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Modern Healthcare
A trade group representing Medicaid health plans claims that a bill allowing severely ill kids to receive Medicaid coverage across state lines would cost more, not less as previously touted by supporters of the measure. The legislation, Advancing Care for Exceptional Kids Act of 2015, is backed by the Children's Hospital Association and has bipartisan support on the Hill.
MHPA argues the legislation would actually increase Medicaid costs and could disrupt treatment for children who currently receive care through managed Medicaid plans. MHPA is adamant the bill may not be needed at all. "It seems to us this would lead to further fragmentation in the healthcare system, not more coordination," said Jeannine Bender, director of government affairs at MHPA.
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MHPA
We've given you one more week to save on mhpa2015 registration because we like you. Check out our updated agenda and register before Monday, Sept. 21, to lock in your discounted rate.
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PopHealthCare
Innovations in high-risk population management are improving financial and health outcomes for members with special needs.
Please join Eddie Gilmartin, vice president, business development for PopHealthCare to discuss how to:
- Improve medication adherence for high cost specialty meds
- Maintain contact with hard to reach members
- Serve the needs of members with complex behavioral health issues
- Reduce avoidable hospitalizations
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The Hill
Vermont Sen. Bernie Sanders is doubling down on his support for universal healthcare after weeks of mostly shying away from the topic on the campaign trail. In a speech Monday at Liberty University in Virginia, Sanders blasted the nation's healthcare system for killing "thousands of Americans" every year who can't afford insurance.
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WRAL-TV
North Carolina legislative leaders on Monday unveiled details of their compromise $21.7 billion spending plan for the 2015-16 budget year — 76 days after it was due. The state budget resolves conflicts between the House and the Senate over education funding, Medicaid reform and sales tax distribution, and House Speaker Tim Moore and Senate President Pro Tem Phil Berger both expressed confidence at getting the budget passed and signed into law by a Friday deadline.
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Complex Clinical Reviews. Dependent Audits. And More.
Contact HMS today!
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Los Angeles Times
An effort to craft a new tax on California health plans to stave off a looming plunge in federal funding for Medi-Cal has stalled, the Brown administration said Friday. The health plans tax was at the top of the agenda for a special session on healthcare that was convened by Gov. Jerry Brown. California currently imposes a tax on plans that accept Medi-Cal patients, and the revenue goes into the state's general fund to help pay for Medi-Cal and other services.
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DJournal.com
Mississippi is now solidly in the minority in terms of the state not expanding Medicaid as allowed by federal law to cover primarily the working poor. The latest count puts the number of states expanding Medicaid under the Patient Protection and Affordable Care Act at 31, including the District of Columbia.
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Kansas Health Institute
The scheduled closure of the hospital in the southeast Kansas community of Independence could create new urgency around the Medicaid expansion debate. Advocates of expanding the Kansas Medicaid program — known as KanCare — say the additional federal money it would generate would help stabilize a growing number of struggling hospitals in the state and might have helped save Mercy Hospital Independence.
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With an emphasis on innovative initiatives and data-driven solutions, DentaQuest is partnering with health plans to fundamentally change the way oral health is delivered in America. Integrating preventive oral health programs not only offers members a wider portfolio of choice - it is also a proven driver of cost control.
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The Associated Press via The Kansas City Star
A Utah doctors' group has come out against a proposal from state officials to tax physicians and others to defray the cost of expanding Medicaid. Utah Medical Association CEO Michelle McOmber said physicians get paid less when they see patients covered by Medicaid and doctors shouldn't be required to help pay the $78 million annual cost of growing the government program.
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The Times-Picayune
Louisiana Gov. Bobby Jindal's administration announced a new approach to defunding Planned Parenthood on Sept. 11, saying it will terminate the organization's Medicaid contracts "for cause." The change comes as a federal judge was set to rule on a request to block Jindal from canceling the contracts without cause, a move the administration had defended since announcing the defunding on Aug. 3. The administration now says Planned Parenthood is "in violation for entering into a settlement agreement under the federal False Claims Act in 2013."
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Managed Medicaid regulatory changes carry significant information technology implications. What will you need to comply? Where will you find it? Download today to learn more! MORE
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Arkansas Online
A federal judge will hear arguments at 2 p.m. Thursday on Planned Parenthood's request for an injunction to stop the state from terminating its Medicaid contract with the healthcare organization. Planned Parenthood of the Heartland provides family planning and preventive health services in Arkansas and Oklahoma. The nonprofit filed a federal lawsuit Friday in Little Rock over the Arkansas Department of Human Services' cancellation of the contract at the order of Republican Gov. Asa Hutchinson.
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MHPA
For a copy of the presentation, contact Dr. Kevin Stephens, OB/GYN and senior national medical director for Optum.
Download the presentation (PDF)
For additional information, contact Darren Levitz at darren.levitz@optum.com, or visit www.optum.com.
For copies of other past webinars, visit here.
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MHPA
Market Access World and Evidence Congress held an interview with keynote speaker MHPA CEO Jeff Myers, the keynote speaker of Market Access World USA 2015, which is scheduled for Sept. 30 and Oct. 1 in Philadelphia. Listen to Myers discuss the future of patient access, current challenges the sector is facing and why he will be attending this year's congress.
Join the congress to examine:
- Innovative pricing strategies for high-value drugs
- How to overcome barriers to patient access
- How to adapt to the changing models of the payers globally
- How you can meet payers' expectations
- Securing reimbursement for personalized medicines
Book now using code BR01.
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Inovalon
As an MHPA member, Inovalon invites you to attend the 7th annual Client Congress 2015, where MHPA President and CEO Jeff Myers will be an expert speaker among others. Be a part of this special event in which healthcare leaders from the United States converge for two and a half days to gain insights on innovating with big data analytics at the point of care, analyzing and improving clinical and quality outcomes and succeeding in healthcare payment reform.
Download the brochure for the full agenda. Register today for the early-bird rate of $499 with a two-for-one discount. (Regular individual rate is $699.) Use priority code: MHPA. The offer expires at 4 p.m. ET, Sept. 17.
For questions, contact Inovalon at 301-809-4000, Ext. 1309 or via email.
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