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Millions of poor are left uncovered by health law
The New York Times
A sweeping national effort to extend health coverage to millions of Americans will leave out two-thirds of the poor blacks and single mothers and more than half of the low-wage workers who do not have insurance, the very kinds of people that the program was intended to help, according to an analysis of census data by The New York Times.
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Obama: No negotiations until government reopens
The New York Times
In their first meeting since a budget impasse shuttered many federal operations, President Barack Obama told Republican leaders that he would negotiate with them only after they agreed to the financing needed to reopen the government and also to an essential increase in the nation's debt limit, without add-ons.
HHS: Obamacare wait times cut by one-third
The Hill
The Health and Human Services Department said that it has made progress toward fixing the long waits and technical problems that have hampered Obamacare's new insurance exchanges. HHS has added capacity to the healthcare.gov website since unveiling it on Oct. 1, when overwhelming demand locked consumers out of the site.
Peter Kongstvedt and J.D. Kleinke deliver keynotes at MHPA 2013
MHPA
Dr. Peter Kongstvedt, the highly regarded independent national authority on healthcare, health insurance and managed care, and J. D. Kleinke, healthcare information entrepreneur, policy expert and business strategist, will be delivering complementary keynote addresses at MHPA 2013 on Oct 21 and 22.
Dr. Kongstvedt will present "Provider Payment: It's the Money that Matters," and Mr. Kleinke will follow up with the companion address, "Money Changes Everything: Health Industry Structure After Health Reform." They are a must see! Check out their presentation times on MHPA 2013's new conference app on Android's Google Play and Apple's App Store by searching for "mhpa." If you haven't registered yet, what are you waiting for? You can do it now here.
Horizon NJ Health named top-ranked Medicaid plan in New Jersey
Horizon Blue Cross Blue Shield of New Jersey
Horizon NJ Health, a wholly owned subsidiary of Horizon Blue Cross Blue Shield of New Jersey, is the top-ranked Medicaid plan in New Jersey, according to the National Committee for Quality Assurance. Horizon NJ Health received a national ranking of 35 out of 131 Medicaid-managed plans in the NCQA's Medicaid Health Insurance Plan Rankings 2013-2014.
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Drug rebates not in Arkansas' plan but may emerge in Medicaid demos
Inside Health Policy
Arkansas will not collect drug rebates for new Medicaid beneficiaries participating in the state's closely watched Medicaid expansion waiver demonstration under which beneficiaries will buy plans on the state's federally run exchange with a state-provided subsidy, CMS told Inside Health Policy. But a health expert at Avalere Health predicts that the state and others interested in premium assistance could incorporate drug rebates into future iterations of demos that include wrap-around-coverage approaches to purchase drugs.
Minnesota duals MOU doesn't require savings, could spur more
SNP-based demos
Inside Health Policy
CMS has approved for the first time a duals demonstration that does not require a state to reduce Medicare spending, and sources say the agreement with Minnesota opens the door for other states that wish to use private special-needs plans to coordinate Medicare and Medicaid services. It's also possible that CMS will warm to more radical approaches if the Minnesota demo goes well.
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To find out how to feature your company in the MHPA eNewsletter and other advertising opportunities, Contact James DeBois at 469-420-2618.
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New Hampshire committee OKs expanding state Medicaid eligibility
The New Hampshire Union via Pharmacy Choice
The state of New Hampshire will not wait for a federal waiver before expanding Medicaid eligibility under the Affordable Care Act under a recently adopted plan. A committee studying Medicaid expansion rejected a proposal by Rep. Neal Kurk, on a 5-3 vote, to not expand the program unless the state receives a waiver from the Center for Medicaid Services to allow it to use a program that would use Medicaid funds to pay the premium for those eligible under expansion who are currently on their employers' health plans.
Jefferson, Medicaid manager in shared-savings agreement
The Philadelphia Inquirer
Keystone First, the biggest Medicaid managed care company in Southeastern Pennsylvania, and Jefferson Health System agreed to a multiyear shared-savings agreement that will reward Jefferson for improving the quality of care for Medicaid beneficiaries and cutting costs.
A long road to restoring Medi-Cal dental benefits
California Health Report
Rita Sokolowski has been living with no top teeth and a denture that doesn't fit for the past four years. In July of 2009 when the state eliminated most adult dental services under the Medi-Cal dental program called Denti-Cal, Sokolowski and an estimated 3 million other Californians lost virtually all of their dental benefits as a result of budget cuts.
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Webinar Wednesday: 'The Opioid Dependence Crisis: How PCPs Can Help' by Reckitt Benckiser | Oct. 9 | 3 p.m. ET
MHPA
This webinar will review of opioid dependence epidemic in the United States, discuss opioid dependence as a chronic, relapsing disease of the brain, present a rationale for treating opioid dependence and examine roles for Medicaid health plan network primary care physicians responding to the opioid dependence epidemic. Juan Trippe, a clinical pharmacist and disease state manager for Reckitt Benckiser Pharmaceuticals, will be the speaker.
Sign up for a free trial to Health Exchange Alert, a news service from InsideHealthPolicy.com
Inside Washington Publishers
The Affordable Care Act's mandated health exchanges are on the front burner for policymakers and should be for you, too. Stay on top of the evolution and implementation of health exchanges with Health Exchange Alert, the news service from InsideHealthPolicy.com. Act now by clicking here to activate a no-obligation, four-week free trial to gain immediate access to InsideHealthPolicy.com and Health Exchange Alert.
Your free trial will include access to the numerous articles and documents posted every business day, as well an email alert every morning highlighting the latest news. You'll also have access to our three weekly newsletters (Health Exchange Alert, Inside CMS and FDA Week), which you can download in PDF format and circulate.
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Healthcare law protected, uninsured covered in government shutdown
The Associated Press via The Washington Post
According to former Democratic and Republican budget officials, in addition to the Obama administration, while Republicans pulling on the budget thread wouldn't completely unravel plans, a partial government shutdown would leave major parts of President Barack Obama's healthcare law in place and rolling along.
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The ACA's 'family glitch' could hurt families who need CHIP
The Pew Charitable Trusts
The Affordable Care Act is primarily aimed at insuring more adults, including parents. In the process, a substantial number of uninsured children may also get coverage as their parents learn more about federal and state subsidies. Just how many will depend on whether states maintain their existing Children's Health Insurance Program.
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Alternate report lays out public financing path for long-term care
Inside Health Policy
Five Long-Term Care Commissioners recently released an alternate report suggesting Long-Term Support Services could be built into Medicare Part A, while other commissioners have advocated such services be financed through a Medicaid carve out program for private long term care insurance or using savings from a move to site neutral payments for tax rebates.
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