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Affordable Care Act needs fixes to address costs by Rep. Kyrsten Sinema, D-Ariz.
The Arizona Republic
Three years ago, Congress passed the Affordable Care Act to ensure better access to quality care for all Americans. The law is by no means perfect, but now that it is in place, it's Congress' duty to improve it for the benefit of hard-working Americans.
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North Carolina Medicaid reform plan on right track
Carolina Journal
About 1.8 million North Carolinians receive Medicaid benefits, with federal and state taxpayers contributing more than $14 billion a year to the program. Now North Carolina and other states are trying to figure out how to ensure quality care and outcomes, while reducing costs. John Locke Foundation Health and Human Services Policy Analyst Katherine Restrepo recommends transforming Medicaid into a consumer-driven model.
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MHPA 2013 early-bird deadline ends Sept. 7
MHPA
The early bird gets the worm. Discounted registration for MHPA 2013, which is scheduled for Oct. 20-22 at the Gaylord National Resort & Convention Center in National Harbor, Md., ends on Saturday, Sept. 7. Register for Medicaid Health Plans of America's annual conference, "Health Reform from East to West: Preparing Medicaid Health Plans for 2014," now to receive your discount. View details on the conference and registration here.
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Medicaid 'coverage gap' looming for the poor in 21 states
McClatchy
One month after undergoing a partial hysterectomy in 2011 to remove a rare form of ovarian cancer, Erika Neal of St. Louis got a double dose of more bad news: Her salary as deputy director of a nonprofit museum was being cut and her job-based health coverage was being eliminated.
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CMS guidance lays out potential paths for Medicaid shared savings programs
Inside Health Policy
CMS is not interested in partnering with states on Medicaid shared savings programs based on cost savings alone, saying the programs must improve quality and health outcomes, according to agency guidance released laying out what states need to consider when designing and implementing such initiatives.
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Study predicts 113 million US obesity cases by 2022
The Hill
The United States will have 133 million obese and 81 million overweight residents by the year 2022, leading the trend of growing waistlines across the developed world, a new study predicted.
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Experts say rural healthcare in crisis
Minneapolis Star-Tribune via FierceHealthcare
Some states' refusal to expand Medicaid and a recommendation by the Department of Health & Human Services to recertify critical access hospitals are causing concern about rural access to healthcare. According to a health economist, if states refuse to expand Medicaid in accordance with healthcare reform, the rural poor will be hit the hardest, the Minneapolis Star-Tribune reports.
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Delay in Medicaid expansion to be costly in Michigan
Detroit Free Press
Getting the expansion of Medicaid passed in the state Senate was a huge victory for Michigan Gov. Rick Snyder, state health officials and, ultimately, nearly 500,000 low-income Michiganders. But the failure of the Senate to vote to give the bill immediate effect, thus delaying the implementation of the law until April 1, could cost the state and individuals hoping to qualify for Medicaid coverage dearly.
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Florida is No. 2 in the nation for rate of uninsured
Miami Herald and Kaiser Health News
Florida has the nation's second-highest rate of uninsured residents younger than 65 — a total of about 3.8 million people, or about 25 percent of the state's population, including more than 500,000 younger than 19, according to U.S. Census data recently released.
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Study says Texas premiums will rise with Medicaid expansion opposition
The Dallas Morning News
Texas' refusal to expand Medicaid will cause private health insurance premiums to rise by an average of 9.3 percent for people who buy their own coverage, a new study finds. GOP lawmakers, strongly encouraged by Gov. Rick Perry, decided not to add poor adults to Medicaid’s rolls. That means about 1.3 million fewer Texans will have health coverage by 2016 than if the federal Affordable Care Act were fully implemented in the state, according to the study by the nonprofit research organization Rand Corp. (Subscription required)
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State of Washington to boost care for Medicaid youths
The Seattle Times
In what all sides hailed as a landmark agreement, the state of Washington has agreed to fundamentally change the way it provides mental healthcare to the most troubled children and youth who qualify for Medicaid. The settlement, which calls for intensive in-home and community-based care, was reached between the state and attorneys who filed a class-action lawsuit in 2009.
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Group gathering signatures for Ohio Medicaid expansion ballot initiative
The Columbus Dispatch
Frustrated with GOP leaders refusal to act on Ohio Gov. John Kasich's proposed Medicaid expansion, advocates for the uninsured have begun collecting signatures which could send the issue to the ballot for voters to decide.
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St. Louis ConnectCare cuts more than half of its staff
St. Louis Post-Dispatch
St. Louis ConnectCare, one of the area's leading providers of outpatient specialty medical services for the poor, has issued layoff notices to more than half of its staff. The layoffs of 88 employees, from nurses to medical assistants and customer service personnel, will take effect in 60 days, said Melody Eskridge, president and chief executive of ConnectCare.
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Uninsured populations eliglble for health exchanges and Medicaid by county from 2011 Small Area Health Insurance Estimates by US Census Bureau
U.S. Census Bureau
The U.S. Census Bureau's Small Area Health Insurance Estimates program produces timely estimates for all counties and states by detailed demographic and income groups. The SAHIE program produces single-year estimates of health insurance coverage for every county in the U.S. The estimates are model-based and consistent with the American Community Survey.
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SPONSORED CONTENT


'Opportunities to Improve Medication Adherence': A free webinar by
Eli Lilly and Co. | Sept. 18 | 3 p.m. EST

MHPA
The introduction of three new medication adherence measures, each with a triple weight, makes Medicare Advantage and Part D pharmacy measures matter more than ever. But focus on driving improvement in medication adherence proliferates many other government and private insurer programs. In fact, medication adherence is a subject of importance now to Medicare, plans, hospitals, integrated delivery systems, retail pharmacies, industry and patients. With the patient at the center of these measures, you will learn key patient insights from a consumer marketer around medication adherence.
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Recent webinar presentations from First Quality, Millennium Labs, PwC, Deloitte and others available free on MHPA website
MHPA
View PDFs or listen to audio for the following webinars: Additional webinars can be viewed here.
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Sign up for a free trial to Health Exchange Alert, a news service from InsideHealthPolicy.com
Inside Washington Publishers
The Affordable Care Act's mandated health exchanges are on the front burner for policymakers and should be for you, too. Stay on top of the evolution and implementation of health exchanges with Health Exchange Alert, the news service from InsideHealthPolicy.com. Act now by clicking here to activate a no-obligation, four-week free trial to gain immediate access to InsideHealthPolicy.com and Health Exchange Alert.

Your free trial will include access to the numerous articles and documents posted every business day, as well an email alert every morning highlighting the latest news. You'll also have access to our three weekly newsletters (Health Exchange Alert, Inside CMS and FDA Week), which you can download in PDF format and circulate.

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FEATURED ARTICLE
TRENDING ARTICLE
MOST POPULAR ARTICLE
New York signs MOU with CMS for duals demo
Centers for Medicare &
Medicaid Services

MHPA consultant Jeff Viohl will present a highlights document for a Memorandum of Understanding for the next Dual Eligibles and LTC Workgroup.

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Missouri's poorest residents won't benefit from Obamacare
St. Louis Post-Dispatch via
Kaiser Health News

Missourians aren't pinning their hopes for affordable health insurance on the online marketplace that opens Oct. 1. Though the insurance exchange is supposed to bring down costs for people without job-sponsored coverage, it won't help an estimated 226,525 other uninsured Missourians.

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Aligning eligibility for children: Moving the stairstep kids to Medicaid
The Henry J. Kaiser
Family Foundation

A feature of the Affordable Care Act that has not received a lot of attention requires that Medicaid cover children with incomes up to 133 percent of the federal poverty level — $31,322 for a family of four in 2013 — as of January 2014. Today, there are "stairstep" eligibility rules for children.

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Deloitte job opportunities
Deloitte Consulting LLP
Health plans face a number of unique market and regulatory pressures that impact how they conduct business today and in the future. Deloitte Consulting LLP is one of the world's leading management consulting firms for executable strategy, operations, technology and human capital advisory services, and it is uniquely positioned to provide business solutions to our clients.

Deloitte's Government Programs practice is seeking candidates who have consulting, compliance and operational experience as it relates to Medicaid, Medicare Advantage and Medicare D plans.

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

    New York signs MOU with CMS for duals demo (Centers for Medicare & Medicaid Services)
Health Partners Plans: New name, new look, same commitment to 'doing it right' (Health Partners Plans)
Pros and cons of step therapy (California Healthline)
Ohio Republican legislator proposes new cuts to Medicaid (The Columbus Dispatch)
Wyoming to consider alternative Medicaid expansion (Wyoming Tribune-Eagle)

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


Navigant job opportunities in DC, Chicago
Navigant
Navigant is a specialized, global expert services firm dedicated to assisting clients in creating and protecting value in the face of critical business risks and opportunities. Navigant's Healthcare Practice strives to be the premier independent management consulting practice assisting senior level healthcare executives deal with their core business challenges.

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