This message contains images. If you don't see images, click here to view.
Click here to advertise in this news brief.
  Mobile version   RSS   Subscribe   Unsubscribe
Home   About   Policy & Advocacy   Education & Resources   Events   Contact Us Nov. 22, 2011
MHPA


Health programs facing cutbacks after supercommittee's failure
Kaiser Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The failure of the congressional super committee could mean automatic budget cuts totaling billions of dollars for everything from Medicare to biomedical research, starting in 2013. But some health care interests stand to fare better than others. Two major health entitlement programs, Medicare and Medicaid, have protections under the law that set up the super committee. More



Medicare-Medicaid 'dual eligibles' under scrutiny
Kaiser Health News via USA Today    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Charles Barnum, 70, has heart problems, kidney issues and diabetes. But his health coverage through a managed-care plan seems about as solid as you can find: He's covered by not only Medicare, but Medicaid as well. Barnum is one of 9.2 million "dual eligibles," and his experience in a managed-care plan illustrates the potential benefits of a proposal under scrutiny by the congressional "supercommittee" as it looks to cut at least $1.2 trillion from the federal deficit over the next decade. More

Free drugs can help prevent repeat heart attacks
The Associated Press via Bloomberg Businessweek    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Say you've had a heart attack and your insurer offered you free medicines to help prevent another one. Doctors did that in a major study and were stunned to find that only about half of patients took them. Those who did suffered fewer heart-related problems and saved $500 on average for health care over roughly a year. And it didn't cost the insurer more; in fact, costs were trending lower because of fewer hospitalizations. More

WellPoint State Sponsored Business collaborates with Blue Cross Blue Shield of Texas
Healthcare Finance News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
WellPoint's State Sponsored Business division announced an agreement with Blue Cross and Blue Shield of Texas to serve as an administrative subcontractor for the plan's Texas STAR and CHIP contract in the Travis Service area which includes Travis, Bastrop, Burnet, Caldwell, Fayette, Hays, Lee and Williamson counties. More

Simplify your provider relationships by partnering with NaviNet
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


UnitedHealthcare to acquire XLHealth
Business Wire via The Street    Share    Share on FacebookTwitterShare on LinkedinE-mail article
UnitedHealthcare, a UnitedHealth Group company, has agreed to acquire XLHealth Corp., a sponsor of Medicare Advantage health plans with a primary focus on Medicare recipients with special needs, such as those with chronic illness, and those also eligible for Medicaid ("dual eligibles"). More

WellCare joins the millions to stop diabetes
The Open Press    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Tampa-based WellCare Health Plans, Inc. employees, along with their family and friends, came together on Nov. 12 at the University of South Florida to participate in American Diabetes Association's signature event, Step Out: Walk to Stop Diabetes. Employee fundraising combined with a matching donation by The WellCare Community Foundation brought the total donated to more than $40,000. More

Aetna ranks No. 1 in survey by Northeast Business Group on Health
Healthcare Finance News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Northeast Business Group on Health (NEBGH) awarded Aetna the 2011 eValue8 performance award for the New York-metropolitan area. Aetna was the only health plan in the New York-metropolitan area to earn this distinction. More



Obama signs 'fix' to health law's Medicaid expansion
The Hill    Share    Share on FacebookTwitterShare on LinkedinE-mail article
President Obama on Monday signed into law legislation making it harder for people to qualify for Medicaid and insurance subsidies under the healthcare reform law. Republicans pounced on the provision after discovering that the law would have let some middle-income people qualify for Medicaid because it didn't count Social Security earnings when determining eligibility. More

Puzzling out how to help states with hard-hit Medicaid budgets
Kaiser Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
One of the biggest problems governors face during a recession is this: When the economy is going down, Medicaid enrollment is going up. So states have more people in their Medicaid program, but less tax revenue to pay for them. It is what economists call counter-cyclical. Washington is sensitive to the problem. More

California Republicans quietly embrace Medicaid expansion
Kaiser Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Rep. Kevin McCarthy, the number three Republican in the U.S. House of Representatives, has a very clear record on the Affordable Care Act. He has repeatedly called for its defeat and was one of the co-sponsors of the January repeal measure that easily passed the House but died in the Senate. More

Want to bring millions more to your bottom line?

Human Arc can put that power in your hands!



Medicaid cuts concern Texas physicians
UPI    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Physician groups in Texas say proposed cuts in government healthcare reimbursement rates would hurt the poorest Texas patients, most of them children. While the state would save millions with cuts in co-payments to physicians for people covered by both Medicaid and Medicare, doctors say the proposed change will further push doctors from wanting to practice in less affluent parts of the state. More

Colorado Gov. Hickenlooper: Medicaid waivers not a budget option
The Associated Press via The Boston Globe    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Colorado Gov. John Hickenlooper dismissed a Republican idea to explore waivers from Medicaid spending to alleviate budget pressures, saying it's a requirement Colorado can't get out of. Medicaid will account for nearly 82 percent of the increase in the state's general fund spending, as cuts to education and public colleges continue next year. More

Fraud's #1 Enemy!

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


MHPA job opportunity — State Affairs Manager
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Location: Medicaid Health Plans of America, Washington, D.C.
Target Start Date: Jan. 1, 2012
Application Deadline: Dec. 2, 2011

National Medicaid Managed Care trade association seeks State Affairs Manager to assist in state tracking and advocacy in Medicaid and Medicaid Managed Care. For more details and to apply, click here.
More

Webinar: Medicaid funded long term care supports and services
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Wednesday, Dec. 7
2:30-3:30 p.m. EST
Presented by Sellers Dorsey
During the Medicaid Long Term Supports and Services webinar Maureen Long of Sellers Dorsey 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.


Webinar: Understanding Health Literacy
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Thursday, Jan. 12
11 a.m.-12:30 p.m. EST
Presented by Health Literacy Innovations
Few consumers understand their healthcare — medication inserts, prescription labels, discharge instructions, informed consent forms, and health web sites — and as a result cannot make informed decisions. Roughly one-third of all U.S. adults have "low health literacy" and lack the ability to read, understand or follow health care instructions, which results in confusion, mistakes, poor health outcomes and increased costs from to unnecessary hospitalization, ER, and doctor visits. To learn more and register, click here.


The Disparities Solutions Center at Massachusetts General Hospital is now accepting applications for the 2012-2013 Disparities Leadership Program
Massachusetts General Hospital    Share    Share on FacebookTwitterShare on LinkedinE-mail article
This year-long executive education program is designed for leaders from hospitals, health plans and other health care organizations who wish to implement practical strategies to identify and address racial and ethnic disparities in healthcare, particularly through quality improvement. More

MHPA's 2011 Annual Meeting Presentations now available for download
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
View or download select presentations from MHPA's 2011 Annual Meeting held last week in Washington, D.C. More

MHPA's new November Keeping You Healthy video: Start Smart for Your Baby by Centene Corporation
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
View MHPA's Center for Best Practices new Keeping You Healthy video click here.

MHPA on Twitter, Facebook and LinkedIn
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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.
More connections mean higher capitation rates.
Firstsource’s advanced IVR technology helps achieve a 34% live connect rate, up from 14 to 18% with traditional dialers. As a result, we dramatically improve member contacts and results for disability transfers, member retention/recertification, SSI benefits and member wellness programs and initiatives. For a better, faster way to connect, contact Firstsource at 877-926-7370. MORE
THOUGHT LEADERS IN HEALTH LAW®

Epstein Becker Green is uncompromising in its pursuit of legal excellence and client service in its areas of practice: Health Care and Life Sciences, Labor and Employment, Litigation, Corporate Services, and Employee Benefits. The Firm was founded to serve the health care industry and has been at the forefront of health care legal developments since 1973.
Vitas
VITAS Innovative Hospice Care®, a pioneer and leader in the hospice movement since 1978, provides a special form of care for people with life-limiting illnesses.


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MHPA's Industry NewsBrief
Colby Horton, Vice President of Publications, 469.420.2601   Download media kit
Ralph Ayyad, Content Editor, 469.420.2638   Contribute news
This edition of the MHPA's Industry NewsBrief was sent to ##Email##. To unsubscribe, click here. Did someone forward this edition to you? Subscribe here -- it's free!
Recent issues
Nov. 22, 2011
Nov. 17, 2011
Nov. 15, 2011
Nov. 11, 2011



7701 Las Colinas Ridge, Ste. 800, Irving, TX 75063