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Home   About   Policy & Advocacy   Education & Resources   Events   Contact Us Oct. 11, 2011
 
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Waxman urges supercommittee to leave Medicaid and Medicare alone, extend drug rebates
The Hill    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The top Democrat on the Energy and Commerce panel wants the deficit-cutting supercommittee to leave Medicare and Medicaid untouched and instead save money by extending drug rebates, according to a draft letter. More



Study shows: Poor coordination between Medicare and Medicaid complicates joint efforts
McKnight's Long Term Care News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Provisions of the Affordable Care Act require the Department of Health and Human Services to join forces with the public-private National Quality Forum to improve the quality of care for the largely elderly and disabled individuals who receive both Medicare and Medicaid benefits. More

Administration touts early success of Medicare/Medicaid coordination
The Hill    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Thirty-seven states and the District of Columbia are interested in testing new ways to coordinate care for people who are dually eligible for Medicare and Medicaid, the Obama administration announced. More

AmeriHealth Mercy, Keystone Mercy Health Plans again receive highest ratings from National Committee for Quality Assurance
NewsRx    Share    Share on FacebookTwitterShare on LinkedinE-mail
article
The AmeriHealth Mercy Family of Companies announced that its Pennsylvania Medicaid managed care plans, AmeriHealth Mercy Health Plan and Keystone Mercy Health Plan, had maintained Excellent Accreditation ratings, the highest possible rating, from the National Committee for Quality Assurance. 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 www.NaviNet.net for more information. more


Blue Cross and Blue Shield of Minnesota awards Data Mining Contract to HMS
Business Wire via FierceHealthPayer    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 Blue Cross and Blue Shield of Minnesota to perform data mining, coordination of benefits and cost avoidance, overpayment recoveries and clinical reviews for BCBSM's government programs. More

URAC releases specialty pharmacy white paper
PRWeb via Yahoo    Share    Share on FacebookTwitterShare on LinkedinE-mail article
URAC, the leading healthcare accreditation and education organization, has released its latest report, The Patient-Centered Outgrowth of Specialty Pharmacy. More

Want to bring millions more to your bottom line?

Human Arc can put that power in your hands!



United Healthcare sponsors Season 42 of award-winning preschool series Sesame Street® - extending its commitment to help children live healthier lives
Business Wire via Seeking Alpha    Share    Share on FacebookTwitterShare on LinkedinE-mail article
United Healthcare is renewing its sponsorship of the educational television program, Sesame Street, to support programming aimed at helping children live healthier lives. More

Kansas Medicaid changes won't limit eligibility
The Associated Press via The Topeka Capital-Journal    Share    Share on FacebookTwitterShare on LinkedinE-mail article
A plan for overhauling Kansas' Medicaid program will push to cut the state's nursing home population and reorganize agencies, but it won't narrow eligibility requirements to reduce the number of people covered, Lt. Gov. Jeff Colyer said. More



Los Angeles County preps for Medi-Cal 2014, sign up 24,000 patients for no-cost healthcare
Laist    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Beginning in 2014, millions of uninsured Californians will be eligible for Medicaid, the healthcare program for the poor, under President Obama's controversial healthcare overhaul. More

Arizona Medicaid cuts: Key portions of plan rejected by US officials
The Arizona Republic    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Thousands of low-income Arizonans will keep government-funded medical coverage but face new co-payments and fees under a decision that federal officials announced. More

Fraud's #1 Enemy!

HMS has the only comprehensive pre-payment claim solution on the market:

• Forensic editing
• Predictive modeling
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• Ongoing monitoring of State-specific regulations
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Request by Texas to broaden Medicaid managed care on track
American Medical News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Federal health officials have given a tentative thumbs-up to a request by Texas to expand risk-based Medicaid managed care to 28 counties in rural parts of the state. More

Texans to be affected by $2 billion in Medicaid cuts
Abilene Reporter-News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Texans soon will feel the effects of state Medicaid cuts as spending is reduced on assistance for the elderly and disabled, payments to hospitals, and physical and speech therapy for children. More



Florida Medicaid delays sending letters for children's checkups by 10 years
The Associated Press via Miami Herald    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Florida health officials did not adequately market its Medicaid program and remind parents of the importance of keeping children's doctor's appointments because it worried an influx of appointments would strap a system already low on doctors, attorneys said during testimony in a class-action lawsuit. More

5 percent discount on MHPA Annual Meeting Travel with American Airlines®
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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 www.aa.com 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: 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 Careers@HumanArc.com. For more info, go to http://www.humanarc.com/Careers/default.html





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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.
 
 


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MHPA's Industry NewsBrief
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