Medicaid health plans dispute Texas lawmakers' opposition to state waiver
The association representing Medicaid managed care plans is pushing back against assertions by a group of Texas Democratic lawmakers that moving beneficiaries from fee for service to managed care would restrict patient access to prescription drugs due to low dispensing fees that could result in pharmacies shutting their doors. More
States join forces to fend off Medicaid cuts
Kaiser Health News Share
States lobby against Medicaid cuts in Congress with billions of dollars in Medicaid spending at risk in Congress, states are forming a loose confederacy to oppose any federal cuts that could damage state budgets already awash in red ink. More
Draft spending bill would defund Obama healthcare law
The Hill Share
House Republicans released a draft spending bill that would cut off funding for many parts of the healthcare reform law, though the bill remains deadlocked in the Appropriations Committee. More
Justice Department asks Supreme Court to review healthcare law
The Washington Post Share
The Obama administration moved aggressively for Supreme Court review of the 2010 healthcare act, making it likely a constitutional ruling on the president's signature and most controversial domestic achievement will come in the thick of the presidential campaign. More
CMMI project to pay primary care practices to coordinate care
AHA News Share
Public and private payers can apply to participate in the Comprehensive Primary Care Initiative, a new Center for Medicare and Medicaid Innovation demonstration project that will pay primary care practices to manage care for their patients. More
Federal government, Louisiana disagree over funding
The Advocate Share
Louisiana officials are trying to fend off an estimated $567 million decrease in federal Medicaid money. The federal government and state disagree on the interpretation of a timing provision. More
Aetna launches new sales, enrollment and billing platform with Benefitfocus Technology
PR Newswire via The Business Journals Share
Benefitfocus announced that Aetna has selected the Benefitfocus platform to integrate online sales, enrollment and benefits management for Aetna customers. More
Leading the national fight to preserve Medicaid for disabled Americans
The Daily American News Share
Jessica Norwood hasn't let disabilities take away her ability to live a full, productive life. Norwood, 28, of Stow, Ohio, has severe breathing problems, visual perception processing issues and mild hearing loss in one ear as a result of being born four months premature. More
Health IT ready to tackle ACO's challenges
More than a third of healthcare providers plan to participate in the Centers for Medicare and Medicaid Services' ACO Shared Savings Program, according to a recent KLAS survey of 197 providers. More
Reserved room block almost filled for Medicaid Health Plans of America's 2011 annual meeting in November
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
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
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
'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
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
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 five years of experience prospecting for, identifying, and closing sales in the healthcare 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
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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