Medicaid Health Plans of America (MHPA)

12/02/2024

Want to learn how to better manage pharmacy costs and improve member outcomes in your Medicaid plan? Don't miss our webinar with Express Scripts by Evernorth this Wednesday!

🔗 Register here: https://ow.ly/4ZLy50UjoKQ

11/21/2024

Tomorrow, we celebrate National Rural Health Day!

Did you know that Medicaid covers 25% of people under 65 who live in rural areas? In fact, Medicaid/CHIP covers 47% of children and 18% of adults in small towns and rural areas.

Medicaid is a lifeline for rural communities, providing essential healthcare coverage to those who need it most. Let's work together to protect and strengthen Medicaid for the health and well-being of rural America!

11/20/2024

🌟Join the largest Medicaid Managed Care Annual Conference, MHPA25, as an exhibitor or sponsor and gain unparalleled exposure to industry leaders!

Connect with top health plans and enhance your brand visibility at our premier Medicaid-focused event.

Download the prospectus now and reserve your spot: https://ow.ly/UNhm50UaxpF

MHPA25 is the perfect opportunity to network with executive managed care leaders, policymakers, and innovators in the Medicaid industry. Don't miss out!

📅 Event Details:
• Date: September 10-12, 2025
• Location: Kansas City, Kansas

11/18/2024

MHPA Submits Letter to CMS on Capitation Rates

Medicaid Health Plans of America (MHPA) is committed to working collaboratively with states and the Centers for Medicare & Medicaid Services (CMS) to ensure adequate and actuarially sound capitation rates for Medicaid managed care organizations (MCOs).

We’ve highlighted some of the factors which are creating significant rate pressures and budgetary constraints for States and MCOs, including:

🔵 Post-pandemic shifts in member acuity,
🔵 data lags impacting rate development,
🔵 the impact of programmatic changes like single PDL/PBM designs,
🔵 inflationary pressures,
🔵 the cost of regulatory enhancements to access and quality, and
🔵 the underestimation of utilization driven by increased provider capacity and consumer demand.

To address these issues and foster a financially stable and equitable system, MHPA recommends:

Responsive Rate Adjustments: Guidance from CMS on mid-year rate adjustments to account for changing circumstances is crucial. This includes incorporating the latest data for more accurate rate setting.

Improved Rate-Setting Tools: CMS can provide better tools and guidance for states to accurately account for the impact of policy changes designed to increase access.

Enhanced Transparency and Monitoring: Increased transparency and consistent monitoring of rate setting will help ensure fairness and accountability.

Technical Assistance for States: Providing robust technical and analytical assistance to state Medicaid agencies will strengthen their capacity to manage program finances and stability.

We believe that through open communication and collaboration, we can achieve a sustainable system that ensures access to quality, affordable healthcare for all Medicaid beneficiaries. We value our partnership with states and CMS and look forward to continuing this vital dialogue. https://ow.ly/HBQ350U8FEa

11/07/2024

🌟 Relive the Experience! 🌟

We’re thrilled to share the highlight reel from MHPA24! 🎥✨ Dive into the moments that inspired us and the connections we made as leaders in Medicaid Managed Care.

But that’s not all—Save the Date for MHPA25! Join us in Kansas City on September 10-12, 2025.

📅 Stay ahead of the game! Click below to watch the highlight reel and sign up for exclusive updates on MHPA25!

🔗 Sign Up for MHPA25 Updates https://ow.ly/TaPE50U2n3S

Together, let’s continue to innovate and improve healthcare for everyone! 💪❤️

11/04/2024

🚀 Exciting Update from the Population Health Alliance Innovation Summit! 🚀

On October 24th, Nick Wilhelm, Director of Regulatory Affairs at MHPA, joined an expert panel for a dynamic discussion on “Advancing Medicaid Quality and Continuity of Care.” Alongside leading voices like Melisa Byrd from the DC Department of Health Care Finance, Jack Rollins, Federal Policy Director at NAMD, and Leesa Allen, Managing Director at Sellers Dorsey, our conversation explored crucial recent rulemaking and quality metrics impacting Medicaid.

🌟 Key Highlights:

Implementing Change: Melisa shared effective strategies for navigating new regulations while managing the complexities of a Medicaid program.

State Perspectives: Jack provided valuable insights into how states are operationalizing access, quality, and financing provisions.

Managed Care Support: Nick discussed how health plans are partnering with states to enhance access and promote equity for Medicaid beneficiaries.

Thank you to all the panelists and attendees for contributing to this vital dialogue on improving the Medicaid program! Together, we are paving the way for a healthier future for all. 💙

11/01/2024

MHPA CEO, Craig Kennedy, shares: New research from MHPA shows Medicaid MCO waivers are working! States using these waivers, especially auto-enrollment, see less decline in Medicaid enrollment. Learn how MCOs are reducing procedural barriers to coverage:

https://ow.ly/Movc50TY9LV

MHPA recently released new research analyzing Medicaid enrollment trends in the presence of two Medicaid managed care-specific waivers: Managed Care Auto-Enrollment and MCO Beneficiary Contact Update, and the data shows yet again that MCO involvement has a positive impact. By examining the net chang

10/30/2024

This Breast Cancer Awareness Month, MHPA recognizes the vital role Medicaid plays in ensuring women across the country have access to critical breast cancer screenings and preventive services. Early detection is key, and Medicaid makes it possible.

10/17/2024

MHPA is pleased to be a sponsor of the National Academy of Social Insurance's (NASI) 2024 Robert M. Ball Award. This prestigious award honors those who have made outstanding contributions to social insurance, a mission that aligns closely with MHPA's dedication to improving healthcare access and affordability.

Help us celebrate this year's honorees: William Arnone, Marty Ford, and William Rodgers. Their work embodies a commitment to social insurance and its power to positively impact lives.

10/11/2024

Many states are partnering with Managed Care Organizations (MCOs) as part of their redetermination outreach strategies. Our new research 📊 shows that states utilizing specific MCO waivers experienced a smaller decrease in enrollment during the Medicaid unwinding period. Learn how MCOs can help maintain coverage

🔗 https://ow.ly/GZNj50TJErO

10/10/2024

🗳️ Election 2024: A Critical Debate on the Future of Medicaid

The 2024 election holds immense consequences for Medicaid. In this compelling video, Chris Jennings and Brian Blase – prominent voices in Democratic and Republican health policy – engage in a moderated discussion, exploring the potential impacts of different electoral outcomes on Medicaid's future. Their insights are crucial for understanding the stakes involved.

Watch now and share your thoughts: https://youtu.be/9wtAcD8EFYc?si=LTZ77LhtiwDyCWjK

10/07/2024

🌟🎉 Congratulations to Our Award-Winning Members at Activate 2024! 🎉🌟

We’re thrilled to celebrate the incredible achievements of our member health plans recognized at Activate 2024 in Dallas! Your innovative approaches and commitment to improving health outcomes truly set the standard in our industry.

🏆 HCSC (Health Care Service Corporation)

WINNER: Most Innovative Solution

HCSC leveraged Decision Point Insights to identify and support members at-risk of disenrollment, ensuring they stay informed and engaged ahead of open enrollment.

🏅 CBH (Community Behavioral Health)

WINNER: Achieving Health Equity

CBH’s user-driven program design reflects their dedication to understanding and addressing unique member challenges, resulting in significant improvements in medication adherence. 🎊

🌟 Elevance Health

WINNER: Biggest Impact on Health Outcomes

Through mPulse partnerships, Elevance has successfully engaged members across 24 Medicaid markets, achieving remarkable compliance rates and closing gaps in care.

👏 We are proud of your dedication to health equity and innovation! Together, we’re making strides toward a healthier future for all.

10/02/2024

📝 MHPA Submits Comments to CMS on Revised Nevada Waiver

Last week, we submitted our feedback to CMS Administrator Chiquita Brooks-LaSure regarding Nevada's revised 1332 Waiver application. While we commend CMS for amending the waiver to include a phase-in of premium reduction targets, which will help to promote beneficiary choice in Nevada, we continue to have significant concerns.

We urge CMS to reject the waiver as it currently stands and collaborate with Nevada to create an alternative that enhances access without compromising provider participation or member choice.

Our main concerns include:

➡️ Increased Burden on Providers: The requirement for Medicaid Managed Care Organizations (MCOs) to submit a “good faith” bid could limit competition and harm access to care for Nevadans.

➡️ Provider Reimbursement Reductions: Lower reimbursement rates may worsen the existing workforce shortages, making it harder for families to access the care they need.

We believe all Nevadans deserve high-quality, affordable healthcare, and we're committed to advocating for policies that support this goal.

Read our letter for more details. 📄
https://ow.ly/vFsV50TBqHF

09/26/2024

🎉🌟 Exciting Announcement from MHPA! 🌟🎉

We are proud to celebrate the remarkable achievements recognized at this year’s MHPA Awards Program! Our awards honor the dedicated individuals and organizations committed to our mission of supporting vulnerable populations and strengthening the nation’s public health safety net.

Please join us in congratulating this year’s extraordinary honorees:

🥇 JOY WHEELER AWARD: Donna Stidham, RN, AIDS Healthcare Foundation
🥇 ISADORE KING AWARD: Ushur
🥇 CONGRESSIONAL LEADERSHIP AWARD: U.S. Representative Troy Balderson (R-OH 12th District)

Each of these individuals and organizations exemplifies tireless advocacy and transformative leadership in public health. Your dedication inspires us all!

Let’s celebrate their impactful contributions that drive positive change in our communities! 🙌💙

09/25/2024

🌟 Insights from Today's Panel on Unpacking the Consumer-Centric Health Experience at the Activate 2024 presented by mPulse ! 🌟

This morning, during the Activate 2024 conference, our CEO, Craig Kennedy, took the stage alongside industry experts Judy Razo from Community First Health Plans and Andrew Lockerbie from PDHI for an engaging discussion on redefining the healthcare experience! 🩺✨

During the session, the panel highlighted the urgent need to dismantle data silos across the healthcare ecosystem, allowing us to elevate the member experience. As modern consumers demand more from their healthcare interactions, we must embrace digital transformation to not only enhance their journey but also support the financial wellness of our systems. 📊💻

Thank you to everyone who attended and contributed to a dynamic conversation! 🙌

09/24/2024

🌟 NICU Awareness Month: Celebrating Our Most Vulnerable Newborns 🌟

This September, we honor NICU Awareness Month and the incredible families who rely on Medicaid managed care for support during one of life's most challenging journeys. At MHPA, we are proud to advocate for health equity and access to quality care for all, especially for those in the NICU.

👶 Why It Matters
Each year, thousands of premature and critically ill newborns receive life-saving care in Neonatal Intensive Care Units (NICUs). This vital support ensures that these little warriors have a fighting chance at life. With Medicaid, families can access the necessary resources and services during this crucial time.

💜 Join Us in Raising Awareness:
Let's come together to spread the word about the importance of NICU care and the critical role Medicaid plays in the lives of vulnerable infants and their families. Share your NICU journey, tag us, and use the hashtag to help shine a light on this important issue!

🤝 Support and Resources:
If you or someone you know is navigating a NICU experience, know that you are not alone. Explore our resources and learn how Medicaid supports families during these challenging times.

Together, we can ensure that every baby gets the care they deserve! 💖



👉 Learn more about our advocacy efforts at mhpa.org!

09/23/2024

On Wednesday, September 25, UnitedHealthcare Community & State will host a live webcast featuring, Lillianna Garcia, Founder of Rebuilding Independence My Style and Dr. Shilpa Patel, Director of Population Health & Health Equity for the Center for Health Care Strategies. The conversation will uncover insights into the importance of consumer engagement in Medicaid and how UnitedHealthcare is working to expand engagement-focused programs to advance health equity for all members.

Consumer engagement helps to identify health system challenges and opportunities, advance equitable policies and build trust between consumers and those delivering care. Prioritizing transformational consumer engagement requires organizations to foster trust, partner with outside institutions and allow flexible touchpoints for consumers.

🔗 Register Now:

On Wednesday, September 25th, 2024, at 12:00 p.m. CDT, we are hosting a live webcast featuring Health Equity Advisory Board members, Lillianna Garcia, founder of Rebuilding Independence My Style an...

09/11/2024

🎉 We are thrilled to announce that registration for hashtag is now LIVE! 🎉

A huge thank you to our amazing registration sponsor, Elevance Health! 🙌 Support like this is vital to the success of this event, and we are incredibly thankful for it.

Don’t miss out – registration is available on site. Join us for an unforgettable experience!

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