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Tennessee tees up Medicaid expansion battle
Politico
Tennessee is the latest conservative state to pursue Medicaid expansion under Obamacare. It just doesn't want to call it that. Republican Gov. Bill Haslam unveiled a proposal to expand coverage up to 138 percent of the poverty level as spelled out in the federal health law, opening the door to billions of dollars in federal funding through the Affordable Care Act. Yet like several Republican governors before him, Haslam faces uncertain prospects as he tries to secure legislative approval in 2015 for the plan, called Insure Tennessee. His state is not eager to embrace the president's health law, or even its language.
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3 Republican governors have now endorsed the Medicaid
expansion since the midterms

The Washington Post
Gov. Bill Haslam of Tennessee became the latest Republican governor to announce support of Obamacare's Medicaid expansion —and the third in the nation since Republicans gained more power at the state and federal levels in the November midterm elections. Like most other Republican governors who want to take the healthcare law's generous federal funding, Haslam is now offering a plan that deviates from the Medicaid expansion envisioned under the Affordable Care Act. Haslam, who made the announcement almost a month after his re-election, said the Obama administration has verbally approved the approach.
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Latest push for Medicaid expansion in Florida lets business
groups take lead

The Florida Times-Union
The number of Republican-controlled states deciding to reverse course and expand Medicaid continues to grow, with Tennessee joining the list most recently. A coalition of Florida businesses and healthcare organizations is urging Florida to join that list during the 2015 legislative session. The group has come up with a new Medicaid expansion proposal called "A Healthy Florida Works" that embraces parts of previous failed attempts while added new components that are intended to garner the support of Republican and Democratic legislators who must approve any plan.
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Wyoming lawmakers wait on Medicaid expansion decision
Casper Star-Tribune
State lawmakers are expected to decide whether they will back a plan to make Wyoming the latest state to expand its Medicaid program. The Wyoming Legislature's Joint Labor, Health and Social Services Interim Committee spent about five hours debating two proposed bills that would extend health coverage to 17,600 low-income residents by accepting the expansion.
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Alaska's new governor sets sights on Medicaid expansion
Kaiser Health News
Independent Bill Walker, who won election last month in an Alaska governor's race so tight the results weren't known a week after the voting was over, campaigned on the promise that he'd expand Medicaid as one of his first orders of business. To make good on that, he'll have to face Alaska's Republican-controlled legislature that hasn't been willing to even consider the idea.
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Virginia governor to renew push to expand Medicaid
The Washington Post
Virginia Gov. Terry McAuliffe will make a renewed push to expand Medicaid under the Affordable Care Act when he presents legislators with a budget plan that calls for extending the government health-care program to 400,000 uninsured Virginians.
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Louisiana Senator-elect given HELP Committee seat
The Hill
Louisiana Sen.-elect Bill Cassidy will join the Health, Education, Labor and Pensions (HELP) Committee in the next congressional term, GOP leadership announced. The assignment is hardly surprising for Cassidy, a physician and professor of medicine whose campaign against Sen. Mary Landrieu focused largely on healthcare issues.
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Dec. 17 Webinar Wednesday (rescheduled): 'Why All Medicaid Managed Care Organizations Need an ACO Strategy' | 3 p.m. ET
Epstein Becker Green and Health Policy Source, Inc.
The growth and persistence of the state accountable care organizations (ACO) movement is being fueled by CMS' State Innovation Model grants and by state implementation of Medicaid ACOs — 17 states have already implemented some form of Medicaid accountable care. Join Clifford Barnes, partner at Epstein Becker Green, PC, and Jenny Gladieux, senior health policy analyst for Health Policy Source, Inc., as they provide the tools to develop an understanding of how Medicaid ACOs affect Medicaid managed care and provide the rationale on why Medicaid managed care needs to develop state-specific ACO strategies.
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MHPA Capitol Hill briefings on new PwC Medicaid enrollment report | Dec. 17
MHPA
MHPA will release the new PwC Medicaid enrollment report, The Expanded State of Medicaid in the United States at two briefings on Capitol Hill on Wed., Dec. 17. At the events, PwC will discuss the effect of Medicaid expansion and implications for the future. Specifically, Ari Gottlieb, director of PwC Health Industries Payer Strategy, will highlight the growth in Medicaid enrollment by state and the relative growth of fee-for-service versus Medicaid managed care.

The first briefing is at 9:30 a.m. in Rayburn Room 2322, and the second at 1 p.m. in room SVC-202 of the Capitol Visitor Center.

NB: Security in the Capitol Visitor Center needs a list of noncongressional staff attendees, so please RSVP here if you plan to attend the Capitol Visitor Center briefing.

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View MHPA CEO's presentation on specialty drugs at the FDA/CMS
Summit for Payers

MHPA
MHPA President and CEO Jeff Myers presented on specialty drug pricing at the 2014 FDA/CMS Summit for Payers in Washington, DC. View his entertaining and informative slides here.
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MHPA's Myers to speak at 6th Annual Medicaid Innovations 2015 Forum | Feb. 3-5, 2015 | Orlando
Medicaid Innovations Forum
Join MHPA President and CEO Jeff Myers at the Sixth Annual Medicaid Innovations 2015 Forum in February 2015. This meeting offers a unique combination of forward-thinking perspectives including first-hand case studies and examples of true innovation from both Medicaid managed care plans and state government agencies. The forum, which gathers hundreds of representatives from states, health plans and solution providers in one room, goes beyond policy to explore the specific strategies these organizations are leveraging to improve quality of care, reduce costs and position themselves for success in serving the rapidly expanding Medicaid population. Use Discount Code MHPA200 to receive $200 off the current rate.
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MHPA's Myers to chair WHCC 4th Annual Medicaid and Medicare Reform Summit | March 2015 | Washington, DC
World Congress
MHPA President and CEO Jeff Myers will chair the WHCC 4th Annual Medicaid and Medicare Reform Summit, a meeting that convenes executives from health plans, hospital systems and policy organizations to share, learn and discuss approaches to improve the quality of government programs and achieve payment and delivery reform. For conference details, agenda and registration, please visit here.
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TRENDING ARTICLES
Missed our previous issues? See which articles your colleagues read most.

    Blue Shield moves into Medicaid with Care1st deal (Los Angeles Times)
Finding coverage through Pennsylvania's Medicaid expansion (The Philadelphia Inquirer)
States focus on 'superutilizers' to reduce Medicaid costs (The Pew Charitable Trusts)
Medicaid reforms pitched as way to help balance budget in Massachusetts (Boston Herald)
Gilead sued over 'exorbitant' hepatitis C drug prices (Reuters)
MHPA/NAMD fault HHS report on Medicaid managed care providers (MedPage Today)
Legislative differences on future of North Carolina Medicaid program persist (Charlotte Observer)

Don't be left behind. Click here to see what else you missed.


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First Quality
First Quality, a leading manufacturer of disposable home health care products, is seeking a clinical director for our Homecare & Managed Care Business. This candidate will provide leadership and have a focus on clinical education, utilization management protocols and programs and operational program development within home care and managed care markets.
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