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MHPA Annual Meeting sold out
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Registration officially closed Oct. 22 for MHPA's 2012 Annual Meeting after reaching the limit for attendees. Thanks to our sponsors and attendees for all your support. Note: The MHPA Newsbrief will not be published Thursday, Oct. 25, because of the Annual Meeting. See you in D.C. for the conference!



AMFC president, CEO and MHPA Chairman Michael A. Rashid kicks off Medicaid industry's premier conference
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Michael A. Rashid, president and CEO of AmeriHealth Mercy Family of Companies and chairman of Medicaid Health Plans of America's Board of Directors, will join several AMFC senior executives who will address nearly 500 Medicaid and healthcare industry leaders at MHPA's 2012 Annual Meeting, being held Oct. 24-26 at the Hyatt Regency Washington on Capitol Hill in Washington, D.C. More

Robert Master: Realizing the promise of integrated care for the 'dual eligibles'
Health Affairs Blog    Share    Share on FacebookTwitterShare on LinkedinE-mail article
One of the highest priorities in the Affordable Care Act is care delivery transformation for Americans enrolled in both Medicare and Medicaid, known as "dual eligible beneficiaries" or sometimes simply "duals." This priority is embodied in federal-state demonstration programs currently gearing up. Robert Master writes that it is imperative that we resist calls to delay these initiatives and that we rapidly bring to scale the innovations that have already been shown to improve care for the duals at his organization, Commonwealth Care Alliance, and elsewhere. More

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Coburn urges Oklahoma not to expand Medicaid as officials tout savings
InsideHealthPolicy.com    Share    Share on FacebookTwitterShare on LinkedinE-mail article
U.S. Sen. Tom Coburn, R-Okla., is urging his state not to proceed with Medicaid expansion under the Affordable Care Act, telling Gov. Mary Fallin in a letter that "it is unlikely that federal promises of stable Medicaid funding are anything but a mirage." Fallin already has said the state will not make a decision until after the election, but the state's healthcare agency recently touted an analysis that shows the state could save nearly $48 million annually if it moved forward to expand the program. More

States may miss Jan. 1 date to hike Medicaid pay for primary care doctors
InsideHealthPolicy.com    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Some states are indicating they will have a hard time meeting the Jan. 1 date to implement a health reform law provision requiring that primary care physicians get a pay increase in Medicaid for two years, sources tell Inside Health Policy. Operational difficulties in meeting the deadline may force states to make some of the payments to qualifying physicians retroactively, the sources say. More



In final presidential debate, Romney repeats call for ACA repeal, Medicaid block grants; Obama discounts sequester
InsideHealthPolicy.com    Share    Share on FacebookTwitterShare on LinkedinE-mail article
During the final presidential debate, GOP nominee Mitt Romney briefly swayed from the foreign policy agenda to repeat his pledge to do away with the health reform law and transform Medicaid into a state block grant program if he is elected president. President Barack Obama mostly stuck with foreign policy but also briefly discussed a budget issue that has major healthcare implications. He bluntly asserted that the budget act's across-the-board funding sequester slated to kick in next year "won't happen." More

States making health law decisions that could all change post-election
MedCity News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Although next month's election likely will affect how states implement the health law's insurance exchange and Medicaid expansion provisions, state legislators are facing — and making — decisions on them now. More

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Tennessee plan would help Medicaid families keep health coverage
Stateline via Kaiser Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
In Tennessee, where nearly all Medicaid enrollees are covered by a managed care plan, state officials are seeking federal approval for a program called "one family, one card." Presenting at the annual meeting of the National Academy for State Health Policy in Baltimore, Brian Haile, director of Tennessee's exchange initiative, said the plan is designed to "minimize the times people get a letter from us (saying they're eligibility has changed) and maximize their focus on keeping healthcare coverage and staying healthy." More

Experts tell Georgia forum that Medicaid expansion has good track record
Georgia Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Medicaid expansions undertaken by New York, Arizona, Maine and Oregon may give clues as to how a similar decision would play out in Georgia and other states under federal health reform, two leading researchers said at an Atlanta forum. The decision whether to expand Medicaid looms as hugely important for the states, assuming that the 2010 reform law remains intact after the upcoming elections. Medicaid expansion is not only a health issue, but a political and economic one as well. More



Idaho candidates weigh in on Medicaid expansion
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Idaho District 25 Senate candidates Jim McClure and state Rep. Jim Patrick discussed a workgroup, developed by Idaho Gov. C.L. "Butch" Otter that is considering three options for Medicaid expansion in Idaho. The 15–member group is weighing the advantages and liabilities associated with expanding Medicaid to adults as part of the Affordable Care Act. More

State policy leaders steer clear of politics at conference
California Healthline    Share    Share on FacebookTwitterShare on LinkedinE-mail article
With close to 700 health policy experts, bureaucrats and state administrators gathered three weeks before the country elects a president and most of Congress, you'd expect some political chatter. Not so much. Compared with last year when much of the agenda — as well as hallway talk — revolved around the Supreme Court's impending decision on healthcare reform, "what-if" discussions about the November election conspicuously were absent at this year's National Academy for State Health Policy national conference. More


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Florida Medicaid patients have trouble finding specialists
Ocala Star-Banner    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Thomas Walker is 59 years old but looks older. He has lost 60 pounds, because he can't tolerate the smell of food, since suffering a stroke in the spring. There are doctors who can help, but Walker can't pay for it out of his meager $698-a-month disability check, and many of the specialists he needs don't take Medicaid. Walker said he's telephoned Medicaid offices in Tallahassee, Fla., and gets the names and telephone numbers of specialists, but being on the list doesn't guarantee that a doctor will see him. He and his caretaker have contacted nearly 10 doctors specializing in stroke and neurological problems, but there were no takers. It's a challenge faced by Medicaid patients across Florida and the United States. More

Texas, Louisiana Medicaid not yet covering Gilead's pricey AIDS drug, Stribild
News Rx via Pharmacy Choice    Share    Share on FacebookTwitterShare on LinkedinE-mail article
AIDS Healthcare Foundation has reported that Medicaid programs in Texas and Louisiana do not yet cover Gilead Sciences' expensive new AIDS drug Stribild, its new four-in-one HIV/AIDS treatment combination, which recently was approved by the Food and Drug Administration. In early September, just days after FDA approval of Stribild, Gilead priced the combination at an astounding $28,500 per patient, per year, wholesale acquisition cost. That price is 35 percent more than Atripla, the company's best-selling combination HIV/AIDS treatment, and made Stribild the highest priced first-line combination AIDS therapy. More



Urban Institute: Obama's healthcare law is conservative
The Hill    Share    Share on FacebookTwitterShare on LinkedinE-mail article
President Barack Obama's healthcare reform law is a market-based system that would make Ronald Reagan happy, the Urban Institute argues in a new paper. More than two years after it was signed, the Affordable Care Act still is under fierce attack on the campaign trail. But the Urban Institute says the basic premise of all that controversy is flawed — the law simply isn't that liberal, the paper says. "The ACA is a direct descendant of the 'pro-competitive' reform strategy of the Reagan era, which also proposed to structure competition among private health plans to expand coverage and promote better value," authors Randall Bovbjerg and Stan Dorn wrote. More

Free webinar: 'Exchange Health Plan Management Functions: URAC Accreditation & Quality Measures for Health Insurance Exchanges' postponed until Nov. 14
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This complimentary webinar scheduled for today, Oct. 23, in which URAC will present an overview of its accreditation process and quality measures as they relate to qualified health plans that participate on Health Insurance Exchanges, now will be held at 2 p.m. EST Nov. 14. For more information and to register, click here.

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New Keeping You Healthy video for National Breast Cancer Awareness Month: 'Gift for Life' mammography outreach program
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Keystone Mercy Health Plan's "Gift for Life," an aggressive mammography outreach and event scheduling program, provides mammography screenings for their members in their own neighborhoods. Through partnerships with mobile mammography vans and local providers, Keystone Mercy arranged accessible locations throughout their five-county service area to engage members who have not had screenings in the past two years. Learn more about this best practice, which was nominated for both the Center for Best Practices 2012 Outreach award and Innovation award, from Veronica Medina, director of the Rapid Response and Outreach Program for Keystone Mercy Health Plan. More

New call for submissions: Diabetes Care Best Practices Compendium
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Medicaid Health Plans of America is calling for case studies from our member organizations that will help to highlight real-world examples of best practices related diabetes prevention and treatment. We invite member and partner organizations to submit information to be included in the MHPA Diabetes Care Best Practices Compendium, to be published in January 2013. More

Insights webinar: 'The Ins and Outs of Encounter Reporting' | 11 a.m. EDT Oct. 29
Altegra Health    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Health plans have many compliance requirements tied to their state Medicaid contracts, not the least of which is encounter reporting. REGISTER NOW.

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Bloomberg BNA webinar: 'Medicaid Managed Care: Industry Trends and the Inclusion and Exclusion of Benefits and Services' by MHPA
CEO Thomas Johnson | 1-2:30 p.m. EST Nov. 8

Bloomberg BNA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Because of budget constraints and a movement toward emphasizing better care coordination, states are increasingly interested in beginning new Medicaid managed care programs and/or expanding programs already in place. This program will address current and projected Medicaid managed care trends, provide an understanding of carve-outs, with a special focus on pharmacy benefits, discuss trends related to pharmacy carve-outs and provide insight as to what can be expected regarding Medicaid managed care benefits and services in the future. Attendees who currently work with Medicaid health plans or expect to in the future will benefit from learning industry insights into Medicaid managed care growth and expansion, treatment of various benefits and services in state contracts and industry expectations for carve-ins and carve-outs moving forward. To receive a 20 percent discount off registration and receive CLE credit for attending, choose the "Live Webinar" option and use promo code LGAUEBR2. More

Free webinar by MHPA partner LexisNexis: 'Why Identity Management Matters to Medicaid' | 1 p.m. EST Nov. 8
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
As a Medicaid Plan you should not just be addressing the "what" of identity management — the technical side — but, more important, the question of "who?" How do we know who the person on the other end is who they say they are and what risks they may pose for the environments and systems they are attempting to enter? More



Take action for World Diabetes Day: Attend MHPA's free webinar by Novo Nordisk on diabetes trends to 2025 and resources for policymakers, patients | noon EST Nov. 14
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In an effort to help confront the epidemic of diabetes, Novo Nordisk commissioned and funded "United States' Diabetes Crisis: Today and Future Trends," the first study to provide detailed diabetes prevalence and cost forecasts individually for all 50 states out to the year 2025. The study not only provides insight into how the growing diabetes epidemic geographically will spread in the U.S., but also highlights how this demographic shift might affect local economies. This webinar will provide an overview of the study from lead researcher Dr. Bill Rowley and will introduce the Novo Nordisk Diabetes Barometer, an interactive tool and comprehensive resource that highlights important research about the current state of diabetes in the United States. Participants also will learn how to use the interactive map portion of the website to benchmark and compare diabetes prevalence and cost forecasts to 2025 for all 50 states. More



Free webinar: 'Medication Adherence & Identifying Nonadherent Patients' by Merck | 1 p.m. EST Nov. 27
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Merck cordially invites you to a medical education program for healthcare professionals only. Merck is sponsoring this program, and the speaker is presenting on behalf of Merck. The program is a non-CME event. The information presented in this program will be consistent with FDA guidelines. The format is an interactive live webcast titled A Profile of the Concept of Medication Adherence and Strategies to Identify Nonadherent Patients Learning Objectives:
  • Define medication nonadherence and understand its prevalence among patients with chronic disease
  • Recognize the drivers of nonadherence and understand the importance of appropriate communication
  • Use the 10 Tenets model of medication adherence and the Adherence Estimator screening tool
Click here for more information or register here for the live webcast.




Health Insurance Exchanges Summit; MHPA's Thomas Johnson guest speaker | Nov. 29-30 | Las Vegas
Healthcare Education Associates    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Join Healthcare Education Associates Nov. 29-30 at the Tropicana Las Vegas Hotel for the Health Insurance Exchanges Summit. This health insurance exchanges conference will deliver real, actionable takeaways for effective exchange implementation. MHPA members are eligible for a 15 percent registration discount. Mention Priority Code HMP122 during registration to enjoy this offer. More

Insights webinar: 'Reduce Outsourcing Risk' | 11 a.m. EST Dec. 20
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Details here.

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