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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. 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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Obama will highlight Obamacare benefits
The Hill
President Barack Obama will hold an event touting the benefits of the Affordable Care Act, as the White House looks to reset public perception of the embattled healthcare law following two months of repairs to the glitchy Obamacare website.
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Insurers seek to bypass health site
The Wall Street Journal
Insurers and some states are continuing to look for ways to bypass the balky technology underpinning the healthcare law despite the Obama administration's claim that it had made "dramatic progress" in fixing the federal insurance website.
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States struggle with beneficiaries eligible for both exchanges, Medicaid
Inside Health Policy
States are working to implement unexpected Medicaid wrap-around coverage for pregnant women who appear to be eligible for both that program and exchange coverage. Though advocates say it is a good step to let women access all of the coverage for which they are eligible, their dual eligibility ultimately may depend on the states' marketplaces and technology.
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Not wanted: 100,000 Medicaid enrollees
CNNMoney
More than 100,000 people were approved for Medicaid in November in the 25 states that have opted not to expand the government program, according to a CNNMoney analysis. These folks currently qualified for Medicaid but had not enrolled. Likely drawn in by all the campaigns to enroll the uninsured, the so-called woodwork effect, they applied through the federal Obamacare exchange.
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Obamacare's silver lining?
The Washington Post
VideoBriefFor all of the issues surrounding the rollout of President Barack Obama's signature healthcare law, one part seems to be working pretty well — the expansion of Medicaid. Close to 400,000 Americas have learned they are now eligible to enroll, but some states haven't embraced the expansion.
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State successes show health law can work
Politico
With all the waves of bad news about the Obamacare website and the canceled policies, it would be easy to conclude that nothing in this law will ever work — that it's just too big and complicated and messy. But that's not the complete picture of the Affordable Care Act rollout. There are a few bright spots — just enough to suggest that, for all the early disasters, the law's fate isn't final yet.
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Medicaid expansion: A case of the Kentucky 'haves' and the Indiana 'have-nots'
The Courier-Journal via The Indianapolis Star
Lorinda Fox of New Albany, Ind., hasn't been to a doctor since her last child was born 21 years ago. Poor and uninsured, she treats her illnesses with over-the-counter remedies. If Fox lived in Kentucky, she would qualify for expanded Medicaid next year under the Affordable Care Act. But she lives in a state where she makes too much to qualify for traditional Medicaid, and politicians have chosen not to expand Medicaid as Obamacare intended, contending that Indiana taxpayers can't afford it.
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Even without expansion, South Carolina will see 16 percent jump in
Medicaid enrollment

McClatchy and Kaiser Health News
Like half the states, South Carolina chose not to expand Medicaid under the federal health law next year, citing the program's high costs and inefficiency. Yet, state officials still forecast a 16 percent enrollment jump by the end of June 2015, triple that of a typical year and even higher than the 12 percent average increase expected in states that are expanding eligibility.
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Doctor shortage could rise under Medicaid expansion
The Fiscal Times
The major expansion of Medicaid coverage for low-income Americans under the Affordable Care Act is proving to be a double-edged sword for patients and the medical profession. Nine million uninsured people, many older and with complicated medical problems, will likely receive health insurance coverage in the coming year, according to the Congressional Budget Office.
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Eligible for Medicaid? Many in Michigan face bureaucratic confusion
Detroit Free-Press
Across Michigan, hundreds of thousands of residents who may be eligible for the state's Medicaid expansion remain in frustrating, bureaucratic limbo — one that could push arguably affordable coverage out of their reach if they don't get answers soon.
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Governor's Medicaid-delaying proposal could save Wisconsin millions
The Associated Press via Green Bay Press-Gazette
According to an analysis, Wisconsin Gov. Scott Walker's proposal to delay kicking about 72,000 off of Medicaid would actually save the state roughly $23 million because of the plan's other component — delaying expanding coverage to low-income adults without children.
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Advocates watch CMS' steps on Medicaid pregnancy coverage
Inside Health Poilcy
Beneficiary advocates are closely watching to see how CMS reacts as some states seek to limit the scope of Medicaid pregnancy coverage to services directly related to pregnancy, according to one women's health advocate. Other advocates say CMS' actions so far limiting what services Medicaid programs can deny have eased concerns over "pregnancy only coverage," though defining exactly what is covered under "pregnancy-only" coverage remains an open question.
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Medicaid expansion faces major logistical challenges among the homeless
The New York Times
Most state Medicaid programs cover only disabled adults or those with dependents, so Cannon and millions of other deeply impoverished Americans are left without access to the program. But starting Jan. 1, President Barack Obama's healthcare law will expand Medicaid coverage to adults with incomes under 138 percent of the federal poverty line, and enrollment is expected to increase by about 9 million next year.

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Analysis of huge data sets will reshape healthcare
USA Today
Insurers will soon reassess how they predict costs; patients will let doctors know what medications won't work with their particular genomes; and researchers will look at hospital records in real time to determine the cheapest, most effective ways to treat patients — all because of developments in what is known as big data.

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ACA's Medicaid enrollment fairly smooth
MedPage Today
In a time where not much seems to be going as planned in the Affordable Care Act's rollout, it's no surprise that Medicaid enrollment is going as expected, and signups outnumber those for private coverage by nearly 4 to 1, experts said. For one thing, states that have expanded their Medicaid programs are also the same ones doing aggressive outreach, as they generally support the act and its coverage expansions.

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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.

    Washington state, CMS sign capitated duals demo MOU (Inside Health Policy)
Job opportunity: Johns Hopkins HealthCare LLC COO (Johns Hopkins HealthCare LLC via FurstGroup)
Some GOP governors embrace Medicaid expansion (The Wall Street Journal)
No deal on New Hampshire Medicaid expansion (Concord Monitor)
Republican governors gauge possible heat from Medicaid (The Washington Post)

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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