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Home   About   Policy & Advocacy   Education & Resources   Events   Contact Us Sept. 27, 2011
 
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Medicaid Health Plans of America refutes claims of Texas Democrats on drug benefits in Medicaid managed care, health of patients
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Medicaid Health Plans of America disputes the accuracy of claims leveled by Rep. Lloyd Doggett and the Texas Democratic Congressional Delegation that moving Medicaid prescription drug beneficiaries into managed care would harm those beneficiaries. More



UnitedHealthcare community and state's Ms. Rita Johnson-Mills featured in Profiles in Diversity Journal's 10th Annual Women Worth Watching issue
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ikaSystems appoints Joseph Marabito as chief executive officer
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ikaSystems, a premier provider of enterprise-level cloud computing solutions for the health care payer market, announced that it has promoted current president Joseph Marabito to chief executive officer. More

HMS awarded Recovery Audit Contractor contract by the state of Oregon
Business Wire via FierceHealthcare    Share    Share on FacebookTwitterShare on LinkedinE-mail article
HMS, a wholly owned subsidiary of HMS Holdings Corp., announced that it has been awarded a contract by the State of Oregon, Department of Human Services, Office of Payment Accuracy and Recover, to serve as the State's Recovery Audit Contractor and provide third party liability come-behind services. More

Medicaid directors seek flexibility from supercommittee
The Hill    Share    Share on FacebookTwitterShare on LinkedinE-mail article
State Medicaid directors say the supercommittee could cut federal spending by giving them more flexibility over their programs. More

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Government Accountability Office: Oversight needed on program that gives safety net providers drug discounts
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article
Under this program, known as the 340 B program, drugmakers provide discounts to community health centers and other health care providers that treat vulnerable populations in exchange for having their drugs covered by Medicaid. More

Perry's Medicaid plan secret: Democrats like it
Politico via Kaiser Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Texas Gov. Rick Perry publicly floated dropping out of Medicaid less than a year ago to cut spending — but now the state is quietly revamping the health care safety net for the poor in a way even some Democrats can get behind. More

Wyoming and South Carolina senators introduce Medicaid 'opt-out' legislation
Becker's Hospital Review    Share    Share on FacebookTwitterShare on LinkedinE-mail article
U.S. Senators Lindsey Graham, R, S.C., and John Barrasso, R, Wyo., have introduced the Medicaid Flexibility for States Act legislation, which would allow states to opt out of Medicaid expansion under President Obama's health care reform law. More



Some low-income Minnesota residents must change health plans
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In Medicaid news, Washington state begins a new program that limits emergency department visits for Medicaid enrollees. Oregon also reports gains in efforts to get children coverage. More

Demise of Pennsylvania plan for low-income adults leaves many uninsured
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Six months after Pennsylvania terminated adultBasic, the state-funded health plan for low-income adults, many of the nearly 41,000 former enrollees who lost their coverage at the end of February likely have been left uninsured. More

Kentucky medical officials prepare to implement Medicaid changes
WYMT-TV    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Doctors and hospitals are getting an extra month to implement the changes to Medicaid managed care. Governor Beshear announced Kentucky awarded four contracts for companies take over administering Medicaid, but health providers said the October deadline was too soon. More

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CMS extends comment period on proposed exchange rules to Oct. 31
InsideHealthPolicy.com    Share    Share on FacebookTwitterShare on LinkedinE-mail article
CMS will delay the comment period for two proposed exchange rules that were released in July, according to an internal CMS email that was obtained by Inside Health Policy. More

Assistant Attorney General Lanny A. Breuer speaks at the American Health Lawyers Association and Health Care Compliance Association's 2011 Fraud and Compliance Forum
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Remarks as prepared for delivery:
Thank you, Kathleen, for that kind introduction. I am delighted to be here, and to join you and your colleagues in the health care regulatory and compliance profession on the occasion of this important conference.
More



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

Reserved room block almost filled for Medicaid Health Plans of America's 2011 annual meeting in November
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Make your hotel reservations today for MHPA's Annual Meeting, 'The Changing Landscape for Medicaid Health Plans,' Nov. 6-8 at the Hyatt Regency Washington on Capitol Hill in Washington, D.C., before rooms sell out.

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    Share on
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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
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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 at MHPA: Medicaid Policy Manager, Washington, DC
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MHPA seeks Medicaid Policy Manager to assist in policy analysis and development in Medicaid and Medicaid Managed Care. Application deadline: Sept. 30. For details, click here.

Job opportunity: Senior Sales Executive position at Human Arc
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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
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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.

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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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