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How the health law might be changed by the next president
Kaiser Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
On the presidential campaign trail, Republican Mitt Romney repeatedly has called for repeal of the 2010 health law and President Barack Obama has vowed to implement it. Yet both men could face obstacles: Romney may be stymied by the lack of a majority in Congress to do his will and Obama could be forced by fiscal concerns or public opinion to revamp parts of the law. The following is a look at how Obama and Romney might change the health law in the years ahead based on interviews with health policy experts. More



How healthcare changed while you were watching the election
California Healthline    Share    Share on FacebookTwitterShare on LinkedinE-mail article
After a seemingly endless presidential campaign, we're just days away from the Nov. 6 election. And to be sure, healthcare issues remain at the forefront. Both President Barack Obama and Republican nominee Mitt Romney have tried to claim the high ground as Medicare's No. 1 defender. In his latest column, The New York Times' Paul Krugman argues that next week's vote "is, to an important degree, really about Medicaid." And writing on Bloomberg View, columnist Ezra Klein takes an even broader stance, concluding that "this election is all about healthcare." But healthcare isn't all about the election, despite politics' seeming ability to draw every sector into its gravitational pull. More

Leavitt Partners' Health Reform Bracketology analysis considers effect of US elections on the Affordable Care Act
PR Newswire via Pharmacy Choice    Share    Share on FacebookTwitterShare on LinkedinE-mail article
With the 2012 election just days away, Leavitt Partners released an analysis that shows the crucial effect that the elections will have on the implementation of the Affordable Care Act. Hanging in the balance is the execution of federal health reform as determined by the White House, Congress, state houses and America's private healthcare system. Major public policy decisions pertaining to health insurance exchanges, Medicare benefits, Medicaid expansion and insurance reforms all are on the table as Americans cast their votes. More

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MHPA 2012 Annual Meeting presentation slides (new link, more presentations added)
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Click here for details.

Kaiser: The most successful duals projects segregate dual-eligibles based on their specific healthcare needs
Kaiser Family Foundation    Share    Share on FacebookTwitterShare on LinkedinE-mail article
In response to concerns about the federal deficit and the national debt, some policymakers and researchers have put forward strategies to reduce the growth in Medicare and Medicaid spending by improving the coordination of care for those who are dually eligible for Medicare and Medicaid (known as "dual eligible" beneficiaries). More

Medicaid spending and enrollment: Who is covered and what does the program spend on care?
Kaiser Family Foundation    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Click here to see The Kaiser Commission on Medicaid and the Uninsured's infographic.



What the Medicaid expansion under the ACA means for all MCOs
Managed Care Magazine    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Dr. Richard G. Stefanacci, is chief medical officer of the Access Group and a member of the Managed Care Editorial Advisory Board, writes about how Medicaid plans in some states will expand, putting pressure on plans' primary care networks. More

Washington to finance duals' demo with elevated health-home match rates
InsideHealthPolicy.com    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Washington state is proposing to pay for part of its duals demonstration with an increased federal match rate for health-home services, although those services also would be offered to non-duals outside the demo. A Washington Medicaid official said the demo is contingent on getting the health-home funding, which the state would receive for two years of the three-year demo, and it would be canceled if the demo is not self-sustaining by the end of the second year. More

State officials disagree over per capita caps Medicaid reform potential
InsideHealthPolicy.com    Share    Share on FacebookTwitterShare on LinkedinE-mail article
State health officials and healthcare experts recently argued the merits of Medicaid per capita caps ahead of expected entitlement reform discussions in Congress next year. Per capita caps could bring needed flexibility and transparency to the Medicaid system, one state health director and a healthcare expert told state Medicaid directors, but others disagreed, saying such reforms could create cuts so deep that added flexibility could not balance them out, as well as creating a distinctly more complicated relationship between the states and the federal government. More

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Debate begins on possible Kansas Medicaid expansion
Kansas Health Institute    Share    Share on FacebookTwitterShare on LinkedinE-mail article
A Kansas health consumer group is planning a post-election rally at the statehouse in support of expanding the state's Medicaid program. Meanwhile, Lt. Gov. Jeff Colyer headlined a recent event in Overland Park, Kan., that was sponsored by a conservative think tank that opposes broadening the Medicaid program. Colyer, however, didn't make explicit what intentions, if any, the administration of Gov. Sam Brownback might have with respect to the issue. More

South Carolina Medicaid director: Predictions could be way off
The Associated Press via GoUpstate.com    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The director of South Carolina's Medicaid agency warned legislators that the numbers of already eligible residents signing up for the government program through 2014 could exceed estimates, further eating into state revenue. The Department of Health and Human Service's preliminary budget calls for an additional $194 million in 2013-2014, which would eat up all projected additional state revenue. Director Tony Keck told a Senate Finance panel that's his baseline, though he realizes the full amount won't be in Gov. Nikki Haley's proposal or legislators' final budget. More

Autism therapy to be covered for children on Medicaid in Washington state
The Seattle Times    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Children with autism spectrum disorders insured by Washington state's Apple Health program, including those on Medicaid, will be covered for Applied Behavior Analysis therapy under a lawsuit settlement approved by U.S. District Court Judge Richard A. Jones. The lawsuit was filed by the Northwest Justice Project, a statewide legal aid program, in the wake of similar settlements in other class-action suits brought by law firm Sirianni Youtz Spoonemore against insurers' limits or exclusions of neurodevelopmental and behavioral therapies. More



Watch now: 'Facilitating Care Coordination' by Truven Health
Truven Health    Share    Share on FacebookTwitterShare on LinkedinE-mail article
In the final video of this series, Bob Kelley, senior vice president of Truven Health, discusses How health plans can help providers and facilitate care coordination. Watch it here.

Sellers Dorsey announces leadership changes; action designed to fuel continued business expansion
PRWeb    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Sellers Dorsey announced key leadership changes aimed at business expansion at its annual meeting Oct. 23. Harvey Hurdle became the chief executive officer and Sellers Dorsey's founder and current CEO, Martin Sellers, now will serve as founder and chairman. More


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New call for submissions: Diabetes Care Best Practices Compendium
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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

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



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

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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
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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

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Free webinar: 'Exchange Health Plan Management Functions: URAC Accreditation & Quality Measures for Health Insurance Exchanges' | 2 p.m. EST Nov. 14
URAC    Share    Share on FacebookTwitterShare on LinkedinE-mail article
This complimentary webinar 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, will be held at 2 p.m. EST Nov. 14. For more information and to register, click here.

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
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Details here.

MHPA on Twitter, LinkedIn and Facebook
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Follow us on Twitter, LinkedIn and Facebook to get industry-related news and the latest MHPA announcements.

 



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