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Home   About   Policy & Advocacy   Education & Resources   Events   Contact Us Aug. 25, 2011
 
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Health plans seek leverage when physicians submit extremely high bills
Managed Care Magazine    Share    Share on FacebookTwitterShare on LinkedinE-mail article
In March, newspapers in New Jersey reported that Aetna was suing several New Jersey physicians over medical bills for out-of-network care, bills Aetna said were unconscionable More



Bipartisan children's caucus prepares for supercommittee
The Hill    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The bipartisan House Congressional Children's Caucus will kick off its activities for this session of Congress next month, days before the deficit supercommittee is due to start weighing deep cuts to the nation's health care programs. More

Supercommittee may risk Medicare, Medicaid to avoid automatic cuts
Fierce Healthcare    Share    Share on
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Now that all 12 members of the debt "supercommittee" are finally in place, the race to trim $1.2 trillion off the deficit by Thanksgiving begins. More

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Upton talks supercommittee in Michigan — 8th Circuit plans oral arguments
Politico    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Rep. Fred Upton spoke at a public event at the Cass County, Mich., Council on aging, and the crowd sure did have questions about what exactly the supercommittee was going to cut. More

9 states, Washington DC defend health care reform's constitutionality
Cardiovascular Business    Share    Share on FacebookTwitterShare on LinkedinE-mail article
California Attorney General Kamala D. Harris has filed a brief in the U.S. Court of Appeals for the Eighth Circuit supporting the constitutionality of the Patient Protection and Affordable Care Act, and urging the court to affirm the states' rights to protect the health and safety of its citizens. More



Kentucky hospitals slow to sign up for Medicaid managed care
The Ashley Independent    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Kentucky plans to be up and running with its new managed care delivery of Medicaid services by October 1 — but ain the week ending Aug. 19, only 15 or so of the state's hospitals had signed on with one of the three managed care providers. More

New tax to pay for Medicaid in Michigan
WILX-TV    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Republican-led Michigan Legislature approved a new mechanism to help fund Medicaid in the state, facing what backers say is an expected federal prohibition against the state's existing tax. More

The Health Literacy Advisor

New industry standards require consumer materials to be written at 6th grade or lower. Will you be ready? The Health Literacy Advisor is the nation’s first health literacy interactive tool
MORE


Report: Colorado Medicaid system plagued by delays
The Denver Post    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Colorado's Medicaid program has had significant delays in determining applicants' eligibility, according to a federal review that raised the question of withholding money from the state if problems are not solved. More

Congresswoman Matsui announces $1 million for California Children's Health Insurance enrollment efforts
Congresswoman Doris Matsui    Share    Share on FacebookTwitterShare on LinkedinE-mail
article
Congresswoman Doris O. Matsui, D-Calif., announced that the California Primary Care Association has been awarded $1,000,000 in federal grants. This grant will further their efforts to identify and enroll children into available health insurance programs, by providing them much-needed coverage and financial. More



Arizona ruling: AHCCCS copays break law
The Arizona Republic    Share    Share on FacebookTwitterShare on LinkedinE-mail article
A federal appeals court ruled that mandatory copayments charged to Arizona's poorest residents violate federal law. The three-judge panel of the 9th U.S. Circuit Court of Appeals said federal health officials failed to show how the copays, imposed in November after a seven-year court battle, served any purpose besides cutting the state's Medicaid budget. More

Administration may give states second chance to avoid fully federally run insurance exchange
The Washington Post    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Obama administration said that states that have not adopted their own insurance exchanges may get a second chance to avoid getting one run solely by the federal government. 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    Share on FacebookTwitterShare on LinkedinE-mail
article
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    Share on FacebookTwitterShare on LinkedinE-mail article
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    Share on FacebookTwitterShare on LinkedinE-mail article
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., complimentary registrations to Health Plan, Physicians Group, and Hospital Employees until Sept. 2.
Opal Events    Share    Share on FacebookTwitterShare on LinkedinE-mail
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The conference explores medical management strategies as an answer to the growing problems that Medicaid health plans face. This event will offer medical management strategies that are grounded in evidence-based clinical practices, predictive outcomes modeling, member engagement, and multi-disciplinary professional collaboration. For more information see the conference agenda or visit the conference webpage.

Standard registration: $1895; Government Employees: $995. However, Opal Events is offering Complimentary Registrations to Health Plan, Physicians Group, and Hospital Employees until Sept. 2. To register, please click here.

If you would like more information about this event, please call 212.532.9898 x 0 or email at info@opalevents.org.


Free Webinar: Thomson Reuters presents 'Medicaid Expansion: who will your future members be?' Oct. 11, 2 p.m. EST
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail
article
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.

Free Webinar: Ethicon Endo-Surgery presents 'Minimally invasive procedures: What's the value for health plans?'
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
'Minimally Invasive Procedures: What's the Value for Health Plans?'

Oct. 12, 2011 3-4:30 p.m. EST There are over 4.4 million general surgical procedures annually. Once patients have exhausted other treatment alternatives and surgery becomes a necessary procedure, providing a minimally invasive approach, also referred to as laparoscopic surgery, improves clinical outcomes, decreases the hospital stay and brings a faster return to normal activity, and costs the payor and the patient less money, when compared to standard open or abdominal surgery. Developing a product to encourage appropriate use of minimally invasive procedures can provide significant clinical and economic savings to patients and payors. Dr. Lou Hochheiser, Chief Medical Leader, Humana, Inc., will explore what health plans can do to drive the use of Minimally Invasive Procedures.

To register, click here.

Questions? Please contact Thanh Buscarini at 202.857.5728.


MHPA's August Best Practice of the Month: 'Biggest Winner' Nutrition Program
Health Partners    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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's Keeping You Healthy Videos take a summer break; Return in September
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In the meantime, to view videos of past months click here.



MHPA on Twitter, Facebook and LinkedIn
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Follow us on Twitter, and Facebook and LinkedIn to get industry-related news and the latest MHPA announcements.

Banner advertising available with MHPA NewsBriefs
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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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