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MHPA's 2012 Annual Meeting early-bird registration expires at midnight tomorrow (Friday, Aug. 31)
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Tomorrow is the last day for early-bird registration for the MHPA 2012 Annual Meeting, "A Pivotal Time for Medicaid Health Plans," Oct. 25-26, and the Pre-Conference "Developments in the States," Oct. 24. More details on the agenda, speaker lineup, lodging info and travel discounts here. Register online now from your PC or PDA.

CMS signs memo of understanding with Massachusetts in 1st duals demo pact with a state    Share    Share on FacebookTwitterShare on LinkedinE-mail article
CMS and Massachusetts have finalized a memorandum of understanding for the financial alignment demonstration for those dually eligible for Medicare and Medicaid, making it the first MOU to be released for the controversial demo that could include up to 2 million beneficiaries. The document, signed Aug. 22 and released Aug. 23, anxiously has been awaited by stakeholders as a possible model for future state agreements. More

Georgia governor latest to opt out of Medicaid expansion    Share    Share on FacebookTwitterShare on LinkedinE-mail article
In an interview Tuesday with 11 Alive, the Atlanta Journal-Constitution and POLITICO, Georgia Gov. Nathan Deal said he would not expand his state's Medicaid rolls with funds provided by the new Patient Protection and Affordable Care Act. "I do not have any intentions of expanding Medicaid, I think that is something our state cannot afford," Deal said from Tampa, Fla., where he is attending the Republican National Convention. More

KPMG survey: Major disconnect among healthcare system, health plan, pharmaceutical executives on new payment systems
EMR Daily News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Given increasing clarity that the U.S. healthcare economy is unsustainable in its current form, healthcare and pharmaceutical executives clearly are uncertain whether existing business models are sustainable over the next five years, even though they do anticipate major change in the short term, according to the findings from a recent survey by KPMG LLP, the U.S. audit, tax and advisory firm. More

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Oregon Health Authority awards Cognosante Health Insurance Exchange interfaces contract
Marketwire via IT Business Net    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Cognosante, a provider of IT services for healthcare organizations, announced it was awarded a contract with the Oregon Health Authority to develop interfaces for the state's Health Insurance Exchange and eligibility system. Cognosante will develop external interfaces for the Oregon Health Authority's Health Insurance Exchange and Oregon Department of Human Services' Eligibility Modernization projects. More

GOP platform embraces Ryan plans for Medicare, Medicaid
The Hill    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Republican Party's official platform calls for deep cuts to Medicare and Medicaid, in keeping with controversial proposals from vice presidential candidate Paul Ryan. The party platform, adopted Tuesday at the Republican National Convention in Tampa, Fla., further ties the party to Ryan's sweeping healthcare reforms, particularly his plans for Medicare. The platform says Medicare should be converted into a partially privatized system in which seniors would choose either the existing Medicare program or a subsidy to help buy private insurance. More

Sharp cuts in dental coverage for adults on Medicaid
The New York Times    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Banned from tightening Medicaid eligibility in recent years, many states have instead slashed optional benefits for millions of poor adults in the program. Teeth disproportionately have suffered. Republican- and Democratic-controlled states alike have reduced or largely eliminated dental coverage for adults on Medicaid. The situation likely won't improve under President Barack Obama's healthcare overhaul: it requires dental coverage only for children. More

CMS details integrated care model expectations in letters to Medicaid directors    Share    Share on FacebookTwitterShare on LinkedinE-mail article
CMS has given state Medicaid directors details of what CMS expects from Medicaid "integrated care models," such as accountable care organizations and medical homes, and those instructions include an explanation of what states can do with state plan options without having to resort to waivers. CMS says states should use plan amendments when applying models to all Medicaid beneficiaries and providers, and says state plans may be used to share savings or use other incentive payments to encourage quality improvements and spending reductions. But the agency adds that 1,115 demonstration waivers are needed to target patient populations, limit geographic scope and limit beneficiaries' care from a particular integrated care provider or program. More

GAO: Medicaid eligibility screening for long-term care inconsistent across states
McKnight's Long Term Care News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The extent to which states conduct asset verification checks on those seeking Medicaid coverage for long-term care greatly varies by state, a government report finds. All 50 states have conducted data matches with the Social Security Administration when verifying a Medicaid applicant's assets, according to a Government Accountability Office report. But as of 2011, no state had enacted a 2009 law requiring states to implement an electronic verification system, according to the GAO. The degree to which states used other asset verification processes — such as reviewing earned income, unearned income, financial and investment resources — was not consistent across states. More

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KanCare contractors make pitch to providers
The Topeka Capital-Journal    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Members of three managed care organizations intent on building their KanCare networks encouraged a room full of healthcare providers to contract with them. Officials from the Kansas Department on Aging and Disability hosted the gathering at the Holiday Inn West Holidome, one of many scheduled throughout the state in recent weeks. KanCare is Gov. Sam Brownback's plan to place nearly all of the estimated 380,000 Kansans who receive Medicaid services under managed care. Administration officials estimate this will save the state $1 billion in the next five years without cutting provider rates, eligibility or services. More

Minnesota seeks approval to change Medicaid health plan, save $151 million
StarTribune    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Gov. Mark Dayton is asking the federal government to let Minnesota push ahead with a local version of Medicaid reform that could save the state $151 million during the next five years. "The combination of rising healthcare costs and changing demographics will make our current Medicaid system unsustainable unless major changes are put in place by 2020," Dayton wrote in a letter to the U.S. Department of Health and Human Services. The governor asked for a federal waiver that will allow Minnesota to put into place its own bipartisan plan that Dayton said would make it easier to connect people to services, steering them out of institutions and into home-based care. More

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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
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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

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Free webinar by MHPA partner Baxter: Importance of Coordinated Care in the Management of Members with Hemophilia | 11 a.m. EDT Sept. 18
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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 | Scottsdale, Ariz.
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 | 11 a.m. EST Dec. 20
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Details here.

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