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  Mobile version    RSS    Subscribe    Unsubscribe    Archive    Media Kit Dec. 13, 2012

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New Keeping You Healthy video: CentAccount by Centene
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The CentAccount program promotes personal healthcare responsibility in Centene's membership by offering financial incentives. A consumer-driven incentive program designed to strengthen the relationships between Centene health plan members and their medical home, it increases the utilization of preventive services, reduces reliance on the ER, and increases continuity of care, resulting in better health outcomes for members. Rewarding members for targeted healthy behaviors increases the likelihood that such behaviors will be continued through positive reinforcement. Centene Senior VP Aparna Aburri discusses this innovative program with the MHPA Center for Best Practices. More



Fiscal talks hobbled by new finger-pointing
Los Angeles Times    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Optimism surrounding secretive high-level budget talks faded quickly amid a fresh round of partisan finger-pointing, reducing the chances of a resolution to the fiscal standoff by Christmas. House Speaker John A. Boehner, R-Ohio, spoke to President Barack Obama by phone late one recent evening after presenting a GOP counteroffer. Republicans, meanwhile, showed further signs of political division. Top members of the party, including former Mississippi Gov. Haley Barbour, said the GOP should accept the president's offer to raise tax rates on the top 2 percent of Americans in exchange for spending cuts. More

Liberal Democrats: Medicaid must not be cut as part of bipartisan bargain on fiscal cliff
The Associated Press via The Washington Post    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Liberal Democratic members of Congress are warning President Barack Obama to not cut the Medicaid healthcare program as part of negotiations with Republicans over avoiding the so-called fiscal cliff. U.S. Sen. John D. Rockefeller IV, D-W.Va., said that Obama knows that "our votes are at stake" over the issue. He and other Democrats held a news conference with labor and other liberal groups to say that cuts to Medicaid should not be accepted as a trade-off with Republicans in exchange for Obama's goal of raising income tax rates on the highest earners. Medicaid covers nearly 60 million low-income and disabled people. More

Florida's Scott, 10 other GOP governors, seek meeting with Obama to discuss healthcare law
The Associated Press via Star Tribune    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Eleven Republican governors, including Florida's Rick Scott, Louisiana's Bobby Jindal and Arizona's Jan Brewer want to meet with President Barack Obama to discuss the federal health overhaul, including ways to make expanding the Medicaid rolls and setting up online health exchanges more affordable for states with tight budgets. The letter requesting the meeting comes after the Obama administration said that states can do a partial Medicaid expansion but that they wouldn't get the three years of 100 percent federal funding provided under the law. More

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Ohio duals demo MOU finalized as Senate panel scrutinizes CMS' efforts
InsideHealthPolicy.com    Share    Share on FacebookTwitterShare on LinkedinE-mail article
CMS has reached agreement with Ohio for the state to conduct a duals demonstration that initially allows for voluntary enrollment and includes a minimum medical loss ratio standard for participating plans. CMS unveiled the memorandum of agreement, which follows CMS' pacts with Washington state and Massachusetts, a day before Senate Finance Committee members were set to probe CMS' duals efforts at a hearing. More

Sandoval opts to expand Medicaid coverage for Nevada's neediest
Las Vegas Sun    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Saying it will save Nevada money in the short-run despite posing a long-term burden on the state's general fund budget, Gov. Brian Sandoval announced that he will expand Medicaid to provide health insurance for more low-income Nevadans under the Affordable Care Act. By expanding Medicaid — to cover another 78,000 Nevadans — the state will be able to move some indigent mental health and substance abuse patients off state-funded programs and into the federally funded Medicaid, saving close to $17 million. That means the total expansion will cost the state $67 million. More

Senate GOP leaders in Nevada back Sandoval on Medicaid
The Associated Press via San Francisco Chronicle    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Senate Republican leaders in Nevada have lined up to back Gov. Brian Sandoval's decision to expand Medicaid eligibility for Nevada's poorest residents, while Democrats and advocates for the needy expressed cautious support until more details emerge. Sandoval became the first Republican governor to accept expanding Medicaid eligibility as called for under the federal Patient Protection and Affordable Care Act. More



Utah governor asks Obama to approve state's own healthcare exchange
The Associated Press via San Francisco Chronicle    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Utah's Gov. Gary Herbert is asking President Barack Obama to approve a health insurance exchange the state already has in place and declare that it meets the requirements of the federal health overhaul. Herbert sent the letter ahead of the deadline for states to decide if they'll do their own exchange. Utah's exchange was launched on a limited basis in 2009 and fully implemented two years later. In his letter, the governor asks Obama to proclaim Utah's plan a model for other states, saying the state's program gives 7,600 people at 318 small businesses a choice of 140 health insurance plans. The state is planning on expanding its exchange. More

Pennsylvania rejects state-run insurance exchange
The Hill    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The federal government will be running Pennsylvania's insurance exchange, Republican Gov. Tom Corbett said. Corbett is just the latest Republican governor to reject a state-based exchange — the centerpiece of President Barack Obama's signature healthcare law. "[Pennsylvania] will not move forward with a state-based health exchange because there are too many unknowns with too little time, not enough flexibility and too high a cost to our taxpayers," Corbett said. More

Cost of Medicaid expansion Mississippi lawmakers' main concern
The Associated Press via The Sun-Herald    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Cost is the primary concern for Mississippi lawmakers faced with a decision on whether to expand the state Medicaid program with the implementation of the Affordable Care Act. The Clarion-Ledger reports that lawmakers discussed the matter during a joint committee meeting of the Public Health and Welfare and the Insurance committees. Sen. Dean Kirby, a Republican legislator from Pearl and chairman of the Public Health and Welfare Committee, said there isn't a rush on the decision. He said the state has time to make an informed decision since the Medicaid expansion portion of the Affordable Care Act won't take effect until January 2014. More

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Nebraska to lose $44 million in Medicaid money
The Associated Press via The Omaha World-Herald    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Nebraska will see an estimated $44 million cut in federal Medicaid funding in its next two-year budget, a loss that will force lawmakers to make up the difference with state dollars when they convene next year. The Nebraska Department of Health and Human Services has requested an additional $18.9 million in state aid for fiscal 2014 and $24.8 million in fiscal 2015 to offset the projected loss in federal matching dollars, according to budget documents obtained by The Associated Press. More

Federal Medicaid expansion looms, but Alabama may not follow suit
WHNT-TV    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Medicaid covers the neediest Americans by providing them assistance with healthcare costs. However, individual states determine who is eligible for coverage. Alabama only gives access to those below the federal poverty line. "You have to be way down the economic totem pole in Alabama in order for Alabama to let you qualify for Medicaid," said Dr. Jess Brown, WHNT News 19 Political Analyst. Dr. Brown explained that the federal government currently gives the state about $2 for every $1 the state contributes. But if Alabama will increase the number of people eligible for Medicaid, the government will pay all of the cost for three years. More

Tennesseans split over Medicaid growth
Chattanooga Times Free Press    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Tennesseans evenly are split over whether the state should expand TennCare to cover more people under the federal Affordable Care Act, according to a poll released by Vanderbilt University. Forty-seven percent of 829 registered voters surveyed said TennCare, the state's version of Medicaid, should be expanded. But 46 percent, including nearly two thirds of Republicans, believe current eligibility standards should stay in place. The issue is one of several that Republican Gov. Bill Haslam and the GOP-controlled General Assembly are confronting. More



WellCare donates final $1 for Metropolitan Ministries' box truck
Thomson Reuters via Pharmacy Choice    Share    Share on FacebookTwitterShare on LinkedinE-mail article
WellCare Health Plans Inc. presented the final payment, $1, on a $50,000 refrigerated box truck the company donated to help Metropolitan Ministries improve the delivery of supplies to 30 local meal-site partners in Hillsborough, Pinellas, Pasco and Polk Counties. Alec Cunningham, CEO of WellCare, delivered the keys to Metropolitan Ministries President Tim Marks during an event held at Metropolitan Ministries' main campus in Tampa, Fla. WellCare has established a long-term partnership with Metropolitan Ministries to provide food, clothing, shelter, educational supplies, toys, gifts and other support for Tampa Bay area citizens in need. More

Cognosante opens new office in Anchorage
Marketwire via IBN    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Cognosante, a provider of information technology services to government healthcare organizations, has announced the opening of an office in Anchorage. The new office supports Cognosante's existing projects in Alaska, including the Alaska Department of Health and Social Services), and any future initiatives of the state's growing health IT needs. More


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Insights webinar: 'Reduce Outsourcing Risk by CGS' | 11 a.m. EST Dec. 20
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Refine your outsourcing process and reduce ongoing operational risk by implementing a vendor qualification and review tool. The CGS presentation, "Reduce Outsourcing Risk with a Vendor Qualification and Review Process," demonstrates how to qualify a supplier during the selection process using a defined set of scoring criteria and how to use the same criteria to manage the supplier during ongoing operations. More detail and registration here.

Free webinar by LexisNexis 'Why Identity Management Matters to Medicaid' | 1 p.m. EST Jan. 9
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The challenges of identity risk management can be boiled down to these two words: "Who's there?" At its core, this is the essence of security. Government efforts are driving much of the focus on identity management — a primary concern for the healthcare industry. Medical identity theft or improper access to sensitive records, as well as liability issues, are of paramount concern. Patients want to know what steps are being taken to ensure their privacy. As a Medicaid plan, you should not just be addressing the "what" of identity management — the technical side — but also the question of "who?" How do you know people are who they claim to be and what risks do they pose for the environments and systems they are attempting to enter? Clint Fuhrman, director of Government Health Care Programs for LexisNexis Risk Solutions, addresses these issues in a FREE 60-minute webinar. More



Watch, listen to the Sept. 18 webinar, 'Importance of Coordinated Care in the Management of Members with Hemophilia,' free on MHPA's website
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The presentation on coordinating care in hemophilia and how to improve outcomes and reduce costs by Jeff Januska, PharmD, pharmacy director at CenCal Health and Dr. Steven Pipe, associate professor, Department of Pediatrics and the Department of Pathology, University of Michigan, now is available on MHPA's website.

Free webinar: 'Optimizing Pharmaceutical Care and Measuring Outcomes in a Collaborative Drug Therapy Management Program' | 2 p.m. EST Jan. 30
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Medication-related problems and medication mismanagement are massive public health problems in the U.S. Experts estimate that 1.5 million preventable adverse events occur each year that result in $177 billion in injury and death. In response to these problems, PerformRx, in collaboration with the AmeriHealth Mercy Family of Companies, successfully have developed a collaborative Drug Therapy Management program that has demonstrated significant reductions in emergency room visits and inpatient admissions, as well as significant costs savings. More

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Dec. 17 insights webinar rescheduled: 'Proper Capitation Rates for Hemophilia Patients' now at 11 a.m. EST Jan. 23
Baxter    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The webinar will cover the uniqueness of the hemophilia disease state and the difficulties to apply an appropriate capitation for this disease. Also on the agenda: considerations for managed health care plans to ensure that states understand this unique disease state and that adequate reimbursement is received for hemophilia patients to receive the needed care. For details, click here. More

Free webinar: 'Getting to know the 30 million newly insured: New patients equals new challenges' | 2 p.m. EST Feb. 6
PwC    Share    Share on FacebookTwitterShare on LinkedinE-mail article
In the wake of the Supreme Court's ruling to uphold the Affordable Care Act, approximately 30 million uninsured Americans under age 65 stand to gain coverage under the law. States are making two crucial decisions: Whether to expand Medicaid coverage, and which type of health insurance marketplace to create — state-run, state-federal run, or federally facilitated. As decisions are made and plans put in place, one thing is certain: When the exchange population is combined with the new Medicaid beneficiaries, the result will be a distinctly different customer base for the health sector, bringing with it many new challenges and opportunities. More



MHPA CEO Thomas Johnson to speak at Strategic Solutions Network's 4th Annual 'Medicaid Innovations Forum' | Feb. 5-7 | Orlando, Fla.
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Medicaid Innovations is designed to be the meeting place for all participants in the Medicaid universe who want to participate, share and learn about innovations that promote quality improvement, cost reduction and transformation in the face of reform. Use discount code MHPA when registering to receive a $200 discount off the current rate. For complete agenda and to register, click here.

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