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Aug. 27 Webinar Wednesday: 'Digital Strategy for Medicaid Health Plans' by Digital Strategy Yoga, LLC
Digital Strategy Yoga, LLC
It is imperative that Medicaid health plans deploy digital transformation strategies for outreach, education, enrollment, care, customer continuity and management of relationships. This presentation will show Medicaid health plans the latest digital strategies and how to assimilate this knowledge in a practical way via a case study.
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Only 1 in 3 chose Medicaid plan in Florida
The Associated Press via Miami Herald
Only about one-third of Medicaid recipients transitioning into managed care statewide chose their own health insurance plans. Enrollment for the general population started in May and ended in August. Consumers received a letter in the mail two months before enrollment and were given at least 30 days to choose an insurance plan. Those who did not choose a plan were automatically enrolled into a plan by state health officials.
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Studies: Florida to suffer most for not expanding Medicaid
The Gainesville Sun
Of the two dozen states that rejected the Medicaid expansion, Florida will lose out on the most federal healthcare money for the poor, according to two nonprofit policy research groups that support the Affordable Care Act. A joint report from the Robert Wood Johnson Foundation and the Urban Institute projects that, over the next 10 years, the state will leave $66.1 billion in Medicaid funding on the table by not approving the expansion included in the Affordable Care Act to cover individuals with income up to 138 percent of the federal poverty level.
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How Texas' governor could warm to Obamacare's Medicaid expansion
Forbes
Political pressures and a threat to financial coffers from rising numbers of uninsured have Texas lawmakers thinking about ways to expand the state Medicaid insurance program for the poor, including a deal with the Obama administration.
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Wyoming governor wants Medicaid proposal for legislature
Casper
Wyoming Gov. Matt Mead said he expects to be ready to brief state lawmakers early next year about the best deal Wyoming could get from the federal government if the state agrees to expand Medicaid coverage to thousands of low-income workers.
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New Hampshire gubernatorial candidates spar over Medicaid expansion, economic growth, personal character
Concord Monitor
New Hampshire Republican gubernatorial candidates Walt Havenstein and Andrew Hemingway sparred over their stances on Medicaid expansion and economic growth in a radio debate, which became tense when the topic strayed to personal character. Radio personality Jack Heath and reporter John DiStaso from NH Journal moderated the live, hourlong morning debate.
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Brokers play key role in ACA, Medicaid enrollments
InsuranceNewsNet.com
A new report by the Kaiser Family Foundation has found that health insurance brokers played a key role in helping enroll Medicaid recipients and uninsured residents in four states under the Affordable Care Act. In some cases, brokers worked the front lines at sign-up centers. In other cases, brokers worked behind the scenes in coordinating enrollments with marketplace "assisters" to help people choose plans best suited to their needs.
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How Google searches reveal our country's stark healthcare disparity
Becker's Hospital Review
If you've never Googled a healthcare service, you may want to consider your life — or your community — fairly comfortable. That's what some findings from The New York Times suggest. Back in June, the newspaper identified American counties where life is "hardest." This categorization is based on six data points — education (or percentage of residents with a bachelor's degree), median household income, unemployment rate, disability rate, life expectancy and obesity.
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3 governors tout benefits of Medicaid expansion
The Associated Press via
Lexington Herald-Leader

Arkansas, Kentucky and Maryland's governors, who expanded Medicaid under the federal healthcare overhaul, have said there are economic and moral arguments for embracing a key part of the law, despite strong political opposition in their southern states.

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MHPA responds to SFC data request
MHPA
MHPA responded to Sens. Ron Wyden and Chuck Grassley of the Senate Finance Committee regarding their request for ideas on how to make better use of healthcare data, while protecting privacy. MHPA explained in its letter that MCOs support availability of useful data to improve our healthcare system, but that this must be balanced with protecting the privacy and integrity of data.

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The risky business of limiting Medicaid access to Sovaldi
Governing
Partially because of its high cost, nearly half the states are restricting Medicaid patients' access to an effective new hepatitis C drug. Experts say there's no question lawsuits will come.

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mhpa2014 ENGAGEMENT session on behavioral changes and ROI
MHPA
Join Matt Onstott, Ph.D, Deputy Medicaid Director, New Mexico Human Services Department/Medical Assistance Division; Catherine McCarron, RN, BSN, CPHQ, Director, Accreditation and Clinical Programs, Health Partners Plans; Deborah Stewart, President and CEO, Finity, Inc.; and Medagate's Suzanne O'Hara as they show how to structure member engagement and incentive programs to produce behavioral changes and ROI. Attendees will find value in learning from the results of two Medicaid incentive programs — new HCIA ROI results for a Medicaid incentive program and one of the first portable, closed-loop Medicaid incentive programs for the state of New Mexico. The panel will share program results to date, incentive and engagement plan design strategies and closed-loop platform tracking and program plan design methodologies.

For details on other sessions at the signature event for the Medicaid managed care industry, please click here for our latest agenda. Don't forget: Sign up before Sept. 8 to grab the early-bird discount.

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National Hemophilia Foundation Annual Meeting Pre-Conference Symposium on Hemophilia Pharmacy Management: Sept. 18 in Washington, DC
National Hemophilia Foundation
The National Hemophilia Foundation Annual Meeting Pre-Conference Symposium on Hemophilia Pharmacy Management: "Steps for Success With Managed Care and Specialty Pharmacy" will take place Sept. 18 in Washington, D.C.

Specifically designed for specialty pharmacists, home health pharmacists, health plan pharmacists, managed Medicaid pharmacists, medical directors and other health care professionals with an interest in the management of patients with hemophilia, this free event is also a CME/CPE-certified activity. For more details including program overview, educational objectives, the full agenda, and free registration, click here.

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TRENDING ARTICLES
Missed our previous issues? See which articles your colleagues read most.

    Auditor says $93 million in Medi-Cal payments could be fraudulent (Los Angeles Times)
Medicaid Expansion favored by Idaho work group (The Associated Press via Times-News)
Medicaid insurers prodding Massachusetts on funds (The Boston Globe)
Brand drug makers push trade deal that restricts US ability to curb spending (Inside Health Policy)
Wisconsin loses $206 million by not fully expanding BadgerCare (Milwaukee Journal Sentinel via St. Paul Pioneer Press)

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


Did you miss Webinar Wednesday: 'The Promise of Aggregated Data: Trends, Pitfalls, and Tips for Commercial Payers' by HMS?
MHPA
View and download the Aug. 20 Webinar Wednesday by HMS, "The Promise of Aggregated Data: Trends, Pitfalls, and Tips for Commercial Payers," here. Other webinars are available to download, as well.
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Aetna job opportunities
Aetna
The following are job opportunities from Aetna. Visit here, and enter Req # for full description and details.
    MD/Psychiatrist; Newark, Delaware; Req# 19223BR
    This successful candidate will become the Delaware Physicians Care (DPCI) Medical Director for Behavioral Health and will serve as our expert physician resource in the areas of utilization management, quality management, case management and overall medical management. This critical role sits at the intersection of behavioral and physical health services in helping DPCI to develop holistic programs to improve the quality and outcomes of our constituent members.

    MD/Physical Health; Newark, Delaware Req# 19166BR
    The position entails duties and responsibilities of Medical Director for Delaware Physicians Care (DPCI). The successful candidate will serve as a critical contributor to the DPCI medical management team in the role of clinical expert to the various functional areas including utilization management, case management and quality management. A key component of this position is to use the clinical credentials, experience and judgment in rendering benefit determinations based on medical necessity.

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