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A profile of Medicaid Managed Care programs in 2010: Findings from a 50-state survey Kaiser Family Foundation Share    
Most Medicaid beneficiaries nationally are enrolled in some form of managed care, and, with current budget pressure and health reform on the horizon, states are expected to increase their reliance on managed care to deliver services in their Medicaid programs. More
Keystone Mercy Health Plan, P4 Healthcare help community oncologists extend quality cancer care to underserved populations in Pennsylvania StockRants Share
Keystone Mercy Health Plan and Cardinal Health Specialty Solutions' P4 Healthcare business announced the launch of an evidence-based program to improve cancer care for Medicaid patients in Southeastern Pennsylvania. More WellPoint's new hire: IBM Watson technology plays 'doctor' International Business Times Share
WellPoint Inc, a U.S. health insurer, and International Business Machines have agreed to use IBM's Watson technology to help physicians identify best treatment options. More National Medicaid expert Jim Jones joins Sellers Dorsey iStockAnalyst Share
Sellers Dorsey announced that Jim Jones, former Deputy Administrator for Wisconsin's Division of Health Care Access and Accountability, has joined the firm as a senior consultant. More
US poverty rate reaches 15.1 percent The Washington Post with Bloomberg Share
The nation's poverty rate spiked to 15.1 percent in 2010, the highest level since 1993, the Census Bureau reported, providing vivid new evidence about the country's inability to escape the lingering effects of the recession. More Children's advocates decry Medicaid cuts ahead of deficit supercommittee action The Hill Share
Children's hospitals and advocates are urging the deficit supercommittee to avoid deep cuts to Medicaid as the bipartisan groups prepare to get down to business. More Overnight health: Lobbying picks up ahead of supercommittee meeting The Hill Share
Health care advocates and providers are making their voices heard as the deficit supercommittee meets for its first substantive meeting. More
Deficit supercommittee launches website The Hill Share
Congress's supercommittee now has an online presence, as the deficit-busting panel launched its website. The site, found at deficitreduction.gov, comes on the same day that the panel of 12 lawmakers holds its first substantive hearing. More Romney defends Massachusetts health care law, says it isn't like Obama's The Hill Share
Republican presidential hopeful Mitt Romney defended his health care record as his more conservative rivals noted its similarity to the federal health care reform law. More Obama would pay for jobs plan with spending cuts, tax hikes and trimming Medicare and Medicaid The Washington Post Share
President Barack Obama wants to pay for his new $450 billion jobs plan with a mixture of tax increases, spending cuts and trims to Medicare and Medicaid. He says he'll release specifics along with a proposal to stabilize the country's long-term debt. More
CMS approves Kentucky's Medicaid Managed Care Plan Becker's Hospital Review Share
CMS has approved Kentucky's proposal for a statewide managed care system for its Medicaid program. Under the plan, Kentucky contracted with three private managed care companies to provide services to approximately 560,000 Medicaid beneficiaries while also saving money, according to the report. More Portions of Pennsylvania's Medicaid eligibility requirements found invalid by US District Court for the Eastern District of Pennsylvania Wills, Trusts & Estates Prof Blog Share
The Commonwealth of Pennsylvania attempted to make it more difficult for disabled individuals to qualify for Medicaid benefits by revising its Medicaid eligibility requirements in 2005. The new requirements imposed strict limits on pooled trusts. More
New Jersey governor Christie's administration scraps plan that would have cut Medicaid coverage Courier-Post Share
Gov. Chris Christie's administration scrapped plans to prevent low-income parents from joining the FamilyCare health insurance program and charge Medicaid patients $25 for using an emergency room for non-emergency conditions. More Virginia council forms outline for health-benefits exchange The Washington Times Share
Virginia's Health Reform Initiative Advisory Council is busy prepping final recommendations on how to set up a state health benefits exchange as mandated by President Obama's health care overhaul — even as the commonwealth remains locked in litigation over the constitutionality of the law. More
Register now for Medicaid Health Plans of America's 2011 annual meeting, 'The Changing Landscape for Medicaid Health Plans,' Nov. 6-8 at the Hyatt Regency Washington on Capitol Hill in Washington, DC MHPA Share
Keynote speakers: Former HHS Secretary Donna Shalala; Political Strategist and Commentator Donna Brazile and more. Issues addressed: health reform implementation, quality improvement, cost-containment and improving access to care. Other meeting highlights: pre-conference, networking opportunities, sponsor tradeshow and entertainment by The Capitol Steps. Click here for more details Click here for sponsorship opportunities CLICK HERE TO REGISTER ONLINE NASHO 9th Annual Leadership Summit, Oct. 3-4, 2011, Las Vegas, NV The National Association of Specialty Health Organizations Share
Medicaid Health Plan Leaders are invited to join members of the National Association of Specialty Health Organizations in the 9th Annual Leadership Summit at the Las Vegas Mandarin Oriental Hotel, Oct. 2-4. Executive Leadership from dental, vision, radiology, hearing, physical therapy, mental health and other specialties will be there — an outstanding opportunity to learn about pressing issues for the specialty industry and to network with partners!  The World Congress presents the 2nd Annual Health Care Reform Congress on Health Insurance Exchanges World Congress Share
The latest legislation, building the business plan, examining state-by-state implementation Sept. 19-20 | Washington, D.C. SAVE $300 on your current registration fee when you mention PROMO CODE: MXB855 and PRIORITY CODE: HL11022-12549! (Not valid for government rate. Cannot be combined with additional discounts or applied to a current registration.) Call 800-767-9499 or visit www.worldcongress.com/exchanges for more information or to register today. The World Congress Presents the 2nd Annual Health Care Reform Congress on Medical Loss Ratios World Congress Share
Best Practices for Preparing and Adhering to New Reform Mandates and Regulations Sept. 19-20 | Washington, D.C. SAVE $300 on your current registration fee when you mention PROMO CODE: MXB855 and PRIORITY CODE: HL11041-12550! (Not valid for government rate. Cannot be combined with additional discounts or applied to a current registration.) Call 800-767-9499 or visit www.worldcongress.com/MLR for more information or to register today. Opal Events' 2nd Annual Medicaid Business in Focus: CFO Forum, Sept. 26-27, Crystal Gateway Marriott, Arlington, Va., Opal Events Share
The conference explores medical management strategies as an answer to the growing problems that Medicaid health plans face. This event will offer medical management strategies that are grounded in evidence-based clinical practices, predictive outcomes modeling, member engagement, and multi-disciplinary professional collaboration. For more information see the conference agenda or visit the conference webpage. Standard registration: $1895; Government Employees: $995. To register, please click here. If you would like more information about this event, please call 212.532.9898 x 0 or email at info@opalevents.org. More Free Webinar: Thomson Reuters presents 'Medicaid Expansion: who will your future members be?' Oct. 11, 2 p.m. EST MHPA Share
An estimated 16 million people will soon gain coverage through the expansion of Medicaid. For health plans that will serve this population, this dramatic growth requires adjustments to business strategies for membership growth, as well as network and care management strategies to serve the unique needs of this population. Health Plans that drive these strategies from a deeper understanding of consumers will be enabled to compete more successfully in this rapidly changing market. Tony Glebe, Vice President of Analytic Consulting and Research Services and Gary Pickens, Chief Research Officer at the Center for Healthcare Analytics at Thomson Reuters, will share their research and insights into the varying size of Medicaid expansion across the country, and the health behavior and attitudinal profiles of the individuals gaining coverage through expanded Medicaid. To log in, go to www.pcconf.com and click join. Call-in number: 1.800.839.9416; Participant ID for video and audio portions: # 3183287. Questions? Please contact Thanh Buscarini at 202.857.5728. Free Webinar: Ethicon Endo-Surgery presents 'Minimally invasive procedures: What's the value for health plans?' Oct. 12, 3-4:30 p.m. EST MHPA Share
'Minimally Invasive Procedures: What's the Value for Health Plans?' Oct. 12, 2011 3-4:30 p.m. EST There are more than 4.4 million general surgical procedures annually. Once patients have exhausted other treatment alternatives and surgery becomes a necessary procedure, providing a minimally invasive approach, also referred to as laparoscopic surgery, improves clinical outcomes, decreases the hospital stay and brings a faster return to normal activity, and costs the payor and the patient less money, when compared to standard open or abdominal surgery. Developing a product to encourage appropriate use of minimally invasive procedures can provide significant clinical and economic savings to patients and payors. Dr. Lou Hochheiser, Chief Medical Leader, Humana, Inc., will explore what health plans can do to drive the use of Minimally Invasive Procedures. To register, click here. Questions? Please contact Thanh Buscarini at 202.857.5728. Job opportunity: Senior Sales Executive position at Human Arc Human Arc Share
The Senior Sales Executive will be responsible for overseeing the sales process: selling services to new and existing clients in the health plan market, identifying and developing strategic partnerships to support sales strategies and determining appropriate action for new revenue opportunities. Qualifications: at least 5 years of experience prospecting for, identifying, and closing sales in the health care market. Candidates with experience selling intangible services within the health care arena and pre-existing network of contacts in the industry preferred. Telework options available. About Human Arc We help hospitals and health plans improve their revenue and deliver community benefit. On their behalf, we help their patients and plan members with low or no income, and those who are aged or disabled, to enroll in government-funded assistance programs and realize quality-of-life improvements. Please send resume with salary requirements by Oct. 15 to Careers@HumanArc.com. For more info, go to http://www.humanarc.com/Careers/default.html MHPA's new September Keeping You Healthy Video: Appropriate Testing for Children with Pharyngitis by DC Chartered Health Plan MHPA Share
View MHPA's Center for Best Practices new Keeping You Healthy video here. MHPA on Twitter, Facebook and LinkedIn MHPA Share
Follow us on Twitter, and Facebook and LinkedIn to get industry-related news and the latest MHPA announcements. Banner advertising available with MHPA NewsBriefs MHPA Share
Now you can ensure that your message gets out to the Medicaid managed care industry. For rate information, contact James Debois for opportunities 469.420.2618 or email at jdebois@multiview.com. |
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