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New York proposes Medicare-Medicaid integration
FierceHealthcare
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The healthcare system in New York is looking to optimize care and reduce costs by partnering with the Centers for Medicare and Medicaid Services to integrate Medicaid and Medicare services and funding for dual eligibles, according to recommendations from the New York State Department of Health.
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HMS awarded 3rd party liability contract by the State of Louisiana
Business Wire via TMCnet.com
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HMS a wholly owned subsidiary of HMS Holdings Corp., announced that is has been awarded a contract by the State of Louisiana, Department of Health and Hospitals, to provide third party liability identification and recovery services. HMS will also perform data matches and insurance verifications to ensure that the state's third party eligibility resource file remains current, and will also administer the Louisiana Health Insurance Premium Payment program.
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Arizona appeals court won't block Medicaid freeze
The Arizona Republic
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The Arizona Court of Appeals denied an appeal to block cuts to the Arizona Medicaid program, upholding a lower-court ruling even as it said the judge used flawed reasoning. The three-judge panel said whether lawmakers had "available funds" to supplement the Arizona Health Care Cost Containment System was a political decision, not a legal one.
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Battle over North Carolina Medicaid escalates
News and Record
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The battle over the state Medicaid escalated with children and poor people becoming the focus of the fight. Alison Davis of Durham,N.C., whose three autistic teenage sons receive aid under a Medicaid program, said she feared more reductions that would eliminate help for them and hurt their chances of learning to live independently.
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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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New York stakeholders recommend statewide healthcare changes
Health Imaging
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A workgroup comprised of various stakeholders in the New York state healthcare system composed a list of payment reform and quality measurement recommendations for the New York State Department of Health to consider as the state transitions to Medicaid payment models based on quality of care.
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West Virginia governor Tomblin not the first to freeze Aged and Disabled Waiver
Topix
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Evidently, there's some rite of passage for new governors to freeze enrollment in the state's Aged and Disabled Waiver, the state-run Medicaid program that provides in-home care for elderly and disabled West Virginians.
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Ohio low-income diabetes patients find new lifeline in latest AT&T mHealth Technology
PRNewswire via KVFE-TV
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The Ohio Medicaid coverage available to low-income patients living with diabetes is a lifesaving resource in a state where 15 percent of the population lives in poverty. Today, efforts to reduce diabetes complications are extending beyond the doctor's office and into patients' hands with a new mobile health program led by AT&T and Centene, the largest Medicaid provider in Ohio.
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Academic Medical Center Specialty Clinics more likely to give appointments to children With Medicaid/CHIP Insurance
Health Canal
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In a study in which researchers posing as mothers attempted to schedule appointments for sick children at specialty clinics, practices affiliated with academic medical centers were less likely to deny appointments to children with Medicaid-CHIP insurance coverage versus children with commercial insurance, according to report from the Perelman School of Medicine at the University of Pennsylvania published online this week in Archives of Pediatrics and Adolescent Medicine, one of the JAMA/Archives journals
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Competing to win: TriZetto suggests healthcare payer strategies for growth in emerging retail market
Business Wire via Insurance Broadcasting
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According to The TriZetto Group, as payers continue to make the necessary business changes to comply with reform, increase administrative efficiency, and improve the cost and quality of care, these organizations will face an additional challenge—competing to win in an emerging retail market.
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Watson Pharmaceuticals, Inc. : Antares' Oxybutynin Gel product approved by FDA for the treatment of overactive bladder
PRNewswire via 4 Traders
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Watson Pharmaceuticals, Inc. and Antares Pharma, Inc. announced that the U.S. Food and Drug Administration has approved Antares' topical oxybutynin gel 3 percent product for the treatment of overactive bladder with symptoms of urge urinary incontinence, urgency, and frequency. OAB is a condition that affects more than 33 million Americans, and the market currently exceeds $2.0 billion annually.
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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: Understanding Health Literacy
MHPA
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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.
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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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