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Dual eligibles a tricky population to manage
California Healthline
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The California Department of Health Care Services wants to integrate care for about 1.1 million dual eligibles in California — people eligible for both Medicare and Medi-Cal services — by moving them to managed care plans.
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Gov launches new website dedicated to Medicaid / CHIP
Medicaid
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The Center for Medicaid and CHIP Services launched a new website for the Medicaid and CHIP programs. CMCS says the new site will feature items that stakeholders care most about — Federal policy guidance; lists of pending/approved waivers; highlights of the Affordable Care Act implementation efforts; State-specific program information and data; and improved search capabilities. See it for yourself at www.medicaid.gov
Study: Drug benefit managers save billions
The Hill
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Two of the nation's biggest pharmacy benefit managers save the public up to $87 billion a year, according to a new study released on the eve of a Senate Judiciary hearing on their proposed merger.
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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
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GOP presidential hopefuls: Where they stand on healthcare
Kaiser Health News
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At first glance, Rep. Michele Bachmann of Minnesota, former House Speaker Newt Gingrich, former Utah governor John Huntsman, Rep. Ron Paul and governor Rick Perry, both from Texas, former Mass. governor Mitt Romney, and former Pennsylvania Sen. Rick Santorum seem virtually identical in their health policy platforms, as does former candidate Herman Cain.
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Texas to reduce Medicaid support for Medicare enrollees
American Medical News
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Texas Medicaid administrators expect to save $475 million by implementing a reduction in Medicaid support for people eligible for both Medicare and Medicaid. The Texas Medical Assn. is concerned that the change could further erode physician Medicaid participation.
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Budget battle brewing in Colorado over taxes, Medicaid
SummitDaily.com
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Republicans who control the Colorado House have the chance to put their stamp on the state budget — and it's looking like they'll force a standoff with Democrats and governor John Hickenlooper over a tax break for seniors and Medicaid spending.
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Maine governor LePage: State can't afford MaineCare for childless adults
Bangor Daily News
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Legislative leaders are expected to be presented with governor Paul LePage's supplemental budget for the Department of Health and Human Services that addresses an estimated $121 million shortfall.
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3 biggest ways Medicaid Recovery Audit Contractor will affect hospitals in 2012
Becker's Hospital Review
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While it seems as though the Medicaid Recovery Audit Contractor program has been discussed for ages, it will finally go into effect. The Medicaid RAC program is based off the Medicare version and is expected to save taxpayers $2.1 billion over the next five years, according to estimates from the Department of Health and Human Services.
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MLR final rule keeps broker fees as administrative costs
HealthLeaders Media
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Broker and insurance agent fees will continue to be counted administrative costs when healthcare insurers calculate their medical loss ratios. That's the word from the Centers for Medicare and Medicaid Services, which released on the final rule for medical loss ratio requirements under the Patient Protection and Affordable Care Act.
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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 |
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Webinar tomorrow (Wed 12/7): Medicaid funded long term care supports and services
MHPA
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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.
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Webinar: Understanding Health Literacy
MHPA
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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.
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3rd Annual Medicaid Innovations Forum
Medicaid Innovation Forum
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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.
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The Disparities Solutions Center at Massachusetts General Hospital is now accepting applications for the 2012-2013 Disparities Leadership Program
Massachusetts General Hospital
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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.
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MHPA's 2011 Annual Meeting Presentations now available for download
MHPA
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View or download select presentations from MHPA's 2011 Annual Meeting held in Washington, D.C.
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MHPA on Twitter, Facebook and LinkedIn
MHPA
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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
MHPA
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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.
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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
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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.
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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.
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