This message contains images. If you don't see images, click here to view.
Click here to advertise in this news brief.
  Mobile version   RSS   Subscribe   Unsubscribe
Home   About   Policy & Advocacy   Education & Resources   Events   Contact Us Dec. 20, 2011
MHPA


Supreme Court sets healthcare arguments for March
Politico    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The healthcare showdown of 2012 has been scheduled. The Supreme Court announced that it will hear three days of oral arguments on various pieces of the health reform law on March 26, 27 and 28 — just days after the law's two-year anniversary. More


Feds face challenges in launching US health exchange
Kaiser Health News with The Washington Post    Share    Share on FacebookTwitterShare on LinkedinE-mail article
With many states unwilling or unable to get insurance exchanges operational by the health law deadline of Jan. 1, 2014, pressure is growing on the federal government to do the job for them. More

Obama passes 'hot potato' to states
Bloomberg    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Obama administration avoided a potentially brutal lobbying battle over the medical benefits insurers must cover under the U.S. healthcare overhaul when it decided to hand the decision off to states. More

Arizona Supreme Court to hear AHCCCS case
The Arizona Republic    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Arizona Supreme Court agreed to consider a challenge to state Medicaid cuts. The court put the matter on its Feb. 15 agenda and will decide then whether to take the case and hear oral arguments. More

Simplify your provider relationships by partnering with NaviNet
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


New Jersey bill to increase enrollment in healthcare programs advances
New Jersey Today    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Senate Budget and Appropriations Committee approved a bill that would create an outreach and enrollment initiative to increase the number of New Jersey's children and low-income adults enrolled in New Jersey FamilyCare and other safety net programs. More

Enrollment begins for Louisiana Medicaid revamp
The Associated Press via KATC-TV    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Enrollment has started in the New Orleans area for Medicaid recipients whose health care will be overseen through private managed care networks. More

Michigan hits roadblock with health exchange
Lansing State Journal    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The man responsible for creating a new statewide health exchange required by federal law said he's ready to go around the Legislature if Republicans won't allow him to start work on the project. More



HHS rejects Michigan's request for MLR adjustment
The Hill    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Health and Human Services Department denied a sixth state's request for an adjustment to certain rules under the new healthcare law. More

HHS names Pioneer ACOs, but other organizations still uncertain
Government Health IT    Share    Share on FacebookTwitterShare on LinkedinE-mail article
On the same day that consultancy KPMG shared poll results finding that the majority of payers and providers are undecided about adopting the accountable care organization model, the Department of Health and Human Services has named 32 Pioneer ACOs. More

State Medicaid programs catch up on meaningful use
InformationWeek    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Most state Medicaid programs have finally launched programs to provide health IT incentives to physicians and hospitals, one year after they were authorized to do so. More

Fraud's #1 Enemy!

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


HMS employer solutions dependent eligibility audit services endorsed by the AHA
Business Wire    Share    Share on FacebookTwitterShare on LinkedinE-mail article
HMS, a wholly owned subsidiary of HMS Holdings Corp., announced that its Dependent Eligibility Audit services from HMS Employer Solutions have been exclusively endorsed by the American Hospital Association. More

ValueOptions® and North Shore-LIJ Health System partner to strengthen public behavioral health services for Long Island
PR Newswire via KCAU-TV    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The New York State Office of Mental Health and the New York State Office of Alcoholism and Substance Abuse Services have jointly selected Long Island Behavioral Health Management to serve as Long Island's first Regional Behavioral Health Organization. More

Improving Lives. Reducing Costs.
Health Integrated, the leading innovation partner for health plans, provides evidence- based solutions to achieve health management goals for clinical outcomes, quality measures and cost containment.

Our expertise with vulnerable populations and 360-degree view of the impact of bio-psycho-social risk factors on health makes us the perfect partner for Medicaid and Medicare plans.

www.healthintegrated.com


Webinar: Understanding Health Literacy
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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.
More

3rd Annual Medicaid Innovations Forum
Medicaid Innovation Forum    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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.
More

The World Congress 5th Annual Leadership Summit on Medicaid Managed Care
World Congress    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Feb. 28 - March 1, 2012
Sheraton Reston, Reston, Va.

Network with over 100 Health Plan and Pharmaceutical industry executives and State Medicaid Directors at the 5th Annual Leadership Summit on Medicaid Managed Care.

Featured Speakers Include: Thomas L. Johnson, president and Chief Executive Officer, Medicaid Health Plans of America Henry Waxman, D-CA, U.S. HOUSE OF REPRESENTATIVES Jennifer Coleman, Senior Advisor, Federal Coordinated Health Care Office, Centers for Medicare and Medicaid Services (tentative) Karen Brodsky, Director, New Jersey Department of Human Services

30 Sessions, 12 Keynotes, 15 Track Sessions
In-Depth Examinations and Discussions on issues such as:
•Medicaid Expansion
•Early Innovator Grants
•Health Insurance Exchanges
•MMIS & HIT
•Care Management/Quality Improvement and more.

MHPA health plan members can attend the conference for just $695 (a $900* savings!) when using Promo Code SEZ526 to register by Jan. 13.
To register, call us at 800-647-7600 or visit the World Congress website.
* Discount does not apply to the Government Rate.


Job opportunity: Mercy Care Plan seeks chief medical officer
Mercy Care Plan    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Mercy Care Plan, a not-for-profit Medicaid health plan managed by Aetna Medicaid which provides healthcare coverage for enrollees in Arizona's Medicaid program, seeks a new chief medical officer. The successful candidate will be a physician with at least four to six years of experience in medical management and policy implementation within a healthcare provider or managed care organization. Medicaid experience preferred. For a full position description and to apply, please email mercycarecmo@meyerconsultinginc.com.

The Disparities Solutions Center at Massachusetts General Hospital is now accepting applications for the 2012-2013 Disparities Leadership Program
Massachusetts General Hospital    Share    Share on FacebookTwitterShare on LinkedinE-mail article
This year-long executive education program is designed for leaders from hospitals, health plans and other healthcare organizations who wish to implement practical strategies to identify and address racial and ethnic disparities in healthcare, particularly through quality improvement. More

MHPA on Twitter, Facebook and LinkedIn
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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    Share    Share on FacebookTwitterShare on LinkedinE-mail article
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.
More connections mean higher capitation rates.
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
THOUGHT LEADERS IN HEALTH LAW®

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.
Vitas
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.


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MHPA's Industry NewsBrief
Colby Horton, Vice President of Publications, 469.420.2601   Download media kit
Ralph Ayyad, Content Editor, 469.420.2638   Contribute news
This edition of the MHPA's Industry NewsBrief was sent to ##Email##. To unsubscribe, click here. Did someone forward this edition to you? Subscribe here -- it's free!
Recent issues
Dec. 20, 2011
Dec. 15, 2011
Dec. 13, 2011
Dec. 8, 2011



7701 Las Colinas Ridge, Ste. 800, Irving, TX 75063