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Home   About   Policy & Advocacy   Education & Resources   Events   Contact Us Oct. 6, 2011

New York has so far controlled Medicaid expenses after redesigning program
Press and Sun Bulletin    Share    Share on FacebookTwitterShare on LinkedinE-mail article
So far, so good. That's what state Health Department officials said about New York's success in holding down Medicaid expenses after a redesign of the $53 billion healthcare program for the poor earlier this year. More

MHPA submits comments on Exchanges and Qualified Health Plans
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MHPA submits comments on the proposed rule for the establishment of Exchanges and Qualified Health Plans under the Affordable Care Act. The comments focus on the intersection between Medicaid and the Exchange and policies affecting Medicaid health plans and the low-income Medicaid beneficiaries they serve. More

Simplify your provider relationships by partnering with NaviNet
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

Hints of progress emerge from 'supercommittee' deliberations
Kaiser Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail
A top GOP House lawmaker hopes the deficit-cutting panel will focus entirely on healthcare costs to reach the $1.2 trillion savings target. Meanwhile, in the background, the Wall Street Journal reports that nearly half of all U.S. households receive government benefits, with about 34 percent getting means-tested assistance such as Medicaid. More

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Human Arc can improve your plan revenue and member retention through SSI outreach!

Oregon Governor Kitzhaber in DC to stress the role states play in driving national healthcare reform
LexisNexis News    Share    Share on FacebookTwitterShare on LinkedinE-mail
Oregon Gov. John Kitzhaber, D-Ore., called on Congress to reframe the debate over Medicaid, Medicare and the national debt and look to states for new models to improve health care while reducing cost in a keynote address to the 2011 Medicaid Managed Care Conference in Washington D.C. More

California brief outlines appeals process for dual eligibles
California Healthline    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Medicare has one set of rules about how beneficiaries can appeal medical decisions and Medi-Cal, California's version of Medicaid, has a completely different set of appeal rules. More

Medicaid explained: How would lower provider taxes affect state budgets?
Stateline    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Obama administration's current deficit reduction proposal, now before the so-called congressional "Supercommittee," includes a variety of measures designed to roll back federal Medicaid spending. But one — a lower cap on the taxes that states charge hospitals, nursing homes and other health care organizations — would have the biggest potential impact on state budgets. More

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Wisconsin Governor Scott Walker: Proposed Medicaid cuts will preserve safety net
Appleton Post Crescent    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Wisconsin governor Scott Walker says his administration's proposed cuts to Medicaid are designed to preserve a basic safety net. State health officials released a series of proposals designed to generate $554.4 million in Medicaid savings. More

Mississippi bracing for Medicaid expansion
Mississippi Hospital Association    Share    Share on FacebookTwitterShare on LinkedinE-mail article
More than two years remain before millions of low-income Americans gain Medicaid eligibility through an expansion authorized by the health system reform law, but it's already clear the overhaul will affect some states much more than others. Mississippi is among the states picked to be most affected. More

Five percent discount on MHPA Annual Meeting Travel with American Airlines®
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MHPA has partnered with American Airlines® to help meeting attendees save on airfare costs to attend our 2011 Annual Meeting, "The Changing Landscape for Medicaid Health Plans," set for Nov. 6-8 in Washington, D.C., at the Hyatt Regency Washington on Capitol Hill.
To take advantage of the MHPA/American Airlines® 5 percent discount on ANY published airfare to the Washington, D.C., area for the Annual Meeting, just visit and book your flight by using the Promotion Code: 11N1BJ. Your discount will be calculated automatically.

Click here for more details on the conference.
Click here for sponsorship opportunities
If you haven't registered yet, CLICK HERE TO REGISTER ONLINE. The reserved discounted room block at the conference hotel expires on Oct. 17, so register today.

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: Thomson Reuters presents 'Medicaid Expansion: who will your future members be?' Tuesday 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 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?' Wednesday 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 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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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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