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Fewer Medicaid, CHIP improper payments in managed care
MHPA
CMS has announced the FY 2013 Medicaid and CHIP improper payment rates in its 2013 HHS Financial Report. Once again, the error rate in Medicaid managed care is lower than in fee-for-service Medicaid
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Tennessee announces Medicaid managed care awards
Health Management Associates
The state of Tennessee completed its evaluations of proposals submitted for its TennCare statewide Medicaid managed care reprocurement. The three incumbent Medicaid managed care plans — UnitedHealthcare, BlueCare Tennessee and AmeriGroup — were awarded contracts under the new contracts, outpacing rival bids by Aetna, Centene and Cigna.
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States expecting to get Medicaid cases from federal website
The Associated Press via The Washington Post
Medicaid applications have been sent to states so they can enroll people, beginning with a handful of places where technical problems that have marred the new insurance marketplace are expected to be less of an issue.
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Virginia governor-elect to reappoint state health secretary, Bill Hazel
The Washington Post
Virginia Gov.-elect Terry McAuliffe will keep Gov. Robert F. McDonnell's health secretary as his own, a choice that could help the new governor sell Medicaid expansion to wary Republicans but that also infuriates some abortion rights activists.
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Medicaid expansion holds final meeting of year in Virginia
The Associated Press via The Washington Post
The Medicaid Innovation and Reform Commission of Virginia held its final meeting of 2013 — a meeting Sen. Emmett Hanger described as an informational meeting with presentations from experts on issues like Medicaid fraud and federal health care law revenue provisions.
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Docs, Dems call for Medicaid expansion
WRAL-TV
tate lawmakers decided against expansion of Medicaid in North Carolina, but they are being asked to reconsider. A group of Democratic leaders and community advocates asked legislative leaders to call a special session to reverse their decision and take the federal government up on the offer of funds.
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Healthy Indiana Plan and the Affordable Care Act
The Henry J. Kaiser Family Foundation
Prior to the enactment of the Affordable Care Act, a number of states used Section 1115 Medicaid Demonstration Waivers to expand coverage to adults and to operate Medicaid programs in ways not otherwise allowed under federal rules. Beginning in January 2008, Indiana began enrolling adults in its new Healthy Indiana Plan, which was authorized under Section 1115 waiver demonstration authority.
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In Nevada, the Republican governor who doesn't completely hate Obamacare
The Washington Post
The biggest threat to Senate Majority Leader Harry Reid's future in the Senate isn't the success or failure of the Affordable Care Act. Instead, it's the Republican governor of Reid's home state who has embraced Obamacare — or at least worked to implement it effectively.
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Frustration grows over delay in docs' pay raise
Georgia Health News
Nearly a year after it was supposed to take effect, the physician pay hike for Medicaid services still hasn't been fully implemented in Georgia and other states. The delays have come in states, including Georgia, that use managed care in their Medicaid programs, a physicians organization said.
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Federal data: Health disparities among states
The Associated Press via
The Washington Post

Residents in some parts of the United States are signing up for healthcare coverage at a significantly greater rate than others through the new online insurance marketplaces now operating in every state. The discrepancy may trace back to the political leanings of their elected leaders.

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Experts suggest Medicaid expansion could enroll 8 million
Politico
Enrollment in new Obamacare exchanges may be lagging, but experts said that the health law's massive expansion of Medicaid could place more than 8 million low-income people in the program before the first year is up.

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GOP lawmakers fear Medicaid expansion is straining system
The Hill
Republicans on the House Energy and Commerce Committee sent letters to Medicaid directors in all 50 states and the District of Columbia seeking information about the program's expansion under Obamacare.

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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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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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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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TRENDING ARTICLES
Missed our previous issues? See which articles your colleagues read most.

    Federal exchange sends unqualified people to Medicaid (USA Today)
North Carolina Medicaid anticipating overhaul proposal changes (The Associated Press via BND.com)
Tennessee governor working with HHS on Medicaid expansion (The Hill)
TMG Health: Innovative technology will deliver success to healthcare payers (PRNewswire via WCIV-TV)
21 percent of those with Medicare or Medicaid have had to put off care due to cost (CBS News)

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


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.

Your free trial will include access to the numerous articles and documents posted every business day, as well an email alert every morning highlighting the latest news. You'll also have access to our three weekly newsletters (Health Exchange Alert, Inside CMS and FDA Week), which you can download in PDF format and circulate.

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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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