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The Republican plan to overhaul healthcare
The Washington Post    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The 2008 Republican party platform on Medicare and Medicaid was pretty vanilla. It called for minor tweaks to the program that just about any health wonk could get behind, things like better coordination between doctors and more vigilance against fraud. The whole section came in at about 200 words. POLITICO has obtained a draft of the 2012 proposal and, for healthcare, four years has meant a sea change. The Republican party now throws its weight behind a complete restructuring of both entitlement programs. More

Texas counties consider going it alone on Medicaid expansion
The Washington Post    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Local officials in Texas are discussing whether to band together to expand Medicaid coverage in some of the state's biggest counties, making an end run around Gov. Rick Perry's opposition to the expanded program included in President Barack Obama's healthcare law. For years, Texas' six most populous counties, as well as some smaller localities, have offered free or low-cost healthcare for uninsured residents with incomes as much as three times the federal poverty level, or about $57,000 for a family of three. The cost of the programs: about $2 billion a year. If some of the patients were enrolled in Medicaid, the state-federal healthcare program for the poor, it could be salve for cash-strapped county budgets and a boon for local taxpayers. More

Florida economists reduce healthcare estimates
The Associated Press via Herald-Tribune    Share    Share on FacebookTwitterShare on LinkedinE-mail article
State economists have reduced their estimates of what it would cost Florida to expand Medicaid under the federal healthcare overhaul. Gov. Rick Scott, an Affordable Care Act opponent, is against the expansion. It eventually would extend Medicaid coverage to about 900,000 more Floridians. While the overall numbers released are lower, they still show Florida would lose about a dollar in federal funding for every dime of state savings from turning down the expanded program. More

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Ohio takes step to better coordinate medical care
The Associated Press via Product Design & Development    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Ohio is one step closer to implementing changes aimed at better coordinating medical care for some of the state's sickest and most expensive patients. Gov. John Kasich's administration wants to streamline the way healthcare is delivered to Ohioans enrolled in both Medicaid and Medicare. The state submitted a plan this spring to the federal government to better coordinate care for almost 114,000 so-called "dual-eligible" individuals living in seven urban regions. The health plans that will take part in the effort met Monday to select the regions of the state in which they want to operate. More

Medicaid yet to approve New Hampshire plan
The Boston Globe    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Boston Medical Center HealthNet Plan has named its new arm to the north. The Medicaid plan will operate in New Hampshire as Well Sense Health Plan, one of three insurers selected by health officials in that state to manage coverage for low-income and disabled residents. The program is supposed to begin enrolling people in January, but the U.S. Centers for Medicare & Medicaid Services have not given approval for federal money to be used for managed care in New Hampshire. It is not clear when the agency will decide. Lawmakers voted last year to change the Medicaid program from a state-run system in which healthcare providers are paid for each test and treatment to one that is run by contracted health plans paid a designated fee for each patient. More

Health official predicts problems if Alabama vote fails
The Associated Press via WBNS-TV    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The man who is temporarily overseeing funding for Alabama's healthcare program for the poor says Medicaid will be in deep trouble if voters do not approve a Sept. 18 referendum to take more than $437 million from a state trust fund and use it to prevent huge cuts in spending on state programs for three years. State Health Officer Don Williamson said without receiving money from the trust fund, the Medicaid program would be $100 million in the red. More

California's health exchange considers a fruity new name
Los Angeles Times    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Want to buy health insurance from an avocado? California thinks you might. Officials at the California Health Benefit Exchange, knowing their new online marketplace for medical insurance is a mouthful, are considering some new brand names to generate buzz with millions of consumers. "Avocado: A uniquely California approach to affordable healthcare" was one possibility recently presented at a board meeting. Other names tossed around were CaliHealth, Wellquest, Health Hub, Eureka and Condor. Officials said the monikers still must undergo more consumer testing and research before a final decision is made later this year. More

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Connecticut moving ahead with new healthcare exchange
The Associated Press via Ventura County Star    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Connecticut officials are pushing ahead with plans to set up the new health insurance exchange, a marketplace where individuals and businesses can find affordable coverage, by next fall. The federal Center for Medicare and Medicaid Services awarded the state a $107 million grant. It was the latest allotment from the federal government as part of President Barack Obama's healthcare overhaul law. To date, the state now has received a total of $116 million. Connecticut is one of a handful of states to have received a so-called Level-Two Establishment Grant. It joins Washington, Rhode Island, Maryland, Nevada and Vermont. More

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MHPA's 2012 Annual Meeting early-bird registration expires at end of week
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Register online 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" 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 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.

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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.

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

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.

Free webinar by MHPA partner LexisNexis: Why Identity Management Matters to Medicaid | 1 p.m. EST 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

Insights webinar: Reduce Outsourcing Risk scheduled for Aug. 27 has been rescheduled for Dec. 20.
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