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HealthCare.gov is having trouble signing people up for Medicaid
The Washington Post
Every week, usually on Tuesday, the Centers for Medicare & Medicaid Services sends state Medicaid departments something called a "flat file." These files are sort of similar to the much-discussed 834 transmissions, which the exchange sends to an insurance plan when someone signs up.

Except the flat files are for the Medicaid program, and lists people that the exchange thinks — but hasn't officially determined — will be eligible for the Medicaid program. And, much like the those 834 transmissions, Medicaid officials say, these flat files are riddled with errors and incomplete information.
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Medicaid, insurance fixes may be big trouble later
Politico
An Obamacare fix quietly announced on Black Friday could put states at risk for higher Medicaid costs and even fraud. Although Medicaid signups through HealthCare.gov have been considered a rare bright spot in the flawed Obamacare rollout, the federal portal has been unable to send those Medicaid applications to the states for final processing.
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CMS waiver for Medicaid data transfers raises questions
Inside Health Policy
Sources suggest that CMS' move to allow states to use the information included in so-called "flat files" to enroll people in Medicaid potentially by Jan. 1 — since the full electronic transfer function is not ready — could create problems with program integrity as well resource allocation for certain states and say that more information is needed to better understand the process.
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2013-2014 Best Practices Compendium on sale
MHPA
MHPA's Best Practices Compendium is our annual compilation of exemplary programs run by Medicaid health plans and their partners that help improve member lives. It's also a valuable reference tool that features a listing of the current state Medicaid directors and an MHPA member health plan/vendor resource directory. Get yours today ($25 for members, $30 for nonmembers). To order, call 202-857-5720, or email us here.
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CMS expands types of practitioners providing Medicaid preventive services
Inside Health Policy
CMS widened the scope of providers under Medicaid that could provide — and be reimbursed for — preventive services beyond physicians and other licensed practitioners at a state's discretion, which some stakeholders said could be very beneficial for retail clinics and other nonprimary care providers like urgent care clinics.
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Cost of healthcare law seen as decreasing
The New York Times
The rollout of President Barack Obama's healthcare law may have deeply disappointed its supporters, but on at least one front, the Affordable Care Act is beating expectations — its cost.
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Study: States that reject Medicaid expansion lose money
USA Today
The 20 states choosing not to expand Medicaid will lose billions of dollars in federal funds, according to a new study. By 2022, Texas could lose $9.2 billion by not expanding Medicaid as allowed under the Affordable Care Act, while Florida could lose $5 billion over that period, the study conducted by The Commonwealth Fund shows.
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Medicaid expansion to cover many former prisoners
The Washington Post via Kaiser Health News
When Medicaid expands next year under the federal health law to include all adults living close to the poverty line, one group of eligible beneficiaries will be several million men and women who have spent time in state and federal prisons and jails.
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Wisconsin Assembly passes state governor's Medicaid delay bill
The Associated Press via Sheboygan Press
The Wisconsin Assembly passed a bill that would give those losing their Medicaid coverage three more months to sign up for private plans. Assembly Republicans said the Obama administration's healthcare failures forced them to take quick action on a bill that Wisconsin Gov. Scott Walker proposed and called the legislature into special session to quickly pass this month.
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In Kansas, a fight over developmentally disabled shifting to
Medicaid managed care

The Washington Post via Kaiser Health News
Come January, thousands of parents and relatives of developmentally disabled Kansans fear that the world their loved ones have become accustomed to may turn topsy-turvy. That's when Kansas' Medicaid managed care system — called KanCare — will take charge of all home and community-based services for about 8,500 developmentally disabled people, most of them adults.
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Wyoming governor says no to Medicaid expansion
The Washington Post
Wyoming Gov. Matt Mead said he doesn't want his state to accept federal funding to expand Medicaid coverage, due to problems with the rollout of the Affordable Care Act so far. Mead, a longtime opponent of the law, said the federal healthcare exchanges set up under the ACA have hurt more than they have helped, undercutting his confidence in the federal government's commitment to cover 90 percent of the costs of Medicaid expansion into the future.
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Medi-Cal a hidden enrollment success
California Healthline
The Department of Health Care Services has released enrollment numbers for Medi-Cal-eligible Californians who initially contacted the Covered California health benefit exchange. The department said 143,608 people will likely receive Medi-Cal coverage as a result of contacting Covered California. That's about 40 percent of all applications completed through the exchange, said Anthony Cava, a spokesperson for DHCS.
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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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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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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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Webinar Wednesday: 'Clinical Challenges in Pain Management' by Millennium Laboratories | Dec. 11, 3 p.m. ET
MHPA
Intended for clinical audiences using urine drug testing, this webinar will help attendees understand, interpret and integrate testing results into ongoing clinical assessment and decision-making. Angela G. Huskey, Pharm.D., CPE, associate vice president of clinical affairs for Millennium Laboratories, will address differences in testing technologies with a focus on understanding the causes and clinical consequences of false negative and false positive results. After the webinar, clinicians should be able to communicate better with patients about unexpected results, potentially improving patient care and the therapeutic relationship.
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Recent webinar presentations from Navigant, PwC, Lilly 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)

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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.

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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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