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Washington state, CMS sign capitated duals demo MOU
Inside Health Policy
Washington state and CMS are moving forward with the second half of the state's duals demonstration, releasing a memorandum of understanding on Nov. 25 for the capitated portion of the state's demonstration meant to align care for dually eligible beneficiaries.

Washington plans to use care managers and intensive care coordinators, with a focus on in-person care coordination services, to beneficiaries expected to receive the most benefit. An estimated 27,000 dually eligible beneficiaries in King County or Snohomish County — the rest of the state is covered under the managed fee-for-service demonstration — will be eligible to enroll in the demonstration.
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Some GOP governors embrace Medicaid expansion
The Wall Street Journal
The healthcare fight consuming Washington looks a little different at the state level where a handful of Republican governors have embraced a central tenet of the new law — expanding Medicaid to cover the poor. Prominent Republican governors have pegged their political fortunes to the expansion, including New Jersey Gov. Chris Christie, who is often mentioned as a White House hopeful in 2016, and others who have potentially difficult re-elections next year, such as Ohio Gov. John Kasich and Michigan Gov. Rick Snyder.
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Republican governors gauge possible heat from Medicaid
The Washington Post
When New Jersey Gov. Chris Christie decided that his state would expand Medicaid under the Affordable Care Act, he opened the door to healthcare coverage for 104,000 of the poorest Garden State residents, a move he said would save the state $227 million this year alone. But he also may have complicated his hopes of making it through a competitive Republican presidential primary in 2016, when rivals will be looking for any opportunity to distinguish themselves from the rest of the crowded field.
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Governor's Medicaid push stalled in Florida
Politico
Gov. Rick Scott stuck his political neck out earlier this year to champion covering more of his state's poor residents under Obamacare. But now talk of Medicaid expansion in Florida can, at best, be described as a hushed whisper.
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Ohio state attorneys: Board acted within law in Medicaid case
The Associated Press via San Francisco Chronicle
During an Ohio court filing, state attorneys argued that a legislative panel acted consistently with state law and standard practice when it recently approved a request to fund an expansion of the Medicaid program.
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Kansas hospitals backing Medicaid expansion
Kansas Health Institute
The Kansas Hospital Association recently completed an advertising campaign aimed at building support for expanding state's Medicaid program. "We're just wanting to raise the public's awareness about there being a lot of people who would benefit from expanding Medicaid," said Cindy Samuelson, a KHA spokesperson.
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No deal on New Hampshire Medicaid expansion
Concord Monitor
A special session of the legislature closed with no deal for expanding Medicaid in New Hampshire to an additional 50,000 low-income adults, despite leaders on both sides of the political aisle saying they remain willing and eager to reach a compromise.
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Utah legislative panel rejects full Medicaid expansion
The Salt Lake Tribune
The full expansion of Utah's Medicaid program as envisioned by the Affordable Care Act is off the table, under a list of options whittled from nine to three by lawmakers. A full expansion is estimated to cover 150,000 Utahns earning up to 138 percent of the poverty level — about $32,000 for a family of four.
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White House officials hold call to urge Medicaid expansion in Kansas
Kansas Health Institute
White House officials held a news conference with Kansas Rep. Barbara Ballard to make the case for expanding Medicaid eligibility in Kansas. White House Principal Deputy Press Secretary Josh Earnest said the health reform law will make access to health insurance coverage available for less than $100 a month to six in 10 currently uninsured Americans.
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Rosier state budget report prompts talk about restoring healthcare
cuts in California

California Healthline
California's Legislative Analysts Office has released its annual report on the state's fiscal outlook and the picture was a brighter one than past years. Now that the general fund crisis seems to have eased, lawmakers may want to revisit some of the cuts they were forced to make in recent years, according to Scott Graves, a senior policy analyst at the California Budget Project, a not-for-profit based in Sacramento that conducts nonpartisan fiscal reviews.
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Report: Healthcare spending growing at slowest pace on record
The Hill
The White House has released a report that shows healthcare spending has grown at the slowest rate on record under the Affordable Care Act. The report, produced by the Council of Economic Advisers, comes as the administration tries to emphasize positive news about the new law amid stories about its troubled website and the cancellation of millions of individual health plans.

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How Obamacare has fared in each state
The Washington Post
A lot of ink has been spilled on the troubled rollout of President Barack Obama's landmark healthcare law, but contextualizing it has been difficult — if not downright confusing. Here is an easy-to-read table documenting how Obamacare has fared in each state.

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MHPA names Sarah Swango as director of membership
MHPA
Medicaid Health Plans of America has added seasoned membership professional Sarah G. Swango to its growing staff. As MHPA's new director of membership and development, Sarah will show Medicaid health plans, members and nonmembers alike, the value that MHPA brings to their organizations and to the Medicaid managed care industry as a whole.

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Webinar Wednesday on Dec 4: 'ACA Update: Coordination Between QHPs and Medicaid Managed Care Plans' by Navigant
MHPA
The key provisions of the Affordable Care Act become effective on Jan. 1, 2014. Two of the significant provisions that will provide affordable coverage for millions of Americans include the Medicaid expansion and the federal subsidies available for individuals purchasing insurance inside the Marketplaces with lower incomes.

This webinar will give an update on progress to date with the ACA rollout and discuss some of the coordination issues that will arise between Qualified Health Plans in the Marketplaces and Medicaid managed care plans.

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Recent webinar presentations from PwC, Lilly, Millennium Labs and others available free on MHPA website
MHPA
View PDFs or listen to audio for the following webinars: Additional webinars can be viewed here.
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Job opportunity: Johns Hopkins HealthCare LLC COO
Johns Hopkins HealthCare LLC via FurstGroup
Johns Hopkins HealthCare LLC seeks an accomplished operational leader to join the executive management team to drive performance excellence, growth and strategy. The chief operating officer is a strategic business partner to the JHHC President, and together they will implement a plan for growth and transformation in response to healthcare reform that is in concert with that of JHM.

Qualified candidates will possess a bachelor's degree in business administration or a related field with a preference for a master's degree or MBA. We require at least 15 years of increasingly responsible senior management experience in health plan operations or a similar highly transactional environment with demonstrated skills in innovation, change management and strategic systems thinking.

Access the position profile on our Web site via the link here. For immediate consideration, please apply directly to Deanna Banks, principal at FurstGroup.

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TRENDING ARTICLES
Missed our previous issues? See which articles your colleagues read most.

    Job opportunity: Johns Hopkins HealthCare LLC COO (Johns Hopkins HealthCare LLC via FurstGroup)
Indiana governor asks to meet with Sebelius over HIP expansion (Indianapolis Business Journal)
Wisconsin governor's Medicaid maneuver (NPR and Kaiser Health News)
Medicaid puts Ohio governor on spot over Obamacare (The Columbus Dispatch)
In Pennsylvania, a big gap in health insurance coverage (The Philadelphia Inquirer and Kaiser Health News)

Don't be left behind. Click here to see what else you missed.


Sign up for a free trial to Health Exchange Alert, a news service from InsideHealthPolicy.com
Inside Health Policy
The Affordable Care Act's mandated health exchanges are on the front burner for policymakers and should be for you, too. Stay on top of the evolution and implementation of health exchanges with Health Exchange Alert, the news service from InsideHealthPolicy.com. Act now by clicking here to activate a no-obligation, four-week free trial to gain immediate access to InsideHealthPolicy.com and Health Exchange Alert.

Your free trial will include access to the numerous articles and documents posted every business day, as well an email alert every morning highlighting the latest news. You'll also have access to our three weekly newsletters (Health Exchange Alert, Inside CMS and FDA Week), which you can download in PDF format and circulate.

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MHPA on Twitter, LinkedIn and Facebook
MHPA
Follow us on Twitter, LinkedIn and Facebook to get industry-related news and the latest MHPA announcements.
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