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Amid health law expansion, some states trim Medicaid rolls
Kaiser Health News
While millions of adults nationwide will gain Medicaid coverage next year under the federal health law, more than 150,000 people could lose their coverage in the state-federal health insurance program for the poor, as four states reduce eligibility.
Coordinated Care Initiative to begin in California no earlier than April 2014
CalDuals
The Department of Health Care Services announced that both parts of the Coordinated Care Initiative, including Cal MediConnect and Managed Medi-Cal Long Term Services and Supports, will begin no earlier than April 2014.
California: Medi-Cal cut starts in September
Los Angeles Times
A controversial cut to the California's healthcare program for the poor will begin next month, according to a bulletin distributed by state officials. Doctors and other healthcare providers who serve Medi-Cal patients will be reimbursed 10 percent less once the changes are fully phased in by next January.
California outlines plan to transition LIHP to Medi-Cal
California Healthline
California state officials recently said more than 90 percent of Low Income Health Program enrollees will be able to keep their primary care physician when LIHP is folded into the Medi-Cal expansion in 2014.
Virginia seeks middle ground on Medicaid expansion
Richmond Times-Dispatch
Michigan Gov. Rick Snyder came up with an idea to bank initial savings from expanding the state's Medicaid program to pay for future costs of extending health care benefits to more uninsured people. Virginia got there first.
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Healthcare enrollees expected to be older, sicker in Illinois
Chicago Sun-Times
If a pilot program in Cook County is any indication, getting people to enroll in Medicaid come Oct. 1 — when newly eligible Illinoisans will be able to apply — is very possible. But they're likely to be predominantly older and unhealthy when they apply. Those are among the key things that CountyCare — which allows a broader population in Cook County to apply for Medicaid — sheds light on, in terms of what we may be able to expect.
Commentary: Louisiana's Medicaid reform program, Bayou Health, is making a difference
Daily Comet
When we took office, our state's Medicaid program was failing Louisiana residents — both the 1.2 million folks who relied on it for care and the taxpayers who supported it to the tune of $7 billion per year. We immediately got to work on reforming Medicaid and providing better outcomes for our people. As a result, Louisiana's Medicaid landscape is vastly different from where it stood just a few years ago. Our solution, Bayou Health, has become a national model for Medicaid programs across the country.
Sunshine State Health Plan names longtime Florida physician new chief
medical director
PRNewswire via Pharmacy Choice
Jeffrey T. Martorana, M.D., was named chief medical director of Sunshine State Health Plan, a Sunrise, Fla.-based HMO. Dr. Martorana, who has more than 20 years of clinical and managed care experience, said he was intrigued by the opportunity posed at Sunshine Health, which is the second largest Medicaid managed care company in Florida.
MHPA Best Practices Compendium submissions deadline extended to Aug. 23
MHPA
Submit your best practices for inclusion in the 2013-2014 Best Practices Compendium. The deadline is Friday, Aug. 23. Details are included here.
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LeadCare II: a point-of-care blood-lead testing system that helps ensure compliance with testing mandates. Learn more about this 2011 MHPA Best Practices Award winning solution. MORE
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To find out how to feature your company in the MHPA eNewsletter and other advertising opportunities, Contact James DeBois at 469-420-2618.
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MHPA 2013 early-bird deadline extended to Sept. 7
MHPA
To give our valued attendees more time to take advantage of our discounted rates, we've extended the early-bird deadline for MHPA 2013, which is scheduled for Oct. 20-22 at the Gaylord National Resort & Convention Center in National Harbor, Md. Register for Medicaid Health Plans of America's annual conference, "Health Reform from East to West: Preparing Medicaid Health Plans for 2014," by Sept. 7 to receive your discount. View details on the conference and registration here.
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
'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.
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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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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MHPA
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