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New Sellers Dorsey Podcast Released:
Medicaid Health Plans and Health Care Reform
In our new podcast, Chris Labonte, Director of Consulting Services, interviews Thomas L. Johnson, Executive Director of Medicaid Health Plans of America. Mr. Johnson talks about how health plans serve Medicaid beneficiaries, changes in the marketplace, and new issues in state and national health reform. Addressing the ever evolving marketplace, Mr. Johnson discusses managed care population and cost containment concerns facing states.
Listen to the podcast on our website!
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CMS Releases Guidance on Health IT: States Can Request 90% Match for Related Administrative Costs
CMS recently released guidance to states on the implementation of the Health IT provisions of the American Recovery and Reinvestment Act (ARRA) in the form of a State Medicaid Director letter. More information can be found on our website. ARRA provided incentives for Medicare and Medicaid providers to adopt meaningful use of certified technology. Medicaid incentive payments are passed through states and are intended to encourage the purchase, implementation, and operation of certified technology. The federal government provides 100% funding for incentive payments and provides a 90% match for related state administrative expenses.
Sellers Dorsey can help states and state HIT vendors establish Medicaid incentive payment programs and related 'meaningful use' initiatives that align with the state's HIT strategic plan and comply with all federal guidelines, further state MMIS functionality, and advance quality improvement projects, payment reforms and performance measures. For more information, contact Russ Pederson at rpederson@sellersdorsey.com.
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Integrating Medicare and Medicaid Managed Care into the Nursing Home Setting
Sellers Dorsey Director of Long Term Care, Pat Brady, spoke at the American Society of Health Care Administration Executives (ASHCAE) meeting in Vail, Colorado. Pat, along with Stuart Shapiro of the Pennsylvania Health Care Association (PHCA), presented "Integrating Medicare and Medicaid Managed Care into the Nursing Home Setting: Challenges, Pitfalls, and Opportunities for Success" to state health care association executives from around the country.
The presentation focused on key concerns surrounding managed care in nursing homes. Addressing the pros and cons of managed care utilization, Pat and Stuart provided state association executives with a firm understanding of areas that provide the opportunity for executives to think strategically about the direction of long term care policy and its impact on their facilities.
Regarding Sellers Dorsey's work with PHCA in the area of Long Term Care Managed Care and presenting with Pat, Mr. Shapiro stated "Sellers Dorsey has been very helpful in our efforts to study, and possibly implement, a managed care product for nursing homes. Pat Brady's presentation to nursing home executives on managed care was outstanding."
Contact Pat Brady for more information or to find out more about how Sellers Dorsey can help your organization in this area.
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Events
Pat Brady will be speaking at PHCA/CALM's Annual Convention September 15-17 and attending the AHCA/NCAL 60th Annual Convention October 4 - 7. Pris Boroniec will be attending the NASHP convention October 5-7.
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| Do you know everything you need to know about what's going on in the world of healthcare? Call us at 215-564-3014. |
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High Risk Pools After Health Care Reform There has been a tremendous amount of discussion throughout the national health care reform debate about the need to preserve the safety net. Despite being greatly impacted, one important piece of the safety net has not been widely discussed - state high risk pools. As of this writing, the shape health reform will take remains up in the air and its impact on state high risk pools uncertain. However, should the insurance reforms that have been widely discussed in both the House and the Senate be included in the final legislation, the role of state high risk pools will be dramatically different. It is far too early to predict with any certainty what will happen to state high risk pools. However, we do not think it is too early for states, Medicaid programs and state high risk pools to begin considering their options.
To continue this conversation, please contact Margaret Kristan, a Senior Consultant with Sellers Dorsey at mkristan@sellersdorsey.com. Margaret is the former administrator of the Wisconsin High Risk Pool, the Health Insurance Risk-Sharing Plan (HIRSP).
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New Government Policies: Opportunities for Supporting Research and Development
In the June/July 2009 Supplement of American Health & Drug Benefits, Senior Consultant, Kip Piper, presented an article on opportunities the industry may face with national policy changes. "We are going through dramatic and fundamental changes in the way the marketplace works, and these changes will affect critical healthcare elements, such as pricing and coverage, as well as innovation. There is a sea change occurring in Washington that can be described as a shift from a private sector focus to a very public sector focus, which will affect our perceptions and lead people to draw conclusions that are not necessarily based on reality." View the full article on our website.
Visit Kip Piper' Blog, Piper Report, which focuses on Medicare, Medicaid, pharma, biotech, health reform, and more.
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Curious About Something? Ask Sellers Dorsey Sellers Dorsey often receives questions in response to our newsletter, webpage or concerning other hot topics in health care. If you have any questions, please email us at info@sellersdorsey.com and our staff would be happy to answer them. We can provide you with insight from consultants who are in the field on a daily basis and offer up-to-date information on the latest breaking news.
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Sellers Dorsey is a national health care consulting firm providing strategic consulting services to state governments, private sector companies, and advocacy organizations. Our newsletter is intended to keep you informed about current happenings in the healthcare arena as well as news about our firm.
Please contact us with your topic ideas for future newsletters at mailto:info@sellersdorsey.com |
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