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Home   About   Policy & Advocacy   Education & Resources   Events   Contact Us Oct. 4, 2011

Medicaid directors contest claim that more state responsibility for duals could undermine care    Share    Share on FacebookTwitterShare on LinkedinE-mail article
State Medicaid officials agree that Medicare should be more responsible for improving the care of dual eligibles but the suggestion by a new report that increasing state Medicaid programs' responsibilities for duals would undermine their care is "outrageous," a state Medicaid source said. More

High court hears Medicaid case, weighs right to object to cuts
Kaiser Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Supreme Court kicked off its new term by hearing arguments in a key Medicaid case that tests whether providers and patients can go to court to challenge decisions by cash-strapped states to reduce Medicaid payments. More

NCQA to craft models of care for dual eligibles as states, CMS eye reforms    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The National Committee for Quality Assurance is seeking funding for a project to develop models of care for beneficiaries dually eligible for Medicare and Medicaid — a move that comes as CMS, states and lawmakers grapple with ways to better coordinate care for such beneficiaries and in the process potentially save billions of dollars. More

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NaviNet, America’s largest real-time healthcare communications network, securely links health plans to physicians and other healthcare professionals. More than 70 percent of the nation’s physicians are enrolled in NaviNet, which touches 121 million covered lives, providing unified patient information management (UPIM). NaviNet offers administrative, financial and clinical information to reduce costs, increase efficiencies and improve quality of care. Visit for more information. more

Health consumers make US deficit fight personal
Reuters    Share    Share on FacebookTwitterShare on LinkedinE-mail
The numbers are devastating: almost 2,000 poor kids in Texas with cancer, another 18,000 with diabetes and more than 350,000 suffering from chronic lung disease, heart disease or stroke. More

States embracing Medicaid managed care
American Medical News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
A nationwide survey of Medicaid managed care programs found that access to care under the plans is a perceived problem but that many states use managed care as a vehicle to coordinate care. More

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Wisconsin Medicaid changes may cut coverage for thousands
Green Bay Press Gazette    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Wisconsin health officials released a sweeping package of Medicaid reforms that would tighten eligibility requirements and could result in tens of thousands of people losing their coverage. More

Illinois governor Quinn accused of hindering Medicaid changes
Daily American News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Illinois lawmakers passed a series of Medicaid reforms that they said could save the state up to $774 million over the next five years. However, federal regulators later said Illinois couldn't proceed with two of the changes, which deal with how the state verifies the eligibility of Medicaid recipients to receive aid. More

Federal government extends Arizona Health Care Cost Containment System, still reviewing cuts
The Arizona Republic    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Federal health officials will extend Arizona's current Medicaid program beyond Saturday, when it is due to expire, to allow more time to consider a state plan with sweeping cuts. More

Georgia follows Alabama in kids' plan switch
Georgia Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Georgia will soon join a handful of other states in a voluntary switch of thousands of children now covered by a state employee health plan into a federally funded insurance program for kids in lower-income families. More

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New York legislator's eye major Medicaid reform, but NYC counterparts remain doubtful
The Empire    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Medicaid costs New York a lot of money. The state spends more than $53 billion a year to care for 4.7 million low-income people. That represents about 40 percent of the state's entire budget. More

NCQA calls for health insurance exchanges to offer clear information
iHealthBeat    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Recently the National Committee on Quality Assurance sent a letter to CMS urging the agency to ensure that state-based health insurance exchanges offer clear and useful information to consumers. More

Medicare, Medicaid, and Children's Health Insurance Programs; meeting of The Advisory Panel on Outreach and Education
Insurance News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
This notice announces a meeting of the Advisory Panel on Outreach and Education in accordance with the Federal Advisory Committee Act. More

Medicaid Health Plans of America's 2011 annual meeting in November: Reserved room block almost filled
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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., Deadline for discount rate is Oct. 17 but book now 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

Free Webinar: Thomson Reuters presents 'Medicaid Expansion: who will your future members be?' Tuesday 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 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 connections mean higher capitation rates.
Firstsource’s advanced IVR technology helps achieve a 34% live connect rate, up from 14 to 18% with traditional dialers. As a result, we dramatically improve member contacts and results for disability transfers, member retention/recertification, SSI benefits and member wellness programs and initiatives. For a better, faster way to connect, contact Firstsource at 877-926-7370. MORE

Free Webinar: Ethicon Endo-Surgery presents 'Minimally invasive procedures: What's the value for health plans?' Wednesday Oct. 12, 3-4:30 p.m. EST
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
'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 healthcare market. Candidates with experience selling intangible services within the healthcare 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 For more info, go to

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Banner advertising available with MHPA NewsBriefs
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail
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


















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