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Director Cindy Mann the opening keynote speaker at MHPA 2013
MHPA
MHPA has confirmed Cindy Mann, J.D., CMS Deputy Administrator/Director, Center for Medicaid and CHIP Services (CMCS), as the opening keynote speaker at MHPA 2013. As CMS Deputy Administrator and Director of CMCS, Cindy is responsible for the development and implementation of national policies governing Medicaid and CHIP and works closely with states as they design and administer their Medicaid and CHIP programs.

Prior to her return to CMS in 2009, Cindy served as a research professor at the Georgetown University Health Policy Institute and was the Executive Director of the Center for Children and Families at the Institute.
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Health insurance tax faces challenge
Politico
The health insurance industry and business allies are stepping up their campaign to repeal another new Obamacare tax this fall — one that they argue will hit consumers smack in the healthcare part of their wallet. As Congress returns from recess, expect to hear more about the health insurance tax, a levy in the healthcare law to raise $116 billion through 2023. That money, in turn, is supposed to help finance expanded coverage.
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MHPA sends recommendations to the Commission on Long-Term Care
MHPA
MHPA's recommendations to the Commission on Long-Term Care are regarding improvements in organizing, providing and financing long-term services and supports.
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Study: Law will shift demographics for Medicaid toward healthier group
Kaiser Health News
The health law is expected to change the face of Medicaid — literally. As part of the federal overhaul, some states have opted to expand in January this state-federal health insurance program for low income people to include Americans who earn as much as 138 percent of the federal poverty line, which is just under $16,000 for an individual in 2013.
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See related story: Potential adult Medicaid beneficiaries under the Patient Protection and Affordable Care Act compared with current adult Medicaid beneficiaries (Annals of Family Medicine)


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Peter Budetti to step down as chief of CMS Center For Program Integrity
Inside Health Policy
CMS program integrity chief Peter Budetti, who implemented many of CMS' steps toward predictive analytics, will step down from his position as the agency's first deputy administrator and director for program integrity, according to a CMS email obtained by Inside Health Policy. Deputy Lis Handley will serve as acting director for the Center for Program Integrity as Budetti transitions out of the role, CMS Administrator Marilyn Tavenner said.
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CMS changes course by giving Oklahoma 1-year extension for 1115 waiver
Inside Health Policy
CMS has changed course and approved a one-year extension for Oklahoma's 1115 demonstration "Insure Oklahoma," which isn't a plan for Oklahoma to do the ACA Medicaid expansion but is an existing waiver that helps low-income adults afford health insurance and had been slated to expire at the end of the year, much to the state's chagrin.
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Insurance rolls to rise in South Carolina state fighting plan
The New York Times
In her State of the State speech in January, South Carolina Gov. Nikki R. Haley, a Republican, said the state "will not implement the public policy disaster that is Obamacare's Medicaid expansion," and she boasted of her stance at a recent rally announcing her bid for re-election. The reality, however, is more complex. South Carolina officials say they welcome the prospect that more than a half-million state residents — out of a population of 4.7 million — could soon gain access to affordable coverage, even without the expansion of Medicaid eligibility.
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South Carolina governor talks rising healthcare costs at Medicaid conference
The Post and Courier
South Carolina Gov. Nikki Haley told more than 1,000 healthcare experts in North Charleston, S.C. that rising healthcare costs, particularly Medicaid costs, in South Carolina and across the country are diverting money away from other top priorities.
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Pennsylvania legislators look at new Medicaid models
Pittsburgh Post-Gazette
For months, debate in Harrisburg, Pa., has focused on whether to expand the state's Medicaid program. But the discussion has shifted in recent weeks, away from the yes/no debate and toward talks about what such an expansion would look like as part of a broader set of changes to the existing Medicaid program, which provides healthcare coverage to about 1 in 6 low-income and disabled Pennsylvanians.
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Medicaid expansion: Chronically homeless adults will need targeted enrollment and access to a broad range of services
Health Affairs
Homeless adults may gain access to health services under the Affordable Care Act's Medicaid expansion, which takes effect in 2014. This study analyzed the health coverage, health status and health services use of 725 chronically homeless adults with disabilities in 11 cities in the United States.
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Findings from Washington state: Physicians may need more than higher reimbursements to expand Medicaid participation
Health Affairs
The expansion of insurance coverage under the Affordable Care Act is expected to put considerable pressure on the capacity of the primary care workforce to meet the needs of the Medicaid population beginning in 2014. The results from a 2011 survey and focus-group sessions with Washington state primary care physicians suggest that doctors welcome planned increases in Medicaid reimbursement rates.
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Survey of high-risk pool enrollees: Targeted transition education and outreach should begin soon
Health Affairs
Several provisions of the Affordable Care Act make state and federal high-risk pools unnecessary beginning in January 2014. As a result, thousands of enrollees in those pools will be transferred to Medicaid and the new state and federal insurance exchanges.
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Aetna, CVS Caremark embark on 6-month, post-discharge prescription pilot
Drug Benefit News via AIS Health
In collaboration with its PBM partner, CVS Caremark Corp., and Dovetail Health, Aetna Inc. is looking to head off medication-related hospital readmissions with a six-month pilot program in which members can enroll and receive in-home or telephonic pharmacist consultations.
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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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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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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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TRENDING ARTICLE
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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 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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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 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.

    North Carolina Medicaid reform plan on right track (Carolina Journal)
Affordable Care Act needs fixes to address costs by Rep. Kyrsten Sinema, D-Ariz. (The Arizona Republic)
Medicaid 'coverage gap' looming for the poor in 21 states (McClatchy)
US allows Indiana to offer health program outside of Obamacare (Reuters)
Wyoming state leaders mull Medicaid expansion options (Casper Star-Tribune)

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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