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Home   About   Policy & Advocacy   Education & Resources   Events   Contact Us Dec. 27, 2011
MHPA

As 2011 comes to a close, MHPA would like to wish its members, partners, and other industry professionals a safe and happy holiday season. As we reflect on the past year for the industry, we would like to provide the readers of the MHPA's Industry Newsbrief a look at the most accessed articles from the year. Our regular publication will resume Jan. 3, 2012.

Obama rejects Governors' plan to overhaul Medicaid
The Fiscal Times via Kaiser Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Mar. 1, 2011: The recession-fueled state budget crisis has turned Medicaid into the next battleground in the ongoing war over President Barack Obama's signature health care reform law. The president rejected a plan promoted by conservative Republican governors including Haley Barbour of Mississippi and Scott Walker of Wisconsin to turn Medicaid, the joint federal-state program that provides health care for the poor, into a block grant program More


Louisiana Medicaid makeover attracts 12 corporate applicants
The Times-Picayune    Share    Share on FacebookTwitterShare on LinkedinE-mail article
July 5, 2011: Twelve companies have applied to participate in the Louisiana's new "coordinated care networks" initiative, which will steer nearly 900,000 Medicaid recipients into private managed-care plans. More

Medicare-Medicaid 'dual-eligibles' have serious health issues, fragmented care
Investors.com    Share    Share on FacebookTwitterShare on LinkedinE-mail article
June 23, 2011: The House Energy and Commerce Committee held a relatively informative hearing on the state of "dual-eligibles." Unless you are a health care policy wonk, you probably don't know what dual-eligibles are, so here's a simple definition: They are low-income individuals who are either at least 65 years of age or disabled and thus qualify for both Medicare and Medicaid. 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


States turn to private insurance companies for managed care
Kaiser Health News via USA Today    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Feb. 23, 2011: Holly Hawthorne has recently passed a huge milestone. Two years ago she was severely brain damaged when her motorcycle was hit by a bus in India. She has now moved out of a nursing home and back into the house she grew up in. More

Florida Legislature passes massive Medicaid overhaul
News Service of Florida via Kaiser Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
May 10, 2011: Arguing that the proposal will save tax dollars and improve patient care, Republican lawmakers approved a massive overhaul of Florida's Medicaid system. The proposal, which has been debated, would eventually shift hundreds of thousands of poor and elderly beneficiaries into health maintenance organizations and other types of managed-care plans. More



Centene appoints Holly Benson as senior vice president of health policy and announces additional organizational changes
Centene Corporation    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Mar. 8, 2011: Centene Corporation announced the appointment of Holly Benson as senior vice president of health policy. Ms. Benson brings more than 10 years of government and public policy experience to Centene. More

UPMC for you makes NCQA's Top 10 Medicaid Health Insurance Plans
The National Committee for Quality Assurance    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Mar. 29, 2011: The National Committee for Quality Assurance ranked 104 Medicaid health plans based on clinical performance, member satisfaction and NCQA Accreditation. NCQA's Health Insurance Plan Rankings 2010-2011 used NCQA's established rankings methodology, which has been used and widely recognized since 2005. 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


A profile of Medicaid Managed Care programs in 2010: Findings from a 50-state survey
Kaiser Family Foundation    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Sept. 13, 2011: Most Medicaid beneficiaries nationally are enrolled in some form of managed care, and, with current budget pressure and health reform on the horizon, states are expected to increase their reliance on managed care to deliver services in their Medicaid programs. More

Medicaid Health Plans of America hits back at Commonwealth Fund for report on Medicaid managed care plans
MHPA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
June 30, 2011: The June 2011 Commonwealth Fund Issue Brief, "Assessing the Financial Health of Medicaid Managed Care Plans and the Quality of Patient Care They Provide," used limited data to draw inappropriate conclusions regarding the Medicaid health plan industry, asserts Medicaid Health Plans of America, the trade group representing the industry. More

HHS says ACOs could save Medicare up to $960 million over 3 Years.
Kaiser Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Mar. 31, 2011: The Obama administration released proposed rules to help hospitals and doctors form a new type of health care delivery system called accountable care organizations, and officials said they estimated the ACOs could save Medicare up to $960 million over three years. More
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MHPA's Industry NewsBrief
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