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Avalere analysis: Medicaid managed care enrollment set to grow by 13.5 million
Avalere
In total, managed care enrollment will increase from 67 percent of total Medicaid and CHIP enrollees in 2013 to 76 percent in 2016.
The findings come on the heels of the recent announcement by the Centers for Medicare & Medicaid Services that 8.7 million more people have enrolled in Medicaid as a result of the Affordable Care Act. The growth is attributable to states' decisions to expand the program, as well as the indirect effects of people learning about and enrolling in programs for which they were previously eligible — sometimes called "the woodwork effect."
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mhpa2014: T-3 days and counting
MHPA
We're excited to be launching our big annual conference in three short days. To all of our attendees, expert speakers, and valued sponsors, we wish you safe travels as you make your way to our nation's capital. For arrival info, please visit bit.ly/mhpa2014 or check your mhpa2014 mobile app at https://crowd.cc/s/2TzC.
Gov. John Kasich's view on Medicaid fuels 2-day spat with AP
Politico
What, exactly, is Obamacare?
According to Ohio Gov. John Kasich, it doesn't include Medicaid expansion, a major facet of the law.
It's a view held by virtually no one else. Kasich's unorthodox view of the Affordable Care Act — and the hunger the Republican base has for the healthcare law's repeal — are behind a two-day public spat between the possible 2016 contender and The Associated Press.
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North Carolina's Tillis reconsiders Medicaid expansion
msnbc
In North Carolina recently, Senate hopeful Thom Tillis had the stage to himself, participating in a sole "debate" after Sen. Kay Hagan chose not to participate, citing a scheduling conflict.
Alone on the stage, however, the Republican made a little news.
Asked if he thought it would be likely that the state legislature would expand Medicaid coverage after refusing to do so previously, Tillis said it might make sense once the state has better control of the financing of the program, which is notorious for its cost overruns.
Medicaid expansion top issue in New Hampshire govenor's debate
The Associated Press via Eagle-Tribune
Medicaid expansion and the state budget recently emerged as key issues in Democratic Gov. Maggie Hassan and Republican businessman Walt Havenstein's first televised debate.
Hassan, who is seeking her second term, has centered her campaign on bipartisan accomplishments during her first term, while Havenstein says his background leading large defense companies such as BAE Systems makes him better qualified to manage the state budget.
Tennessee advocates continue call for Medicaid expansion
The Charlotte Observer
Members of the state chapter of the NAACP and other healthcare advocates held a mock funeral across from the state Capitol on Oct. 21 to characterize lives they say will be lost if Medicaid is not expanded in Tennessee.
About 100 people attended the event, which included a processional with a casket. Organizers say many people have died because they don't have healthcare and that there will be more deaths if Medicaid is not expanded.
Missouri Senate, 34th District: 2 doctors and 2 different views on Medicaid expansion
The Kansas City Star
The two men running for the Missouri Senate in the 34th District are both doctors. Both cited experiences they had as physicians as motivation to run.
But they come down on very different sides of a medically focused debate in Missouri of whether the state should expand Medicaid as envisioned in the federal Affordable Care Act.
HHS unveils $840 million initiative to reform doctors' offices
The Hill
Federal health officials unveiled a new initiative Oct. 23 aimed at improving care and cost-effectiveness in individual medical practices.
The Department of Health and Human Services will spend $840 million over four years with the goal of helping 150,000 doctors modernize their day-to-day work in ways that improve patient care and reduce costs.
The practices could include better use of electronic health records, better coordination of care among providers and expanding ways patients can communicate with doctors, HHS said.
Accreditation Association for Ambulatory Health Care approved to accredit Qualified Health Plans
Accreditation Association for Ambulatory Health Care
The Accreditation Association for Ambulatory Health Care has been approved to accredit Qualified Health Plans by the Secretary of the Department of Health and Human Services. Under the Affordable Care Act, an insurer must be designated as a QHP to be included in a state or federal exchange, and accreditation is a requirement of this designation.
One of the most powerful ways to demonstrate that a health plan is meeting industry standards — AAAHC QHP accreditation includes on-site peer review by highly experienced surveyors who are healthcare professionals who come from the primary care and health plan environment. Personal peer reviewers understand the challenges a health plan and its providers face and offer a deep working knowledge of the environment as well as a consultative approach.
AAAHC has been accrediting health plans since 1983 and has been recognized by CMS for Medicare Advantage plans since 2007. AAAHC offers accreditation to HMOs, prepaid health clinics, physician sponsored networks, behavioral health plans, dental health plans and PPOs/POS. For questions or to apply for AAAHC accreditation, visit www.aaahc.org or call 847-853-6060.
IIR's FDA/CMS Summit for Payers featuring MHPA's Jeff Myers | Dec. 11-12, Washington, D.C.
Institute for International Research USA
Hear from the FDA and CMS under one roof, along with C-level executives from top health plans, at the FDA/CMS Summit for Payers. The entire healthcare continuum is coming together to understand how to better interact with the government to remain compliant, adaptive, and successful as our landscape evolves to become more patient-centric. Collaborate with the most influential people in health care, including speakers MHPA's president and CEO Jeff Myers and Janet Woodcock, M.D., director of the Center for Drug Evaluation and Research, FDA. Click here for more information.
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