Many states optimistic Medicaid Managed Care plans can handle reform law's expansion
Officials from 20 states with Medicaid managed care organizations say they think those health plans will be able to handle the influx of Medicaid beneficiaries that the health reform law requires in 2014, and 13 states have managed care organizations that have expressed interest in becoming plans inside their respective state exchanges, according to a new survey on Medicaid managed care from the Kaiser Family Foundation. More
CMS patterns parts of Medicaid RAC rule on Medicare effort lets states exclude managed care
CMS has decided to pattern many aspects of the Medicaid Recovery Audit Contractor program mandated by the health reform law after existing Medicare RACs, but in a final rule released Sept. 14 also said that states should be afforded flexibility in setting up the program due to differing state laws. More
Experts float cost-cutting options; agree providers may be better off if super committee fails
One day before the super committee is poised to hold its first policy meeting, health policy experts sounded off on Capitol Hill about what health policy reforms the committee ought to consider, and agreed that providers are squarely in the cross-hairs, with many likely better off if the panel fails and the fall-back cuts are triggered. More
Berwick: Pioneer ACOs to be unveiled before shared savings program begins
CMS Administrator Don Berwick said that the Pioneer accountable organization model's participants will be announced before the separate ACOs under the Medicare Shared Savings Program begin at the start of 2012. More
2010 CMS Medicaid Managed Care Enrollment Report
The 2010 CMS Medicaid Managed Care Enrollment Report gauges the growth and penetration of Medicaid managed care nationwide, year over year. More
Why new health group Enroll America matters
The Washington Post Share
Keep an eye on a new health industry coalition launching: Enroll America. The 42-member coalition, which includes health heavyweights like the American Hospital Association and Aetna, has been in the works for over a year now. More
Medicaid advocates seek recognition of safety net's value
Kaiser Health News Share
It's good news for Medicaid advocates that the program will be spared from cuts if the deficit reduction "super committee" is unsuccessful in its effort to squeeze about $1.5 trillion in savings from the federal budget. More
Medicaid directors propose savings for supercommittee
The Hill Share
State Medicaid directors are pitching the supercommittee on a proposal to let states and the federal government share savings from better coordinating certain health care services. More
Reports detail state-by-state impacts of proposed Medicaid cuts
The Hill Share
Cutting Medicaid could leave hundreds of thousands of people across the country facing life-threatening illnesses on their own, patient advocates said. More
AmeriHealth Mercy family of companies to give physicians innovative mobile technology and information delivery to improve
Business Wire via FierceHealthIT Share
The AmeriHealth Mercy Family of Companies, one of the largest organizations of Medicaid managed care plans in the country, covering four million lives, announced that it will offer physicians free mobile technology to support delivery of patient information to handheld devices at the point of care. More
Health care groups await details on Wisconsin's $500 million Medicaid cuts
Becker's Hospital Review Share
Health care advocates in Wisconsin want to see the details of the state's plan to cut $500 million from its Medicaid program as part of the state's budget, according to a Wisconsin State Journal report. 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
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!
MHPA members can take advantage of $100 savings on the Summit registration fee and enjoy a discount on hotel accommodations. Go on-line to register for the Summit, and take advantage of a special room rate by calling 888.881.9578 (reference NASHO 9th Annual Leadership Summit rate)
NO LATER THAN Sept. 9.
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 firstname.lastname@example.org. More
Free Webinar: Thomson Reuters presents 'Medicaid Expansion: who will your future members be?' Oct. 11, 2 p.m. EST
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
'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
Enroll America webinar - Sept. 28, 3 - 4:15 p.m. EST
Agenda and other details available soon. For more information on Enroll America, visit their newly launched website. More
MHPA's September best practice of the month
UnitedHealthcare Community and State (Great Lakes Health Plan) Improving Blood Lead Screening in Two-Year Olds. Each month, MHPA features a Best Practice selected from MHPA's 2010-2011 Best Practices Compendium, a collection of programs and services from member health plans that combines innovation, expertise and caring to improve the health of Medicaid recipients of all ages. MHPA has selected Improving Blood Lead Screening in Two-Year Olds by UnitedHealthcare Community and State (Great Lakes Health Plan) as its Sept. 2011 Best Practice of the Month.
To learn about this best practice, visit MHPA's website.
For more information on Great Lakes Health Plan, click here.
MHPA's new September Keeping You Healthy Video: Appropriate Testing for Children with Pharyngitis by DC Chartered Health Plan
View MHPA's Center for Best Practices new Keeping You Healthy video here.
MHPA on Twitter, Facebook and LinkedIn
Follow us on Twitter, and Facebook and LinkedIn to get industry-related news and the latest MHPA announcements.
Banner advertising available with MHPA NewsBriefs
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 email@example.com.