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MHPA's best practices letter to the Hill
On Nov. 14, MHPA sent a letter to the Senate Finance Committee and House Energy and Commerce Committee on best practices in nine areas of Medicaid managed care, including rate-setting, care coordination, encounter data accuracy, quality measurement and program integrity. The letter is a response to a bipartisan letter sent to MHPA and other associations asking for the best practices submission. Read the full letter.
Nov. 19 Webinar Wednesday: 'Absorbent Products — Moving from Volume to Value by Reducing Waste & Improving Care'
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.
How health law's Medicaid enrollees strain the system, role of managed care
The Wall Street Journal (Subscription required)
Many Americans with low incomes now have health coverage they couldn't have gotten before this year under the act, widely called Obamacare. But their sheer numbers are straining some healthcare systems that already don't have enough doctors and staff. And the new Medicaid enrollees can challenge medical practices' bottom lines in ways that lead them to turn some away.
Feds OK extension of Healthy Indiana Plan
Lafayette Journal & Courier
Indiana's Medicaid-covered health saving accounts for low-income residents will be renewed through next year, Gov. Mike Pence's office announced. The federal Centers for Medicaid and Medicare Services told the state it would extend of the Healthy Indiana Plan, Pence’s office said. As of Oct. 1, HIP enrolled nearly 61,000 low-income Indiana residents.
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North Carolina may reverse course on Medicaid expansion, but decision postponed; still considering managed care
Citizen-Times and News & Record
If Republicans reverse course, an estimated 500,000 North Carolinians stand to gain coverage under Medicaid, which pays healthcare costs for poor children, low-income elderly people and the disabled.
But the legislature will have to wait until December to find out if state health officials will recommend — or not — to expand to the state's Medicaid program. The agenda for the legislative oversight committee on health and human services indicated there would not be a presentation from the Medicaid reform subcommittee.
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Alaska's Medicaid future uncertain despite pro-expansion governor
Modern Healthcare (Subscription required)
Alaska Gov.-elect Bill Walker's finally determined victory over incumbent Republican Sean Parnell could mean Alaska will be one of the next states to expand Medicaid. But whether the GOP-controlled Legislature will attempt to block such a move is open to debate.
Montana governor budget pushes for Medicaid expansion
The Associated Press via The Charlotte Observer
Montana Gov. Steve Bullock released a two-year budget proposal that pushes for Medicaid expansion and water, sewer and road projects, as well as money for pre-kindergarten programs and increased funding for mental health services. Overall, the proposal would increase state spending by 5.5 percent in fiscal year 2016 and 2.83 percent in 2017. Bullock said the increases are offset by expected revenue growth of 7 percent in 2016 and just over 6 percent in 2017.
US court rejects Maine's effort to trim Medicaid rolls
A federal appeals court rejected Maine's effort to trim some young people from its Medicaid rolls, saying the move would violate the Affordable Care Act. Maine Republican Gov. Paul LePage, a critic of President Barack Obama's signature healthcare law, had proposed in 2012 cutting non-disabled 19- and 20-year-olds from the state's Medicaid program to help balance the budget.
As California expands Medicaid to new beneficiaries, many
others are dropped
Kaiser Health News
When it comes to expanding health coverage to its poorest residents, California could be taking two steps forward and one step back. Even as the state celebrates its enrollment of more than 2.7 million low-income Californians in Medi-Cal in 2014, it may drop an unusually high number of beneficiaries from its rolls by year's end.
Utah governor to lay out Medicaid plan details soon
The Associated Press via The Washington Times
Utah Gov. Gary Herbert is expected to present the details of his alternative Medicaid plan to skeptical members of the state's Republican-controlled Legislature next month. After consulting with legislative leaders, Herbert said he's decided to roll out the plan in December to lawmakers on a health committee meeting shortly before the full legislature returns for business in 2015.
Texas governor-elect's appointee endorsed Medicaid Expansion
The Texas Tribune
Texas Gov.-elect Greg Abbott's pick for secretary of state voted for a local resolution last year endorsing the expansion of Medicaid — a central tenet of the federal Affordable Care Act that Abbott fiercely campaigned against. In a phone interview, Carlos Cascos, a Republican judge from Cameron County, said that as secretary of state, he was "not just going to go along to get along" with Abbott and that on healthcare issues there would be "policy disagreement" among Republican officials.
Health Partners Plans honored at MHPA Best Practice Awards Luncheon
On Oct. 27, the Health Partners Plans "Oral Health Initiative" was awarded the Innovation Award at the MHPA Best Practices Awards Luncheon in Washington, D.C. The Best Practices Awards honor Medicaid health plans for their innovative programs that have improved the health of Medicaid enrollees.
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Did you miss Webinar Wednesday: 'Value of Personalized Medicine in Delivering Quality Cancer Care'?
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.
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.
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.
MHPA's Myers to speak at Sixth Annual Medicaid Innovations 2015 Forum | Feb 3-5, 2015 | Orlando
Medicaid Innovations Forum
Join MHPA President and CEO Jeff Myers at the Sixth Annual Medicaid Innovations 2015 Forum in February 2015. This meeting offers a unique combination of forward-thinking perspectives including first-hand case studies and examples of true innovation from both Medicaid managed care plans and state government agencies. The forum, which gathers hundreds of representatives from states, health plans and solution providers in one room, goes beyond policy to explore the specific strategies these organizations are leveraging to improve quality of care, reduce costs and position themselves for success in serving the rapidly expanding Medicaid population. Use Discount Code MHPA200 to receive $200 off the current rate.
MHPA's Myers to chair WHCC 4th Annual Medicaid and Medicare Reform Summit | March 2015 | Washington, DC
MHPA President and CEO Jeff Myers will chair the WHCC 4th Annual Medicaid and Medicare Reform Summit, a meeting that convenes executives from health plans, hospital systems and policy organizations to share, learn and discuss approaches to improve the quality of government programs and achieve payment and delivery reform. For conference details, agenda and registration, please visit here.
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