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Home   About   Policy & Advocacy   Education & Resources   Events   Contact Us Nov. 10, 2011

A few announcements from MHPA
First, we would like to thank all of MHPA members, partners, sponsors, vendors, speakers and guests who attended our 2011 Annual Meeting earlier this week. We broke our attendance record with more than 450 registrants and received overwhelmingly positive feedback on our keynote speakers, Donna Shalala, Donna Brazile, Dan Crippen; Robert Greenstein, Vernon Smith and John Gorman. The Capitol Steps were as entertaining as ever and the exhibit hall was alive with activity as exhibitors shared information on their innovative products and services with meeting attendees. Mark your calendars for the 2012 Annual Meeting, scheduled for Oct 24-26, 2012. See you again next year!

Second, we'd like to announce new leadership on MHPA's Board of Directors. As of Jan. 1, 2012, Kevin Hayden, President of State Sponsored Business at Wellpoint, will be the new Chairman, relieving Karen Clark, President, Horizon NJ Health, of her duties guiding the Board after over two years. Michael Rashid, President and CEO, AmeriHealth Mercy Health Plan will step into Mr. Hayden's former position of Vice Chair of MHPA's Board.

Finally, our promotion of Inside Health Policy's Free Trials ends this week. These first three articles will be the final stories that we'll be posting from Inside Health Policy until next year. To continue receiving in-depth coverage and analysis of the most recent and relevant health policy news, please sign up for a free trial by clicking the link button in the upper right corner of the article web page.

Democrats propose to cut $400 billion from Medicare/Medicaid, fix sustainable growth rate with war savings    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Supercommittee Democrats floated a proposal that would cut $350 billion from Medicare and $50 billion from Medicaid — contingent on Republicans agreeing to $650 billion in revenue raisers — and would tackle a physician pay fix using savings from troop withdrawals in Iraq and Afghanistan. More

Blue Cross Blue Shield Association urges CMS to postpone basic health program implementation    Share    Share on FacebookTwitterShare on LinkedinE-mail article
CMS should postpone implementation of the health reform law's basic health program until after other major reforms, such as exchanges, are established successfully, the Blue Cross Blue Shield Association writes in its response to a CMS Request for Information on the voluntary program. More

CMS to tap 10 states for pilot test of new methods to calculate Medicaid federal match payments    Share    Share on FacebookTwitterShare on LinkedinE-mail article
CMS plans to work with 10 yet-to-be selected states on pilot programs to test the different methodologies of determining federal medical assistance payments for the newly eligible Medicaid beneficiaries, and has contracted with RAND to lead the project, a CMS official said during a Medicaid conference. More

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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 for more information. more

State dual eligible proposals don't focus on managed care for Medicare beneficiaries
Kaiser Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
States proposing demonstration projects to more effectively care for dually eligible Medicare and Medicaid enrollees have not suggested requiring Medicare patients to enroll in managed care plans, Cindy Mann, the federal official in charge of Medicaid, told state directors. More

Report: Reform law's health insurer fee to be passed on to consumers
California Healthline    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Health insurance premiums are projected to increase between 1.9 percent and 2.3 percent in 2014, as insurers pass on the cost of an annual fee mandated by the federal health reform law, according to an analysis released by America's Health Insurance Plans. More

CMS: Most parents satisfied with children's Medicaid, CHIP coverage
AHANews    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Parents of children with Medicaid and Children's Health Insurance Program coverage report high satisfaction with their access to doctors and quality of care, according to a survey released by the Centers for Medicare and Medicaid Services. More

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Nearly all states cut Medicaid payments as stimulus runs out
American Medical News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Fourteen states and the District of Columbia cut Medicaid physician pay for fiscal year 2011, down from 20 states in fiscal 2010. But continuing state budget deficits could lead to more new fee cuts than those already adopted for fiscal 2012, according to the Kaiser Family Foundation. More

State governors call for federal help in setting up benefit exchanges
California Healthline    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Some of the federal health reform law regulations for health insurance exchanges could usurp states' autonomy, according to a National Governors Association letter sent to HHS Secretary Kathleen Sebelius. More

Kansas governor announces revamping of Medicaid
Kaiser Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Kansas governor Sam Brownback announced a major overhaul of the state's Medicaid program, which would put nearly all Medicaid recipients into private, managed care plans. More

New Jersey Medicaid makeover waits on word from Washington
NJ Spotlight    Share    Share on FacebookTwitterShare on LinkedinE-mail article
New Jersey wants to remake its Medicaid program to improve healthcare and save money, goals applauded by many in the medical community. But the state was counting on a $107 million refund from the federal government to help its efforts, money it looks unlikely to get — at least not in time for this fiscal year's budget. More

Arizona appeals court to decide fate of Medicaid enrollment freeze
American Medical News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Arizona Court of Appeals heard arguments Oct. 19 to determine whether a Medicaid enrollment freeze in the state for childless adults is constitutional. More

California hospitals sue state, US to block Medi-Cal rate cuts
Bloomberg Businessweek    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Hospitals in California sued the state and the U.S. Department of Health and Human Services to block cuts to government reimbursements for healthcare providers that serve low-income people. More

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Georgia is 6th state to gain waiver from part of healthcare law
The Hill    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Health and Human Services Department relaxed part of the healthcare law for insurers in Georgia — the sixth state to get such an adjustment. More

Florida's Medicaid reform shows the way to improve health, increase satisfaction, and control costs
The Heritage Foundation    Share    Share on FacebookTwitterShare on LinkedinE-mail article
During its five years of operations, Florida's Medicaid Reform Pilot has been a decided success. It has improved the health of enrolled patients, achieved high patient satisfaction, and kept cost increases below average, saving Florida up to $161 million annually. More

Health Partners, Crozer-Keystone system in coverage deal
Philadelphia Business Journal    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Health Partners and Crozer-Keystone Health System signed a two-year provider contract that will allow the Medicaid HMO's adults and KidsPartners members to access Crozer-Keystone's medical-care providers in Delaware County. More

HMS to purchase HealthDataInsights to the tune of $400 million
CMIO    Share    Share on FacebookTwitterShare on LinkedinE-mail article
HMS Holdings has entered into a definitive agreement to acquire privately held HealthDataInsights for approximately $400 million. The transaction is not contingent upon financing and is expected to close by Dec. 31, subject to regulatory approvals. More

NaviNet and AmeriHealth Mercy highlight use of mobile technology to improve patient care management and drug adherence
Market Wire via Reuters    Share    Share on FacebookTwitterShare on LinkedinE-mail
NaviNet, America's largest real-time healthcare communications network, announced that S. Michael Ross, MD, MHA, Chief Medical Officer, NaviNet, and Jay Feldstein, DO, Regional President, Northern Division, AmeriHealth Mercy, will speak at the MHPA Annual Meeting 2011. More

MedAssurant to present pregnancy and birth outcomes data from Medicaid managed care members at the MHPA 2011 Annual Meeting    Share    Share on FacebookTwitterShare on LinkedinE-mail article
MedAssurant, Inc., a leading provider of data-driven healthcare solutions, announced that results from a report on pregnancy and birth outcomes in the managed Medicaid population will be presented at the MHPA 2011 Annual Meeting. More

Health Insurance Exchange Congress - Nov. 9-11 at the Hilton Baltimore
Health Insurance Exchange    Share    Share on
FacebookTwitterShare on LinkedinE-mail article
Attend IIR's inaugural Health Insurance Exchange Congress where health plans, states and the federal government are addressing the opportunities and challenges presented by the implementation of Health Insurance Exchanges. With an estimated 24 million newly eligibles, states and health plans are scrambling to put together their strategies to comply with the federal law. Over three days in Baltimore, you will learn key strategies from states and plans with existing exchanges and hear firsthand what works and what doesn't. To learn more, visit the website and download the latest conference brochure. MPHA members can receive 25 percent off the standard registration rate with Priority Code XP1610MHPAN. Register online today!

Call for submissions: Best Practice Compendium for Serious Mental Illness Care
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail
MHPA is developing a Best Practice Compendium for Serious Mental Illness Care for January, 2012 release. Many of our member plans are carrying out innovative programs to address the needs of seriously mentally ill members in Medicaid health plans. Please consider writing up a page or two about your program for inclusion in this Compendium. This is a great opportunity to highlight the work of your plan — and a good way to get information about health plan activities to policy makers, state representatives and other stakeholders. Submissions are due Nov. 15. Download the submission form here. Please contact Liza Greenberg at if you have questions or suggestions. Thank you in advance!

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