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In this issue
 
  • Latest 5BF is out! 
  • Medicaid News Curator updates
  • HHS Job Hunter updates
  • This Week's Medicaid Wrong Answers Only Game - Still taking submissions for "AAHA"
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Latest Medicaid News in HHS Curator
  1. New York Office of Medicaid Inspector General Proposes Regulations on Medicaid Provider Compliance Programs [MM Curator Summary]: If the OIG has its way, MCOs will be added to the list of groups who have to prove they are dealing with fraud, waste and abuse.
 
  1. Mark Farrah Associates Noted More Than One-Quarter of U.S. Population on Medicaid [MM Curator Summary]: There was very little movement in the year over year market share race amongst the MCOs.
 
  1. CareOregon helping Medicaid members stay cool in extreme heat [MM Curator Summary]: The MCO is planning ahead this year to help members avoid heat stroke, using algorithms to identify those most at risk.
  2. Nebraska Medicaid Announces Requests for Proposal For New Health Insurance Contracts [MM Curator Summary]: Awards are currently expected late August.
 
  1. INDIANA- Local businessman accused of medicaid fraud, counterfeiting [MM Curator Summary]: Timothy Adkins may or may not have forged doctor's signatures thousands of times, depending on whether or not you believe the docs whose signature are in question. He's facing about $950,000 of fraud allegations.
 
  1. Patient-level factors influencing adherence to follow-up imaging recommendations [MM Curator Summary]: Even after accounting for all other person-level variables, Medicaid members still don't complete ordered imaging followups.
 
  1. GDIT Wins $65 Million Medicare and Medicaid Cloud and Data Integration Contract [MM Curator Summary]: The award will be to implement a data warehouse that includes claims and member data for Medicare and Medicaid programs.
 
  1. Massachusetts Suit Over Circumcision Medicaid Payments Fails [MM Curator Summary]: Low income families will still have access to circumcision services, much to the chagrin of far left wing anti-circumcision extremists.
  
  1. Humana to reorganize, launches executive search [MM Curator Summary]: The insurance giant is making big moves in a recent re-org and efforts to cut $1B in costs.
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Upcoming conferences
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Our work to integrate care in CA gets noticed

A new report showcases a project where we led efforts to integrate key workstreams shared by a Medicaid managed care plan and their county partners. Special thanks and recognition also goes to our friends at Sellers Dorsey and Cruz partners.

Read the report to learn more. Reach out to kris@mostlymedicaid.com to learn how we can help your Medicaid health plan do great things.
 

Read the report
HHS JobHunter
  1. Senior Business Analyst (Medicaid Programs), Honolulu, Hawaii –
 
  1. Business Development Capture Director – Medicaid Job in Cedar, MO
 
  1. Medicaid/CHIP IT Management Analyst, Austin, Texas
 
  1. Trainer – Medicaid Job in Helena, MT
 
  1. Quality Specialist (MD Medicaid) | CareFirst BlueCross BlueShield
 
  1. Senior Business Consultant (Medicaid Vendor Management) at HCSC
 
  1. RN, Field Case Manager, Medicaid Western Kentucky Region, Kentucky
 
  1. Eligibility Specialist – Medicaid Eligibility, Chapel Hill, North Carolina
 
  1. RN, Field Case Manager, Medicaid Western Kentucky Region, Fulton, Kentucky
 
  1. Advisory Services/Project Management Analyst (Medicaid), Princeton, New Jersey
 
 
Check out latest HHS jobs
Weekly Medicaid Wrong Answers Only Acronym Game

Wanna play the next round? Our acronym is: 

AAHA (FYI the real meaning is American Association of Homes for the Aging)


Send me your best wrong answer. Win a $5 Starbucks card. 
 
Send me your best WRONG answer
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We put on a series of ongoing virtual meet and greets for different segments of our audience. Sign up for the next one below. 
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