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The election might keep millions of people from getting
health insurance

The Washington Post
For Democrats, the lone bright spot in the Nov. 4 election was supposed to be potential Democratic victories in governors' races across the country and, with it, greater adoption of the Medicaid expansion under President Obama's healthcare law. Except that didn't happen. Fifteen of the 23 states that hadn't yet expanded Medicaid held gubernatorial elections last night, and it looks like only Alaska will elect a candidate who campaigned for the Medicaid expansion.
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Arkansas alternative to Obamacare on critical list after election
Reuters
The Republican surge in the Nov. 4 elections carried Arkansas along with it, threatening to sweep away a bipartisan health insurance plan in the state that is also being studied by other states as an alternative to Obamacare.
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Boehner: House will vote again to repeal Obamacare
The Hill
Speaker John Boehner said the House will vote once again next year to repeal Obamacare, along with a slew of other piecemeal attacks on the law. Boehner highlighted the issue at his first post-election press conference, saying that having President Barack Obama in the White House wouldn't stop Republicans from trying to dismantle healthcare reform.
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Obama: Some lines can't be crossed on healthcare
The Hill
President Barack Obama said that there are lines he "can't cross" as Republicans again set out to dismantle his signature healthcare law. "There are certainly some lines I'm going to draw," he said in his first remarks since the midterm elections, in which every Republican winner opposed the law. "Repeal of the law, I won't sign," he said.
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The coming MCO regulatory overhaul
Healthcare Payer News
Federal officials are preparing the first major regulatory update to Medicaid managed care in a decade, promising to challenge insurers but also fix long-standing issues and offer routes to business standardization. At a recent gathering of the MHPA trade group, leaders from the Centers for Medicare & Medicaid Services said the agency will soon be releasing new Medicaid managed care organization regulations — for the first time since 2002.
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Missouri primary care doctors face substantial Medicaid cut
St. Louis Post-Dispatch
Under President Barack Obama's healthcare overhaul, primary care doctors across the country were paid more for treating Medicaid patients during the last two years. But that boost is set to expire, leaving some providers and their patients in a tough spot.
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Nov. 12 Webinar Wednesday: 'Value of Personalized Medicine in Delivering Quality Cancer Care'
Genomic Health, Inc.
Join Dr. Jack Spicer, director of medical affairs managed care for Genomic Health to learn about personalized medicine and how can it be used to improve care and lower costs with oncology patients.
  • Genomic science has enabled an unprecedented understanding of cancer and tumor biology
  • Personalized treatments may be more precisely delivered based on a patient's individual biology
  • The right treatment for the right patients in the most appropriate setting improves quality of care and patient outcomes
  • Personalized medicine reduces healthcare spending

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Nov. 19 Webinar Wednesday: 'Moving from Volume to Value by Reducing Waste & Improving Care'
First Quality
Health plans taking on the adult population are also taking on the costs of managing incontinence. ABD, duals and MLTSS populations have a high percentage of incontinent members, who use disposable absorbent products to manage their condition. Join Julie Hyer, director of Medicaid health plan programs, and Christine Pruneau, RN, BSN, RAC-CT of First Quality, to learn more about how the current cycle for absorbent products impacts cost and care, related to direct product costs and ancillary medical costs. First Quality will discuss how health plans can change the dynamic to achieve better outcomes and lower costs.
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Nov. 26 Webinar Wednesday: 'Why All Medicaid Managed Care Organizations Need an ACO Strategy'
Epstein Becker Green
The growth and persistence of the state ACO movement is being fueled by CMS' State Innovation Model grants and by state implementation of Medicaid accountable care organizations (ACOs) — 17 states have already implemented some form of Medicaid accountable care. Join Clifford Barnes, partner at Epstein Becker Green, PC, and Jenny Gladieux, senior health policy analyst for Health Policy Source, Inc., as they provide the tools to develop an understanding of how Medicaid ACOs affect Medicaid managed care and provide the rationale on why Medicaid managed care needs to develop state-specific ACO strategies.
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Did you miss our Webinar Wednesday, 'From Preparation to Completion: Stress-Free Delegation Audit Tips'?
MHPA
View and download the Nov. 5 Webinar Wednesday, "From Preparation to Completion: Stress-Free Delegation Audit Tips" by Navitus Health Solutions, here. Other webinars are available to download, as well.
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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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MHPA honors health plans for improving access, quality of care of
Medicaid beneficiaries

MHPA
MHPA recently presented a select few of its member companies with awards for their groundbreaking best practices that have improved the health of Medicaid enrollees. Selected by an independent advisory panel, these health plans received awards for the programs that they manage for their enrollees: Keystone First, Centene® Corporation, Midwest Health Plan, UnitedHealthcare Community Plan of Mississippi, Health Partners Plans and Cigna-HealthSpring®. The programs from these health plans serve as a model for others to follow in terms of ensuring access to and the delivery of high-quality care.
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MHPA's 2014-2015 Best Practices Compendium now on sale
MHPA
MHPA's 2014-2015 Best Practices Compendium is the eighth edition of our annual publication that contains Medicaid health plans' best practices, as well as helpful resource information. Get yours today ($25 for members, $30 for nonmembers).

To order, call 202-857-5720, or email us.

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MHPA's Industry NewsBrief
Colby Horton, Vice President of Publishing, 469.420.2601
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