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Romney, Ryan camps walk back candidates' statements on health law
Kaiser Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
GOP presidential nominee Mitt Romney, appearing Sunday on NBC's "Meet the Press," said he would keep the popular provision in President Barack Obama's health law that "makes sure those with pre-existing conditions can get coverage." And on ABC's "This Week with George Stephanopoulos," vice presidential nominee Paul Ryan appeared to back a lesser-known part of the law called "maintenance of effort" that prohibits states from making it harder for people to get covered by Medicaid, the state-federal health program for the poor, until 2014. Both statements seemed to signal dramatic shifts in position for the Republican presidential ticket. But campaign officials later insisted the men hadn't said anything they hadn't said before. More

Duals' advocates concerned about Medicaid cuts while demo is ongoing    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Beneficiary advocates are concerned that the CMS-Massachusetts memorandum of understanding for the state's dual eligibles demonstration does not prevent cuts to Medicaid during the time that the demonstration is in place, something one advocate says is particularly concerning because of many duals' high needs for long term care services. Massachusetts is the first state to sign a duals MOU with CMS and the pact is viewed as a possible template for efforts in other states. More

Head US nun chastises Republican governors on Medicaid opt-out
The Hill    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The leader of a group that represents most American nuns is calling on Republican governors to accept the healthcare reform law's Medicaid expansion, which would provide insurance coverage to a larger share of the poor. Sister Pat Farrell, president of the Leadership Conference of Women Religious, joined a group of 102 other faith leaders in co-signing a statement that urges support for a larger Medicaid program. "Depriving struggling families of healthcare is wholly incompatible with the teachings of our faiths and the ideals of our nation," the statement reads. More

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Report: U.S. healthcare system wastes $750 billion per year
The Associated Press via Staten Island Advance    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The U.S. healthcare system squanders $750 billion a year — roughly 30 cents of every medical dollar — through unneeded care, byzantine paperwork, fraud and other waste, the influential Institute of Medicine said in a report that directly ties into the presidential campaign. President Barack Obama and Republican Mitt Romney are accusing each other of trying to slash Medicare and put seniors at risk. But the counter-intuitive finding from the report is that deep cuts are possible without rationing and a leaner system may even produce better quality. More

Ezra Klein: Medicaid mostly covers children, moms; mostly spends on elderly, disabled
The Washington Post    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The vast majority of Medicaid's enrollees are who you'd expect: Low income women and children. They account for 76 percent of Medicaid's beneficiaries, 51 million of the 67 million people the program covers. Those are the lion's share of the Medicaid program's enrollees. But those aren't Medicaid's big spenders. That title is held by the aged and disabled. Washington Post blogger Ezra Klein highlights a post by Dr. Aaron E. Carroll, an associate professor of pediatrics and the associate director of Children's Health Services Research at Indiana University School of Medicine, about the enrollment spending breakdown of Medicaid. More

Official: Nursing homes view Clinton's spotlight on Medicaid as boost in their bid to stop pay cuts    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The nursing home industry views former President Bill Clinton's spotlight on Medicaid in his speech at the Democratic National Convention as a "good thing" as it fights to stave off state budget cuts as well as an estimated $65 billion in Medicare cuts over the next 10 years, a key nursing home official says. More

With Medicaid, long-term care of elderly looms as a rising cost
The New York Times    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Medicaid has long conjured up images of inner-city clinics jammed with poor families. Its far less-visible role is as the only safety net for millions of middle-class people whose needs for long-term care, at home or in a nursing home, outlast their resources. With baby boomers and their parents living longer than ever, few families can count on their own money to go the distance. So while Medicare has drawn more attention in the election campaign, seniors and their families may have even more at stake in the future of Medicaid changes — those proposed and others already under way. More

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Idaho could save $380 million with Medicaid expansion
The Associated Press via Idaho Statesman    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Idaho's taxpayers could save $380 million over six years by agreeing to expand Medicaid coverage for more low-income people under President Barack Obama's healthcare overhaul, according an analysis by the Spokesman-Review. Currently, costs of caring for Idaho's indigent population — often poor, single men with no children who currently don't qualify for Medicaid — are borne by counties and the state as part of Idaho's "Catastrophic Health Care Fund." The total bill is expected to top $60 million next year. Under Obama's law, Medicaid would be expanded to cover many of those people, with the federal government picking up 100 percent of the tab until 2016. Support is pared gradually to 90 percent after 2020. More

Optional Medicaid expansion could cost Wyoming $58.5 million
Wyoming Tribune Eagle    Share    Share on FacebookTwitterShare on LinkedinE-mail article
An optional expansion of Wyoming's Medicaid program could cost the state up to $58.5 million over the next seven years. The Wyoming Department of Health released a study examining how the Affordable Care Act would impact the state's Medicaid costs. The report found Wyoming would have to pay between $20 million to $58.5 million for the 2014-to-2020 period if the state moves forward with an optional expansion. 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 focuses on how managing coordinating care in hemophilia can improve outcomes and reduce costs. Best practice coordination of care includes the plan's relationship with the patient, specialty pharmacy and hemophilia treatment centers. Jeff Januska, PharmD, director of pharmacy services at CenCal Health, will discuss management of hemophilia patients through working with the state as well as outcomes associated with care through a specialty pharmacy. Also, Dr. Steven Pipe, associate professor, Department of Pediatrics and the Department of Pathology at the University of Michigan, 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.

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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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