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Democrats embrace Obama's healthcare law
The Hill    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Democrats at the podium of the party's national convention are fully — and finally — embracing President Barack Obama's signature healthcare law, and liberal lawmakers are applauding the move. On opening night, speaker after speaker championed the 2010 Affordable Care Act, a trumpeting that was striking for a law that top Democrats largely had sidelined because of its lingering unpopularity with the public. As Obama seeks re-election, his allies have returned to heralding the law as a historic and courageous political achievement. More

WellCare opens healthcare information, education, sales facility in Florida
WellCare Health Plans via Pharmacy Choice    Share    Share on FacebookTwitterShare on LinkedinE-mail article
WellCare Health Plans Inc., a provider of care services for government-sponsored healthcare programs, announced the opening of its newest Welcome Room in West Palm Beach, Fla. This Welcome Room is WellCare's eighth in Florida and one of 11 Welcome Rooms that WellCare operates throughout Florida, New York and Connecticut. WellCare's Welcome Rooms are neighborhood healthcare information, education and sales centers that are staffed by WellCare associates who are trained to answer questions about Medicare and Medicaid plans and eligibility. More

LexisNexis acquires EDIWatch to address healthcare payer industry needs
PRZOOM    Share    Share on FacebookTwitterShare on LinkedinE-mail article
LexisNexis Risk Solutions announced that it has acquired EDIWatch Inc., a privately-held provider of fraud, waste and abuse technology solutions exclusively for the healthcare payer industry. "Combining EDIWatch with LexisNexis public records and related data, linking and predictive analytics capabilities provides a comprehensive end-to-end suite of solutions to address the range of payer needs in combating fraud, waste and abuse," said James Peck, CEO, LexisNexis Risk Solutions. More

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US court halts some cuts for Medicaid home care
The New York Times    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Charles Strouchler has such severe multiple sclerosis that he has to be washed, fed, secured in a wheelchair during the day and turned in bed at night. For the past 15 years, he said, he has been able to live at home only because Medicaid pays for aides to take care of him around the clock. He received notice that his help was being cut to one live-in aide per day, who would sleep through the night, rather than two aides working for 12 hours each. Strouchler and others like him filed a class-action lawsuit challenging reductions in care. While not ruling on the merits of the case, a federal judge in Manhattan decided that the plaintiffs had a "substantial likelihood" of proving that New York City and New York State had violated federal law in cutting back on Medicaid-financed personal care for hundreds of New Yorkers since last year. More

Survey: Majority of US specialists unable to take new Medicaid patients
Jackson Healthcare via Star Global Tribune    Share    Share on FacebookTwitterShare on LinkedinE-mail article
While at least 13 million Americans may soon join the Medicaid rolls, a majority of physicians in many specialties say they can no longer afford to accept new Medicaid patients because of declining reimbursements, according to a new national survey of physicians by Jackson Healthcare. According to the survey, 36 percent of physicians said they no longer are accepting new Medicaid patients. Currently, 26 percent of doctors don't see Medicaid patients. More

HMS receives RAC contract from Commonwealth of Virginia
Datamonitor via MobilityTechzone    Share    Share on FacebookTwitterShare on LinkedinE-mail article
HMS, a subsidiary of HMS Holdings Corp., a provider of cost containment services, has received a contract from the Commonwealth of Virginia, department of medical assistance services, to serve as the Commonwealth's Medicaid recovery audit contractor. Under the terms of this contract, HMS will audit both in-state and out-of-state providers participating in the Virginia Medicaid program to identify underpayments and overpayments for all claims paid under the Medicaid and CHIP programs. More

Health plans ready to vie for Florida Medicaid contracts
The News Service of Florida via The News-Press    Share    Share on FacebookTwitterShare on LinkedinE-mail article
With Florida gradually moving toward a statewide Medicaid managed-care system, 14 health plans are ready to compete for contracts to provide long-term care to seniors. The health plans met a deadline last week for submitting documents that will be used by the state Agency for Health Care Administration as it works to award contracts in 11 different regions of the state. Six companies — American Eldercare, Coventry Health Care of Florida, Humana, Sunshine State Health Plan, United Healthcare of Florida and WellCare — submitted documents to seek contracts in each region, according to AHCA. More

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Maine sues for Medicaid waiver
The Associated Press via Houston Chronicle    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The state of Maine is suing the federal government for failing to swiftly act on its Aug. 1 waiver request seeking to eliminate Medicaid coverage for more than 20,000 residents, demanding that the federal government either approve the waiver or pay the difference in coverage. The lawsuit was filed after the federal Centers for Medicare and Medicaid Services informed the state that it needed more time to review the state's request. More

Kansas launches KanCare website to aid Medicaid transition
Wichita Business Journal    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The state of Kansas has launched a new website that will serve as starting point for Medicaid patients and service providers. The site,, will be used to facilitate the state's transition to KanCare, a plan to manage Medicaid care in the state through contracts with three private health plans, with the goals of reducing Medicaid spending and giving more people access to the program. Gov. Sam Brownback launched the KanCare effort last November following a public input process that spanned nearly a year. More

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WellCare to present at Morgan Stanley global healthcare conference
WellCare Health Plans via Barron's    Share    Share on FacebookTwitterShare on LinkedinE-mail article
WellCare Health Plans Inc. announced that Alec Cunningham, chief executive officer, will present at the Morgan Stanley Global Healthcare Conference. The presentation will occur at 10:20 a.m. EDT on Sept. 11. The presentation will be webcast live. In addition, a replay of the webcast will be available beginning about an hour following the conclusion of the live broadcast and for 30 days thereafter. Both the live presentation and the replay will be available via the company's website at More

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

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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, improving outcomes and reducing 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

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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.

MHPA's 2012 Annual Meeting | Oct 24-26 | Washington, DC
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Register now 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.

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
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Details here.

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