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Home   About   Policy & Advocacy   Education & Resources   Events   Contact Us Dec. 1, 2011

MHPA statement and letter on nomination of Marilyn Tavenner
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Medicaid Health Plans of America President and CEO Thomas Johnson released a statement and a letter to the Senate Finance Committee on Marilyn Tavenner's nomination as Centers for Medicare and Medicaid Services Administrator. More

9 GOP-led states receive new money to implement health law
The Hill    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Nine Republican governors received grants to help implement the core component of President Obama's healthcare law. The Health and Human Services Department awarded 13 grants, totaling almost $220 million, for states to build insurance exchanges. More

States receive more flexibility resources to implement affordable insurance exchanges
Insurance News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Department of Health and Human Services awarded nearly $220 million in Affordable Insurance Exchange grants to 13 states to help them create Exchanges, giving these states more flexibility and resources to implement the Affordable Care Act. More

Arizona hospitals' lawsuit aims to block Medicaid cut
The Arizona Republic    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Arizona hospitals on filed suit to block a 5 percent reduction in the rates they're paid to care for Medicaid patients. The suit, filed in U.S. District Court in Phoenix, argues that the rate cut will reduce patient access to healthcare providers, in violation of federal law. More

Florida governor Rick Scott: tax-relief plan crippled by unforseen Medicaid costs
Bloomberg    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Florida Governor Rick Scott said he has whittled down a corporate tax-relief plan compared with what he sought last year because of a ballooning deficit driven by healthcare spending. 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 for more information. more

Independence Blue Cross and BCBS Michigan to expand Medicaid services nationally through AmeriHealth Mercy
Corporate Media News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Two of the nation's largest Blue health insurers, Independence Blue Cross and Blue Cross Blue Shield of Michigan, announced they have closed their transaction and finalized their arrangement to expand services to Medicaid beneficiaries nationally through the AmeriHealth Mercy Family of Companies, a top-tier, best-in-class Medicaid managed care organization headquartered in Philadelphia. More

John Lovelace wins leadership award from MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
In recognition of his outstanding contributions to the Medicaid population, John Lovelace, president of the University of Pittsburgh Medical Center for You, has been awarded the Joy Wheeler Leadership Award by the Medicaid Health Plans of America. UPMC for You is the fastest growing medical assistance program in western Pennsylvania and was ranked the No. 1 Medicaid plan in Pennsylvania. More

HMS, Medicaid recovery audit contractor, licenses    Share    Share on FacebookTwitterShare on LinkedinE-mail article
HMS, one of the nation's leading Medicaid Recovery Audit Contractors (RAC), has signed a five-year license agreement with Milliman Care Guidelines to use the Milliman Care Guidelines content and software in RAC reviews of Medicaid claims. Under federal law, Medicaid RACs review claims for compliance with CMS and State reimbursement policies, and identify both underpayments and overpayments. HMS will use the Care Guidelines for Medicaid RAC reviews in Connecticut, Delaware, Maine, Nevada, New Jersey, New Mexico, New York, Oregon, South Carolina, Tennessee and Utah. More

URAC president and CEO appointed to CMS advisory outreach and education panel
Insurance News Net    Share    Share on FacebookTwitterShare on LinkedinE-mail article
URAC announced that its President and CEO, Alan P. Spielman, has joined the Centers for Medicare & Medicaid Services Advisory Panel on Outreach and Education. Spielman was appointed on Oct., and officially sworn in on Nov. 17. More

Massachusetts officials request extension on Medicaid waiver
Boston Globe    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Despite more than six months of negotiations, state officials and the Obama administration still don't see eye to eye on federal funding for the state's safety-net hospitals, which care for many of the remaining uninsured patients in Massachusetts. Massachusetts Health and Human Services Secretary Dr. JudyAnn Bigby has requested another extension of the state's so-called Medicaid waiver — until Dec. 31 — to give the two sides more time to negotiate a new agreement. More

Feds reject Indiana request for healthcare waiver
The Associated Press via Insurance Journal    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The U.S. Department of Health and Human Services has rejected Indiana's bid for an exemption from federal healthcare overhaul rules that require insurers selling policies to individuals to essentially dedicate 80 percent of the premiums they collect to medical care. In other words, business costs and profits cannot total more than 20 percent of the premiums the insurers collect, or else they must pay rebates to policyholders the following year. More

Hatch says governors' report shows need to modernize Medicaid
Satellite Spotlight    Share    Share on FacebookTwitterShare on LinkedinE-mail article
U.S. Senator Orrin Hatch, R-Utah, Ranking Member of the Senate Finance Committee, said the National Governors Association's Fiscal Survey of the States demonstrates why repealing the Medicaid Maintenance of Effort requirement — first imposed in the stimulus package and again in the $2.6 trillion health spending law — and modernizing the Medicaid programs is essential to allowing states effectively manage their Medicaid programs. More

Children's coverage dipping in Houston, study finds CHIP and Medicaid fill gap
Texas Medical Center    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The results of an eight-year study that looked at children's health coverage in the greater Houston area are in. Sponsored by Texas Children's Hospital and Texas Children's Health Plan, the study found that, overall, children's health coverage dropped during the current recession, but enrollment in the Children's Health Insurance Program (CHIP) and Medicaid for children in Houston and its surrounding 12 counties doubled. More

HHS touts HIT traction as it extends MU deadline
Government Health IT    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Doctors' adoption of health information technology doubled in two years, according to a new report released by U.S. Department of Health and Human Services Secretary Kathleen Sebelius. Sebelius also announced extension of the meaningful use qualification date to 2014. To encourage faster adoption, Sebelius announced that HHS intends to allow doctors and hospitals to adopt health IT this year, without meeting the new standards until 2014. Doctors who act quickly can also qualify for incentive payments in 2011 as well as 2012. More

Could managed care outlive the backlash of the past?
Managed Healthcare Executive    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Is the managed care backlash over? Perhaps so, as federal and state programs look more to private insurers to help control spending while providing quality care. More seniors are enrolling in Medicare Advantage plans because of lower costs and added assurance of quality from the star-rating system. More

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MHPA job opportunity — State Affairs Manager
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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.

Webinar: Medicaid funded long term care supports and services
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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 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
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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.

3rd Annual Medicaid Innovations Forum
Medicaid Innovation Forum    Share    Share on FacebookTwitterShare on LinkedinE-mail article

Next Generation Strategies to Expand Coverage, Improve Quality and Control Costs

Omni Orlando at Champions Gate, Orlando, FL

Feb. 8-9, 2012 For more information 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
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View MHPA's Center for Best Practices new Keeping You Healthy video click here.

MHPA on Twitter, Facebook and LinkedIn
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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
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