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In this issue
 
  • Never Ending Medicaid Conference 9 is next Friday!
  • Latest 5BF is out!
  • Medicaid News Curator updates
  • HHS Job Hunter updates
  • This Week's Medicaid Wrong Answers Only Game - We have a winner!
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Never Ending Medicaid Conference 9!
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Friday April 29th @ 9central/10 EST

Agenda
 
Medicaid News Roundtable Episode 52

The Medicaid Geezer Show

Solving complex health system problems by combining investment, non-profit and community approaches

Medicaid solution provider funding rounds news
Steven Hedgepeth
MostlyMedicaid
Ray Hanley
Arkansas Foundation for Medical Care
Vern Smith 
HMA
Binoy Bhansali
SCAN Health Plan 
Kris Vilamaa
MostlyMedicaid
Joel Menges
The Menges Group
Clay Farris
MostlyMedicaid
Len Kirschner
AARP Arizona
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Latest 5 Bullet Fridays
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Latest Medicaid News in HHS Curator
  1. Consulting firm that worked for the feds had conflicts. What about another that worked for Ohio? [MM Curator Summary]: Another state is questioning the revolving door and interconnected relationships between large health plans and other state contracts with global consulting forms.
 
  1. Pueblo West clinic Springbok Health settles fraudulent Medicare claims [MM Curator Summary]: Springbok Health will pay up to $335k for upcoding simple services to get paid as if they were complex medical services.                                                                                                        
 
  1. Medicaid to utilize centralized credentialing process for managed care providers this summer [MM Curator Summary]: MS will implement a single provider enrollment and credentialling system across all MCOs.
 
  1. Shreveport area mental health workers sentenced in Medicaid fraud case [MM Curator Summary]: Two LA mental health providers stole $3.5M from Medicaid by paying members to enroll in their program and submitting false claims for services.
 
  1. Missouri struggles to process Medicaid applications [MM Curator Summary]: Missouri Medicaid eligibility workers are struggling to keep up with the added strain of Medicaid expansion applications.
 
  1. Despite opposition, Pennsylvania Medicaid contracts keep unionization language [MM Curator Summary]: The corrupt inclusion of union-boss graft in Medicaid contracts remains in the latest version of Medicaid health plan contracts.
 
  1. Supreme Court nixes appeal on Arkansas’ Medicaid work requirements program [MM Curator Summary]: SCOTUS killed AR work requirements quietly, with a pillow, in the middle of the night.
 
  1. Nearly 2,000 providers to receive $503M in Medicaid grants [MM Curator Summary]: The FL HCBS ARPA money is finally moving to providers.
 
  1. New York audit finds nearly $1B in Medicaid billing errors  [MM Curator Summary]: Th NY Comptroller continues to find extensive improper Medicaid payments in the Medicaid program year after year.
 
 
 
Read latest Curator items
New Medicaid Industry Conferences

2022 Medicaid Managed Care Summit
Strategies to Serve the Rapidly Expanding Medicaid Population 

April 25-26, 2022 * Intercontinental Wharf * Washington, DC

 

Bringing together Medicaid leaders from states and health plans, as well as government leaders and policymakers, this summit will address the most pressing issues facing state Medicaid managed care. You will learn about national trends and innovative programs to best serve the growing Medicaid population; current federal and state policies and regulations; how states are addressing COVID-19; integrating behavioral health; the use of telehealth; partnering with community providers; social determinants of health; advancing primary care innovation; data and analytics; value-based payments; health equity and much more.

 

Register now and save $200 with CODE JLM200 https://bit.ly/3sZpPnt

Health Equity Summit
Achieving Equity in an Evolving Healthcare System
April 25-26, 2022 Intercontinental Wharf, Washington, DC

 

This conference will present challenges and offer recommendations for facilitating the process of eliminating health disparities and achieving health equity across diverse populations. Topics to be discussed will include developing standardized race measurements across health systems, implementing effective interventions, improving workforce diversity, utilizing technological advances, adopting practices such as personalized medicine, and other strategies to move towards health equity.

 

Register now and save $200 with CODE JLM200 https://bit.ly/3JZpN67

 
HHS JobHunter
  1. Senior Medicaid Proposal Development Writer
 
  1. Consultant, Medicaid
 
  1. Director Account Management – Medicaid / Managed Care
 
  1. Medicaid Data Advisory Services Analyst
 
  1. Director of Medicaid Financial Data Analytics
 
  1. Medicaid Program Advisor
 
  1. Sr. Data Analyst Medicaid at Point32Health
 
  1. Provider Network Specialist, Behavioral Health job in Baton Rouge, Louisiana- Centene
 
  1. Executive Director, Medicaid Innovation Collaborative | Acumen
 
  1. Appeals Specialist I, Maryland – CareFirst
 
 
Check out latest HHS jobs
Weekly Medicaid Wrong Answers Only Acronym Game
We have a winner!!

The acronym was: 

MACPAC

our winner is Alex Grodner for his entry: 

My Annual Care Package Arrived Cattywampus

Honorable mentions 

Mostly Accurate Claims Payment & Adjudication Classifications

Many Angry Civilians Protest Against Congress

Most Alpacas Can’t Process Amortized Contracts

mothers always carpooling ancient children


The next acronym in our game is: 

OPRA

to learn more about the real meaning, click here

Send me your best wrong answer. Win a $5 Starbucks card. 
 
Send me your best WRONG answer
Coffee Talk
We put on a series of ongoing virtual meet and greets for different segments of our audience. Sign up for the next one below. 
Sign me up for the next HHS Coffee Talk
2022 Medicaid Health Plan Great Ideas Awards
We want to be a part of spreading positive news in our space.

The more people that know about successful innovations, the more those innovations can be repeated and adapted in other states.

Anyone can nominate a Medicaid plan for its work by filling out our simple survey here

https://survey.zohopublic.com/zs/2uCzZE

You can nominate a plan through October 20th, 2022. Early submissions are encouraged.
Nominate a plan / program
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