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Advocacy groups try to slow progress of proposals on duals while MHPA urges action
MHPA
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Medicaid Health Plans of America responds to advocacy groups which criticized state Medicaid directors and managed care organizations on their support of mandatory enrollment of dual eligibles in managed care.
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Red tape hampers care for patients who are poor and disabled
Los Angeles Times
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Many patients qualify for Medicare and Medicaid, but bouncing back and forth between state and federal agencies can increase medical costs and reduce their quality of care.
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Democrats fear Supreme Court will rule against Obama on healthcare reform
The Hill
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Democrats on Capitol Hill are worried that the Supreme Court will rule against President Obama's healthcare reform law.
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Supreme Court surprise: Court will also hear Medicaid challenge
The Hill
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Lawyers on both sides of the lawsuits over President Obama's healthcare law were caught off guard when the Supreme Court said it would debate whether the law's Medicaid expansion is constitutional.
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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 www.NaviNet.net for more information. more
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States say: Medicaid red tape stymies innovation
HealthLeaders Media
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State Medicaid directors say the federal government's focus on bureaucratic process measures has quashed innovation efforts in the Medicaid program and resulted in inefficiencies and duplications.
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Medicaid seeks to bring managed care to behavioral services
NJ Spotlight
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New Jersey is seeking federal approval to redesign its system for providing behavioral health services to Medicaid members — one of the many changes the state Department of Health proposed in the Comprehensive Medicaid Waiver it submitted in September.
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Wisconsin republicans approve millions in Medicaid cuts
Wisconsin Rapids Daily Tribune
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The Republican-controlled state budget committee voted to approve about $225 million in Medicaid cuts expected to result in about 65,000 poor adults and children leaving health insurance programs, either because they would no longer be eligible or they could no longer afford coverage.
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Human Arc can put that power in your hands!
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Arkansas Medicaid program gets new chief
KUAR-FM
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The state's Division of Medical Services is getting a new director with a long track record of researching and managing Medicaid programs. Dr. Andy Allison currently serves as director of the Division of Health Care Finance for the Kansas Department of Health.
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Kansas hospitals soon may be able to apply for Medicaid HIT incentives
Kansas Health Institute
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The state's Medicaid health information technology plan has been approved by the federal government, which means Kansas hospitals that have implemented electronic health records may be able to apply for Medicaid-based incentives this year.
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National health policy leaders say innovation, enabled by information technology key to delivery of efficient, effective healthcare in the future
PR Newswire via KPHO-TV
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The way healthcare is delivered, not the amount of government reimbursement available, will determine the success of healthcare reform, futurist Ian Morrison told healthcare leaders attending the two-day Client Summit in Monterey sponsored by MedeAnalytics, a leading provider of healthcare performance management solutions.
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CMS says new analytics are model for future fraud and abuse system
HealthLeaders Media
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The Centers for Medicare and Medicaid Services intends to take a bigger bite out of fraud and abuse by strengthening its monitoring and analytics capabilities to prevent and detect suspicious activities.
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Alabama selects Thomson Reuters HIE Advantage for statewide health information exchange
PR Newswire via WCSC-TV
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Alabama Medicaid and the State of Alabama are partnering with the Healthcare business of Thomson Reuters to build the infrastructure for a statewide health information exchange that will improve the quality of care while controlling costs.
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HMS jumps into Medicare recovery audit contracts
Investors.com
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HMS Holdings leapt 22 percent for the week and Accretive Health fell 5 percent. The result hoisted the Commercial Services-Healthcare industry group to a No. 9 ranking.
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HMS has the only comprehensive pre-payment claim solution on the market:
• Forensic editing
• Predictive modeling
• SIU
• Ongoing monitoring of State-specific regulations
www.hms.com |
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Submissions for MHPA's Best Practice Compendium for Serious Mental Illness Care due today
MHPA
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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 lgreenberg@mhpa.org if you have questions or suggestions. Thank you in advance!
MHPA's 2011 Annual Meeting Presentations now available for download
MHPA
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View or download select presentations from MHPA's 2011 Annual Meeting held last week in Washington, D.C.
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MHPA's new November Keeping You Healthy Video: Start Smart for Your Baby by Centene Corporation
MHPA
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View MHPA's Center for Best Practices new Keeping You Healthy video click here.
Webinar: Medicaid funded long term care supports and services
MHPA
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Wednesday, Dec. 7
2:30-3:30 p.m. EST
Presented by Sellers Dorsey
During the Medicaid Long Term Supports and Services webinar will Ms. Long will address covered services, eligibility requirements, connection to dual eligibility for Medicare, transition from institutional to community based services as well as current initiatives to manage LTSS. Finally, issues for Medicaid Health Plans to consider when planning to provide LTSS will be highlighted.
To register for this free webinar, click here.
MHPA on Twitter, Facebook and LinkedIn
MHPA
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Follow us on Twitter, and Facebook and LinkedIn to get industry-related news and the latest MHPA announcements.
Banner advertising available with MHPA NewsBriefs
MHPA
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Now you can ensure that your message gets out to the Medicaid managed care industry. For rate information, contact James Debois for opportunities 469.420.2618 or email at jdebois@multiview.com.
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