President's $320 billion Medicare/Medicaid cut plan includes Medicaid drug rebate extension
President Barack Obama's $3 trillion deficit reduction package unveiled includes $248 billion in reduced Medicare spending, 90 percent of which comes from "reducing overpayments," and $72 billion in cuts to Medicaid and other health programs. More
Health Alliance Plan announces intent to acquire Midwest Health Plan
Health Alliance Plan announces a definitive agreement to acquire Midwest Health Plan, a for-profit Medicaid HMO with 74,000 members based in Dearborn, Mich. More
HMS to serve on advisory council for 'Enroll America'
Business Wire via FierceHealthcare Share
HMS, a wholly owned subsidiary of HMS Holdings Corp., announced that it will serve on the advisory council for "Enroll America," a non-profit organization launched and dedicated to helping locate health care coverage for tens of thousands of uninsured Americans. More
Hospital financing expert Jeff Harris joins Sellers Dorsey
Business Wire via News Blaze Share
Sellers Dorsey announced that Jeff Harris, a former principal with the firm Spivey/Harris Health Policy Group, has joined the firm as a Senior Consultant. More
The specifics: How Obama plans to cut health programs by $320 billion
Kaiser Health News Share
In his plan to trim the federal deficit, President Barack Obama proposed $320 billion in cuts to Medicare and Medicaid, largely by changing how the federal government pays health providers, slashing payments to drug companies, and dramatically changing the way it splits the costs of Medicaid with the states, according to a fact sheet the White House released. More
Almost all stakeholders grumble about Obama health care cuts
The Hill Share
There's something for just about everyone to dislike in the $320 billion of health care savings President Obama proposed. Obama's plan would cut programs that many Democrats prize and bolster initiatives that Republicans have attacked. More
4 insurers will supply health data
The New York Times Share
Several major health insurers have agreed to provide their claims data on a regular basis to academic researchers, in an unusual agreement that they say will open a window onto the rising costs of health care. More
Texas and Federal government agree 'in principle' on Medicaid overhaul
Kaiser Health News Share
Texas officials received a long awaited thumbs up from the federal government on a proposed overhaul of the Texas Medicaid program, according to a letter obtained by Kaiser Health News. More
Overhaul of Kentucky Medicaid program delayed
The Associated Press via Medical Design Technology Share
The secretary of the Kentucky Cabinet for Health and Family Services says the agency will delay the launch the state's overhauled Medicaid program to Nov. 1. More
Washington State limits emergency department visits for Medicaid patients
Healthcare Finance News Share
Washington State will limit Medicaid patients to three non-emergent emergency department visits per year effective Oct. 1. The state says this benefit limit will save $72 million per year in state and federal funds, while opponents say it will endanger some of the state's most vulnerable citizens. More
Without big changes, Medicaid is imperiled, Kansas lieutenant governor says
The Kansas City Star Share
Lt. Gov. Jeff Colyer described a bleak future for Kansas' Medicaid program unless reforms drive down costs and people begin making healthier lifestyle choices. More
In Pennsylvania, it may really pay to be on Medicaid
Kaiser Health News Share
Pennsylvania is considering paying Medicaid recipients — in some cases as much as $200 — as an incentive to visit higher quality and lower cost hospitals and doctors. More
Nevada Medicaid gets $3.5 million grant to reward patients in disease prevention programs
Becker's Hospital Review Share
CMS has provided a five-year, $3.5 million grant to the Nevada Medicaid program to develop a pilot program to incent Medicaid recipients to participate in chronic disease prevention programs, according to a CNBC report. More
Administration tries to sell states on health insurance exchanges
Tri-City Herald Share
Worried that the federal government could end up running new insurance marketplaces for dozens of states, the Obama administration is making a new pitch for cooperation to 46 states and the District of Columbia. More
CMS will create ACO claims, provider database
Healthcare Finance News Share
The Centers for Medicare and Medicaid Services will create a database containing the health information of Medicare beneficiaries who receive treatment with providers participating in an accountable care organization. More
Job opportunity at MHPA: Medicaid Policy Manager, Washington, D.C.
MHPA seeks Medicaid Policy Manager to assist in policy analysis and development in Medicaid and Medicaid Managed Care. APPLICATION DEADLINE: Sept. 28. For details, click here.
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! More
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 email@example.com. 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. More
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.
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Follow us on Twitter, and Facebook and LinkedIn to get industry-related news and the latest MHPA announcements.
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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 firstname.lastname@example.org.