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Home   About   Policy & Advocacy   Education & Resources   Events   Contact Us Sept. 22, 2011
 
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Health plans hope supercommittee will embrace moving duals to managed care
InsideHealthPolicy.com    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Health plans are hopeful the debt law's supercommittee will embrace proposals to improve care for seniors who are eligible for both Medicare and Medicaid by allowing states flexibility to move the population into managed care, pointing out that such proposals have tremendous cost-saving potential. More



CMS official urges lawmakers to delay duals legislation as agency tackles issue
InsideHealthPolicy.com    Share    Share on FacebookTwitterShare on LinkedinE-mail article
A top CMS official urged lawmakers to give the agency more time to study ways to better handle dually eligible beneficiaries before stepping in with legislative reforms, making the plea as Senate Finance Committee members signaled strong bipartisan support for addressing the issue, which is also viewed as a potential cost-saving area by the debt law's supercommittee. More

Report: Savings of $125 billion possible for coordinating care of dual eligibles
Kaiser Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The federal government could save $125 billion over ten years by requiring all people who get both Medicare and Medicaid — dual eligibles — to enroll in team-based coordinated care programs. More

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Wyden urges supercommittee to improve care coordination in Medicare and Medicaid
The Hill    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Oregon Sen. Ron Wyden's patience ran out during a hearing on ways to improve care for the 9 million people who make up a disproportionate chunk of government health care spending. More

UPMC health plan ranks among the nation's 'highest-rated' for its commercial and Medicaid plans
Healthcare Finance News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
UPMC Health Plan's commercial and Medicaid plans once again finished among the highest-ranked health plans in the nation, according to a report by the National Committee for Quality Assurance. More



Disability-rights advocates protest Obama's proposed Medicaid cuts
The Hill    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Hundreds of disability-rights advocates congregated on the West Lawn of the Capitol to protest billions of dollars in proposed cuts to Medicaid. More

Medicaid quietly dodges deficit reduction battle
The Washington Post    Share    Share on FacebookTwitterShare on LinkedinE-mail article
As Washington's debate over deficit reduction ramped, Medicaid advocates panicked that the health insurance program for low-income Americans could quickly find itself on the cutting room floor. More

1 million young adults gain coverage under health law
The Hill    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Roughly 1 million young adults gained health insurance because of the health care reform law, the White House said. More

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Florida, federal government hammer out Medicaid overhaul
The Associated Press via Yahoo    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Federal health officials are pushing Florida lawmakers to include a provision in their Medicaid overhaul that would require private health plans to spend 85 percent of funds on patient care, state health officials said. More

Michigan governor signs bill for Medicaid funding switch
The Times Herald    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Gov. Rick Snyder has signed into law a $400 million tax on health insurance claims to pull in more federal dollars for Medicaid. More



Job opportunity at MHPA: Medicaid Policy Manager, Washington, DC
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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
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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





Opal Events' 2nd Annual Medicaid Business in Focus: CFO Forum, Sept. 26-27, Crystal Gateway Marriott, Arlington, Va.,
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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

Enroll America free webinar: 'Choices for states in the newest federal eligibility and enrollment regulations' - Sept. 28, 3-4:15 p.m. EST
Enroll America    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Register at https://cc.readytalk.com/cc/schedule/display.do?udc=1r8v4eabpfb0. For more information on Enroll America, visit their newly launched website.

NASHO 9th Annual Leadership Summit, Oct. 3-4, 2011, Las Vegas, NV
The National Association of Specialty Health Organizations    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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

Free Webinar: Thomson Reuters presents 'Medicaid Expansion: who will your future members be?' Oct. 11, 2 p.m. EST
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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
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'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    Share on FacebookTwitterShare on LinkedinE-mail article
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 five 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 September best practice of the month
MHPA
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
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View MHPA's Center for Best Practices new Keeping You Healthy video here.

MHPA on Twitter, Facebook and LinkedIn

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Follow us on Twitter, and Facebook and LinkedIn to get industry-related news and the latest MHPA announcements.

Banner advertising available with MHPA NewsBriefs
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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 jdebois@multiview.com.
 
 


 

 

 

 

 

 

 

 

 

 

 

 

 

 

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