debate in liberal-leaning California looks tame next to the arguments in Washington, D.C., where Republicans have pushed for austerity measures that would dramatically cut social programs favored by Democrats. More



North Carolina in wait-and-see mode over Medicaid expansion
The Associated Press via The Robesonian    Share    Share on FacebookTwitterShare on LinkedinE-mail article
While other Southern states already have drawn the line on the federal healthcare overhaul, North Carolina doesn't seem quite settled on whether to commit to insuring hundreds of thousands more people starting in 2014. President Barack Obama's Affordable Care Act largely was upheld by the U.S. Supreme Court in June, but the justices ruled that states can't be penalized if they refuse to expand their Medicaid eligibility requirements to cover more uninsured adults, as the law directs. More

South Carolina governor opposed to expanding Medicaid under new law; final decision up to Legislature
The Associated Press via The Republic    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Gov. Nikki Haley and her administration emphatically have said "no" to expanding Medicaid in South Carolina, but whether the state agrees to the federal plan to expand coverage to more low-income adults ultimately is not up to her. That decision rests with the Legislature. While the Republican leaders of the House and Senate generally oppose the idea, it's not guaranteed that lawmakers will reject the expansion — especially considering the contentious relationship between the Republican governor and the chambers' GOP majorities. More

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Nixing Medicaid expansion would cost Florida billions
The Associated Press via WPMI-TV    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Preliminary numbers show rejecting Medicaid expansion would cost Florida billions in federal money under the national healthcare overhaul to save the state millions. Gov. Rick Scott, who opposed the Affordable Care Act, wants to turn down Medicaid expansion. More

New England managed care organizations look to differentiation and expansion for growth opportunities
Business Wire via InsuranceNewsNet.com    Share    Share on FacebookTwitterShare on LinkedinE-mail article
HealthLeaders-InterStudy, the leading provider of managed care market intelligence, finds that managed care organizations in New England face little organic growth in the commercial market and are turning to product differentiation and innovative plans that incorporate limited or tiered network designs. With top carriers across the region firmly entrenched, especially in states with low uninsured rates (Massachusetts) or smaller geographies (Rhode Island), organic growth often is difficult, fueling competition and development of new plan designs to help employers control costs. More

Ohio Medicaid program raises stakes for nursing homes
USA Today/Kaiser Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
For years, states have struggled to raise the quality of care in nursing homes using a regulatory stick — citations, fines and other sanctions when serious problems are discovered. Last month, Ohio began adopting a distinctly different, carrot-like approach — financial incentives that encourage better services for frail seniors. It's the latest effort to address longstanding concerns in nursing homes such as too few nurses, too many patients who develop painful bed sores or infections and too much staff turnover. 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 the Dual Eligible Market | 1 p.m. EDT Aug. 29
Sellers Dorsey    Share    Share on FacebookTwitterShare on LinkedinE-mail article
This webinar by MHPA partner Sellers Dorsey 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
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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.

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