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US allows Indiana to offer health program outside of Obamacare
Reuters
The federal government will allow Indiana to operate its own health program temporarily, Gov. Mike Pence said, making it the first state to receive such a major exception this year under President Barack Obama's signature medical reform law.
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Study: Nearly half of US births are covered by Medicaid
Kaiser Health News
About half the births in the United States are paid for by Medicaid — a figure higher than previous estimates — and the numbers could increase as the state-federal health insurance program expands under the Affordable Care Act, according to a study recently released.
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Deloitte's Monday Memo: Retiring health director Keckley describes
'Health Reform 2.0'

Deloitte Consulting LLP
Paul Keckley, who is retiring as executive director of the Deloitte Center for Health Solutions, penned his farewell Monday Memo warning about "uncomfortable changes" in the next phase of health reform.
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Last chance for early-bird registration discounts for MHPA 2013
MHPA
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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Wyoming state leaders mull Medicaid expansion options
Casper Star-Tribune
An alternative form of Medicaid that's more like private insurance would be Wyoming's best option if lawmakers decide to expand the program, Wyoming Gov. Matt Mead said.
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Kentucky Medicaid expansion clears hurdle of legal challenge
The Courier-Journal via Cincinnati Enquirer
The Beshear administration's plans to expand Medicaid and begin enrollment in Kentucky's new healthcare exchange survived its first court challenge. In separate rulings, Franklin Circuit Judge Phillip Shepherd upheld both decisions by Gov. Steve Beshear intended to expand access to healthcare to 640,000 uninsured Kentuckians under the Affordable Care Act, also known as Obamacare.
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Michigan House approves expanding Medicaid under Obamacare
Reuters
The Republican-led Michigan House gave final approval to a bill that would expand the Medicaid health program for the poor under Democratic President Barack Obama's healthcare reform law.
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'A calling' to care for the poor at St. Louis' Grace Hill Community Centers
Kaiser Health News
Some children who visit Grace Hill's dental chairs at the Murphy-O'Fallon Center in north St. Louis arrive in such terrible condition that all their teeth must be pulled. For young, unemployed men, an appointment at one of Grace Hill’s four neighborhood health centers may be their first doctor’s visit in several years. Pregnant women receive medical care at Grace Hill and also learn valuable health lessons in group sessions. Grace Hill Health Centers Inc., a nonprofit charitable organization that relies heavily on the federal government, provides primary healthcare for the poor and uninsured in the St. Louis area.
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Group takes 1st steps toward putting Medicaid expansion in Ohio on the ballot for a vote
Northeast Ohio Media Group
A group pressing for expansion of Medicaid in Ohio to cover the working poor began the process to force the General Assembly to consider it or face having it go to voters.
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Ballot is 'Plan B' for expanding Medicaid in Ohio
The Columbus Dispatch
If lawmakers don't approve Ohio Gov. John Kasich's plan to expand Medicaid, voters could decide whether to give tax-funded health coverage to an additional 275,000 poor Ohioans. A coalition of healthcare providers, unions, businesses, religious organizations and other advocates for the uninsured launched a campaign yesterday that could put the plan on the November 2014 statewide ballot.
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UnitedHealthcare awards $250,000 grant to Hilo Medical Center
Hawaii 24/7
UnitedHealthcare, a UnitedHealth Group company, has awarded a $250,000 grant to support Hilo Medical Center's Hawaii Health Systems Corporation Primary Care Training Program to help enhance primary care services for East Hawaii residents, including members of the United States military and their families.
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WellCare names Polen senior vice president, operations
Houston Chronicle
WellCare Health Plans, Inc. has announced that Michael Polen has been promoted to the company's newly created position of senior vice president, operations. As a member of WellCare's senior management team, Polen will be responsible for member and provider operations, customer service, acquisition integration and related activities. He will continue to report to CEO Alec Cunningham.
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SPONSORED CONTENT


New MHPA Issue Brief: 'Addressing the Needs of Members with Hemophilia in Medicaid Managed Care: Issues and Implications for Health Plans'
MHPA Center for Best Practices
Hemophilia is a rare, inherited blood disorder affecting approximately 20,000 people in the U.S. The condition can be catastrophically expensive and requires highly specialized life-long care to prevent disability. Medicaid health plans may soon be enrolling more individuals with hemophilia due to Medicaid expansion and enrollment of disabled populations.

This brief discusses current treatment issues as well as care management, financial and patient advocacy considerations for health plans. It provides evidence references and web links for more information. Health plan strategies to improve hemophilia care may serve as a model for managing any rare disease in Medicaid managed care. Download the Issue Brief for free here.

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'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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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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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.




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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