This message contains images. If you don't see images, click here to view.
Advertise in this news brief.




Text Version    RSS    Subscribe    Unsubscribe    Archive    Media Kit August 28, 2014

Home   About   Policy & Advocacy   Education & Resources   Events        

 



Pennsylvania to expand Medicaid under Obamacare program
CNBC
Obamacare's continued push to expand Medicaid to nearly all poor adults nationwide got a big boost, as Pennsylvania was formally approved for its version of the program, which will provide health benefits to more than a half-million new people. The Keystone State in 2015 will join 26 other states and the District of Columbia, which already have adopted so-called Medicaid expansion, one of the primary goals of Obamacare.
   Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ MORE  




Federal officials order Medicaid to cover autism services
Kaiser Health News
Medi-Cal, as California's Medicaid plan is called, provides coverage of autism services for some children who are severely disabled by the disorder, in contrast to many states which offer no autism coverage. But one woman's son was approved for 30 hours a week of applied behavioral analysis, a type of behavior modification therapy that has been shown to be effective with autistic children, and she was worried that wasn't enough.
Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ MORE


CBO projects lower Medicare and Medicaid costs
Kaiser Health News
Reduced costs for medical services and labor have trimmed the 10-year projected cost of Medicare and Medicaid by $89 billion, the Congressional Budget Office said. Medicare spending is projected to drop by $49 billion — or less than 1 percent — from 2015 and 2024, while Medicaid spending is expected to drop by $40 billion — or about 1 percent — over the next decade, CBO said in an update to its April forecast.
Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ MORE


SPONSORED CONTENT


mhpa2014 ACCOUNTABILITY session on fraud and abuse
MHPA
ACCOUNTABILITYFraud and Abuse: Incentives Driving up Medicaid Costs
Sponsored by Millennium Labs


Join Ronald Wisor, a partner at Hogan Lovells and healthcare and life sciences counsel on regulatory compliance and reimbursement matters on where clinician incentives are driving costs for Medicaid. The session will use a case study of the drug testing industry, which is expanding rapidly in response to the mounting crisis of opioid abuse and drug diversion. This presentation will review fraudulent and abusive practices in the industry that are leading to unnecessary costs for Medicaid plans and compound quality for their beneficiaries.

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.

Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ MORE


SHOWCASE
 
One Set of Data...Results Across All Service Lines

How much can our customized solutions save you?

Contact HMS today.
 


Arizona Medicaid appeal to be heard by court
The Arizona Republic
VideoBriefThe Arizona Supreme Court has agreed to hear Gov. Jan Brewer's appeal of an appeals court decision that could unravel the Medicaid expansion she fought for last year. The high court has not yet set a date, but indicated it will hear Brewer's argument that about three dozen Republican lawmakers don't have the legal standing to challenge the controversial vote.
Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ MORE


Incumbents withstand pro-Medicaid vote in Arizona
The Arizona Republic
VideoBriefThe Arizona Legislature's vote in 2013 to expand the state's Medicaid program got a welcoming reception from voters, as most of the Republican incumbents who supported it appeared to be withstanding challengers on their right. That issue, combined with a contentious decision to adopt Common Core standards for Arizona's schools, drew sharply defined battle lines in the Republican primaries. The policy moves also served as a referendum on Gov. Jan Brewer's legacy. She supported both initiatives and candidates who said they would defend the decisions.
Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ MORE




Roughly 27,000 Georgia Medicaid applicants still in limbo
Kaiser Health News and The Atlanta Journal-Constitution
Roughly 27,000 poor Georgians, most of them children, still don't know whether they'll get health coverage months after applying for Medicaid through the Affordable Care Act's health insurance marketplace. Earlier this year, HealthCare.gov determined roughly 89,000 low-income Georgia residents qualified for Medicaid. But the federal computers could not communicate properly with the state's computers, leaving the majority of those applicants in the dark for months about whether they would actually be enrolled in the program.
Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ MORE


North Carolina DHHS Medicaid planner leaves highly paid job
News & Observer
Margaret "Mardy" Peal, who North Carolina health officials hired a year ago to work on Medicaid alternatives — a new position that paid $95,000 annually despite her thin resume — is resigning. Peal will leave Sept. 19 to take advantage of an opportunity that will allow her, a single mother, to be at home with her children more often, according to her resignation letter.
Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ MORE




Health Partners Plans' vice president named MHPA board chair
Health Partners Plans
Health Partners Plans Vice President of Government Relations and Compliance Kearline Jones has been named the new board chair of MHPA, succeeding Frank Siano. Jones previously served as the board vice chair. In her new role, she will oversee MHPA activities and govern through the establishment and implementation of policies and objectives.
Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ MORE


Sunshine Health offers comprehensive Medicaid, long-term care and child welfare services across Florida
PRNewswire via The Business Journals
Sunshine Health, a subsidiary of Centene Corporation, completed the final stages of implementation of the Managed Medical Assistance program in 9 of 11 regions and the child welfare program statewide on Aug. 1. Additionally, Sunshine Health's Long-Term Care program celebrates its first anniversary. LTC implementation began a year ago and was complete on March 1 for the 10 regions in Florida served by Sunshine Health.
Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ MORE


Lawsuit argues New Mexico Medicaid evaluations hurt disabled
The Associated Press via BND.com
Family members of developmentally disabled New Mexicans suing the state say a Medicaid-assessment system puts recipients of services at risk, the Albuquerque Journal reported. Attorneys for eight families asked a judge to halt a new method for evaluating recipients to determine their level of services, which can include 24-hour residential care as well as occupational and speech therapy.
Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ MORE


FEATURED ARTICLE
TRENDING ARTICLE
MOST POPULAR ARTICLE
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.

Share on FacebookTwitterShare on LinkedinE-mail article
read more
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.

Share on FacebookTwitterShare on LinkedinE-mail article
read more
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.

Share on FacebookTwitterShare on LinkedinE-mail article
read more


Sept. 3 Webinar Wednesday: 'Continence Management: Moving from Volume to Value by Reducing Waste & Improving Care' by First Quality
First Quality
Health plans taking on the adult population are also taking on the costs of managing incontinence. ABD, duals and MLTSS populations have a high percentage of incontinent members, who use disposable absorbent products to manage their condition. Please join Julie Hyer, director of Medicaid health plan programs, and Kim Owens, BBA, LPN, RAC-CT, of First Quality to learn more about how the current cycle for absorbent products affects cost and care related to direct product costs and ancillary medical costs, and how health plans can change the dynamic to achieve better outcomes and lower costs.
Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ MORE


Did you miss Webinar Wednesday: 'Digital Strategy for Medicaid Health Plans' by Digital Strategy Yoga?
MHPA
View and download the Aug. 27 Webinar Wednesday by Digital Strategy Yoga, "Digital Strategy for Medicaid Health Plans," here. Other webinars are available to download, as well.
Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ MORE


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.

Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ MORE


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.


National Forum on Hospitals, Health Systems and Population Health: Partnerships to Build a Culture of Health | Oct. 22-24 | Hyatt Regency, Washington, DC
Robert Wood Johnson Foundation
Building partnerships to create a culture of health is the driving theme behind the National Forum on Hospitals, Health Systems and Population Health. Sponsored by the Robert Wood Johnson Foundation, the forum will bring together the people and organizations with the capacity and creativity to change health for the better, including hospitals, health systems, health plans, public health professionals, federal and state health officials and others.

Register for onsite attendance at the rate of $895 prior to Sept. 12, $995 after Sept. 12. To register at the co-sponsor registration rate, click here, and register using the discount code "pophealth."

Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ MORE


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.

Share this article:   Share on FacebookTwitterShare on LinkedinE-mail article
READ MORE
Follow MHPA on social media!
 

Sponsored by ...


 

 

 

 

 

 

 


 

 


 

 

 


 

 

 


 

 

 


MHPA's Industry NewsBrief
Colby Horton, Vice President of Publishing, 469.420.2601
Download media kit

Damon Sayles, Content Editor, 469.420.2662   
Contribute news

This edition of MHPA's Industry NewsBrief was sent to ##Email##. To unsubscribe, click here. Did someone forward this edition to you? Subscribe here -- it's free!
Recent issues
Aug. 26, 2014
Aug. 21, 2014
Aug. 19, 2014
Aug. 14, 2014



7701 Las Colinas Ridge, Ste. 800, Irving, TX 75063