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Former Clinton aide: Obama would be flexible on state Medicaid expansion
InsideHealthPolicy.com    Share    Share on FacebookTwitterShare on LinkedinE-mail article
If he's re-elected, President Barack Obama would give states the flexibility they need to expand Medicaid without busting state budgets because more than half of the health reform law's coverage expansion is on the backs of Medicaid, former Clinton healthcare aide Len Nichols said. There is no way states will be able to expand Medicaid to the extent that was called for in Affordable Care Act, said Nichols, who is the director of the Center for Health Policy Research and Ethics at George Mason University. More



States seek a middle ground on Medicaid
The Wall Street Journal    Share    Share on FacebookTwitterShare on LinkedinE-mail article
A handful of states are considering only partially expanding their Medicaid programs under the federal healthcare overhaul — a new twist on how states are interpreting the Supreme Court's ruling on the law. Indiana, New Mexico and Wisconsin are among the states asking the federal government to let them omit from the Medicaid expansion residents whose incomes put them just above the poverty level. The states hope to take advantage of provisions in the Affordable Care Act that offer a federal subsidy to help these residents buy private insurance, starting in 2014. More

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Some House Republicans eye Medicaid per-person spending cap as block grant compromise
InsideHealthPolicy.com    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Some House Republicans have discussed pushing a Medicaid per-person spending cap next year as a possible compromise to the Medicaid block grant proposal in the House-passed budget, according to U.S. Rep. Mike Burgess, R-Texas, but Democratic lobbyists say it is doubtful Congress could work out a deal in part because per-person caps would create bureaucratic nightmares. Nevertheless, the concept deals with one of the main arguments that Democrats make against block grants, which is that more people need Medicaid during economic downturns and block grants do not account for that counter-cyclical nature of the program. More



CMS: Medicaid pay hike plan coming soon
MedPage Today    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Details on increasing Medicaid payments to primary care providers starting next year soon will be announced by the Centers for Medicare and Medicaid Services, the agency said. Under the Affordable Care Act, Medicaid rates for pediatricians, general internists, family physicians and those who work under their supervision are to be set at Medicare's December 2009 levels beginning in Jan. 2013 and going through 2014. But during a conference call with providers to provide updates on the Medicaid changes, Cindy Mann, director of CMS' Center for Medicaid and CHIP Services, couldn't provide specifics on the pay increase. More

Sebelius praises health law's benefits for Latinos
The Hill    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Health and Human Services Secretary Kathleen Sebelius praised the healthcare law for imparting benefits to the Latino community, which is less likely to have adequate healthcare than the population at large. In a statement marking Hispanic Heritage Month, Sebelius vowed to "renew our commitment to promote health and wellness for the Latino community." "In the future, up to 9 million Latinos will have access to affordable health insurance because of the availability of tax credits and better access to Medicaid made possible by the healthcare law," she said. More

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Medicaid woes subject of Texas House committee hearing
The Texas Tribune    Share    Share on FacebookTwitterShare on LinkedinE-mail article
At a hearing on the implementation of Medicaid managed care in South Texas, lawmakers got a much bigger earful on the consequences of difficult budget decisions they made in the last legislative session. In an effort to curb costs last session, lawmakers expanded Medicaid managed care, the health plan that oversees care for impoverished Texans, to South Texas, the border region and previously underserved areas. They made two other budget-saving moves: reducing state reimbursement rates to providers who care for "dual-eligible" patients — people who qualify for both Medicaid and Medicare — and crafting a health budget that did not account for Medicaid enrollment growth. More

Medicaid expansion expected to be issue in Arkansas legislative races
Arkansas News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
After Arkansas Gov. Mike Beebe announced his full support for expanding the state Medicaid program under the federal Affordable Care Act, a reporter asked the state's Democratic chief executive if he saw the expansion as a good campaign issue for his party's legislative candidates this fall. "Yes, but you know, this doesn't need to be politicized," Beebe said. "This is important on its merits." Political insiders say there is zero chance expanding Medicaid won't be a political football in the final weeks before the November general election as Republicans and Democrats battle for control of the Legislature. More


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South Carolina Gov. Haley's administration hopes to avoid replay of stimulus fight on Medicaid expansion
The Post and Courier    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Call it the Big Sell before the Big Fight. Republican Gov. Nikki Haley's administration, opposed to an expansion of South Carolina's Medicaid program, has begun meeting with state lawmakers and other players in the debate over the expansion. The goal? Win allies now and when the Legislature returns in January, avoid a repeat of the last time the state had to decide whether to accept a huge sum of federal money. More

Federal court rejects Maine's Medicaid lawsuit
The Associated Press via Ventura County Star    Share    Share on FacebookTwitterShare on LinkedinE-mail article
A federal appeals court rejected Maine's lawsuit that demanded swift action from the federal government on the state's Aug. 1 request to eliminate Medicaid coverage for more than 20,000 residents. The 1st U.S. Circuit Court of Appeals in Boston declared the lawsuit premature because the federal Centers for Medicare and Medicaid Services had 90 days — until Nov. 1 — by statute to consider Maine's waiver request. The ruling came a little more than a week after the state of Maine sought an injunction. Republican Gov. Paul LePage's office had no comment. More



Alabama voters to decide on Medicaid, prison support
Reuters via The US Daily News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Alabama voters will decide whether to transfer more than $437 million from a state trust fund to shore up the state general fund, primarily to support prisons and Medicaid payments. Alabama is required by law to have a balanced budget. Under its 1901 Constitution, voters must approve amendments to raise taxes or make other financial decisions such as the proposed transfer from the $2.3 billion trust fund. More

Did you miss Baxter's webinar? Download 'Importance of Coordinated Care in the Management of Members with Hemophilia' free from MHPA's website
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The presentation on coordinating care in hemophilia and how to improve outcomes and reduce costs by Jeff Januska, PharmD, pharmacy director at CenCal Health and Dr. Steven Pipe, associate professor, Department of Pediatrics and the Department of Pathology, University of Michigan, now is available on MHPA's website.

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Download slides for Verizon's webinar: Fraud Waste and Abuse — The Next Generation
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Thanks for attending Fraud, Waste and Abuse — The Next Generation. The presentation on understanding the patterns of fraud, where to find it, how to detect and when to act by Connie Schweyen, Debra Faulkner, MBA, MHA; and Dr. David Botsko, CFE, managing principals at Verizon Connected Healthcare, now is available on MHPA's website. More

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.

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Conference hotel completely sold out for MHPA's 2012 Annual Meeting | Oct 24-26 | Washington, DC
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
There are no more rooms available at the Hyatt Regency Washington on Capitol Hill. See the list of nearby hotels for available rooms. And if you haven't registered yet for the MHPA 2012 Annual Meeting, "A Pivotal Time for Medicaid Health Plans," you may register online now from your PC or PDA.



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
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Details here.



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