CMS: Medicaid Program; Medicaid and Children's Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality
Notice of proposed rule from the Centers for Medicare& Medicaid Services (CMS) that would advance CMS' efforts to improve access to care, quality and health outcomes, and better address health equity issues for Medicaid and Children's Health Insurance Program (CHIP) managed care enrollees. The proposed rule would specifically address standards for timely access to care and States' monitoring and enforcement efforts, reduce burden for some State directed payments and certain quality reporting requirements, add new standards that would apply when States use in lieu of services and settings (ILOSs) to promote effective utiliz...
Source: Federal Register updates via the Rural Assistance Center - May 3, 2023 Category: Rural Health Source Type: news
Public Inspection: CMS: Medicaid Program: Medicaid and Children's Health Insurance Program Managed Care Access, Finance, and Quality
Pre-publication notice of proposed rule from the Centers for Medicare& Medicaid Services (CMS) that would advance CMS' efforts to improve access to care, quality and health outcomes, and better address health equity issues for Medicaid and Children's Health Insurance Program (CHIP) managed care enrollees. The proposed rule would specifically address standards for timely access to care and States' monitoring and enforcement efforts, reduce burden for some State directed payments and certain quality reporting requirements, add new standards that would apply when States use in lieu of services and settings (ILOSs) to promote ...
Source: Federal Register updates via the Rural Assistance Center - April 28, 2023 Category: Rural Health Source Type: news
Kaiser Permanente to Acquire Geisinger
The California health care organization will create a new nonprofit that aims to acquire a half-dozen additional community health systems. (Source: NYT Health)
Source: NYT Health - April 26, 2023 Category: Consumer Health News Authors: Reed Abelson Tags: your-feed-health your-feed-healthcare Health Insurance and Managed Care Finances Nonprofit Organizations Mergers, Acquisitions and Divestitures Kaiser Permanente Geisinger Health System Source Type: news
Many States Are Trying to Restrict Gender Treatments for Adults, Too
Missouri has imposed sweeping rules to limit health care for trans adults. Other states have banned Medicaid coverage or introduced bills outlawing care for young adults. (Source: NYT Health)
Source: NYT Health - April 22, 2023 Category: Consumer Health News Authors: Azeen Ghorayshi Tags: State Legislatures States (US) Law and Legislation Gender Health Insurance and Managed Care Medicaid Transgender United States Politics and Government Psychology and Psychologists your-feed-healthcare Source Type: news
Insurers Are Starting to Cover Telehealth Abortion
Several insurers will cover abortions through Hey Jane, a start-up online provider, just as courts threaten to hobble the industry. (Source: NYT)
Source: NYT - April 18, 2023 Category: American Health Authors: Claire Cain Miller and Margot Sanger-Katz Tags: Abortion Drugs Health Insurance and Managed Care Telemedicine Drugs (Pharmaceuticals) States (US) Law and Legislation Source Type: news
Biden Administration Will Fund Program to Keep Covid Vaccines Free for the Uninsured
The program, which will include a partnership with pharmacy chains, will help cover the costs of vaccinating patients when the shots move to the commercial market later this year. (Source: NYT)
Source: NYT - April 18, 2023 Category: American Health Authors: Sheryl Gay Stolberg and Noah Weiland Tags: Drugs (Pharmaceuticals) Vaccination and Immunization Coronavirus (2019-nCoV) Health Insurance and Managed Care Drugstores Pfizer Inc Moderna Inc Biden, Joseph R Jr Health and Human Services Department United States Politics and Governmen Source Type: news
Biden Will Expand Health Care Access for DACA Immigrants
The DACA program has shielded hundreds of thousands of young adults from deportation, but those immigrants have not been able to access federal health insurance programs. (Source: NYT)
Source: NYT - April 13, 2023 Category: American Health Authors: Zolan Kanno-Youngs Tags: United States Politics and Government Health Insurance and Managed Care Deferred Action for Childhood Arrivals Medicaid Patient Protection and Affordable Care Act (2010) Executive Orders and Memorandums Illegal Immigration Health and Human S Source Type: news
State seeks managed care providers for billions in contracts
The six-year contracts could be a game changer for Medicaid managed care plans and the enrollees they serve (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - April 13, 2023 Category: Biotechnology Authors: Christine Jordan Sexton Source Type: news
Will North Carolina Be the ‘Beginning of the End’ of the Medicaid Expansion Fight?
Intense patient advocacy, shifting politics, a determined Democratic governor and a handful of maverick Republicans led the state to join 39 others that have expanded Medicaid. (Source: NYT)
Source: NYT - April 10, 2023 Category: American Health Authors: Sheryl Gay Stolberg Tags: North Carolina Medicaid Patient Protection and Affordable Care Act (2010) Health Insurance and Managed Care Republican Party Cooper, Roy A Moral Mondays Barber, William J II State Legislatures Hospitals Law and Legislation States (US Source Type: news
Managed care making a difference in Georgia health care outcomes
Despite many of the current health care challenges facing our country, there are silver linings and success stories worth noticing and building on. One of the truly bright spots responsible for improving long-term health is managed care — which aims to provide the best outcomes for Georgians at the most affordable costs by working directly with health care providers, creating new solutions and caring for the whole health and well-being of every person. Throughout the years, CareSource’s mission… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - April 6, 2023 Category: Pharmaceuticals Authors: Jason Bearden Source Type: news
CMS: Agency Information Collection Activities: Submission for OMB Review; Comment Request
The Centers for Medicare and Medicaid Services is seeking comment on two information collections: 1) Registration, Attestation, Dispute Resolution and Correction, Assumptions Document and Data Retention Requirements for Open Payments; and 2) Medicaid Managed Care and Supporting Regulations. Comments are due by May 4, 2023. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - April 4, 2023 Category: Rural Health Source Type: news
Millions on Medicaid May Soon Lose Coverage as Pandemic Protections Expire
A requirement that states keep people on Medicaid during the coronavirus pandemic has come to an end, and 15 million people could lose their coverage as a result. (Source: NYT Health)
Source: NYT Health - April 3, 2023 Category: Consumer Health News Authors: Noah Weiland Tags: Medicaid Health Insurance and Managed Care Coronavirus (2019-nCoV) Health and Human Services Department Missouri Kansas City (Mo) States (US) United States Politics and Government Source Type: news
Millions on Medicaid May Soon Lose Coverage as Pandemic Protections End
A requirement that states keep people on Medicaid during the coronavirus pandemic has come to an end, and 15 million people could lose their coverage as a result. (Source: NYT)
Source: NYT - April 3, 2023 Category: American Health Authors: Noah Weiland Tags: Medicaid Health Insurance and Managed Care Coronavirus (2019-nCoV) Health and Human Services Department Missouri Kansas City (Mo) States (US) United States Politics and Government Source Type: news
The Lifesaving Power of … Paperwork?
One of the most powerful public health measures is simply recording every birth and death. In rural Colombia, as in much of the world, it ’s a lot harder than it sounds. (Source: NYT Health)
Source: NYT Health - April 2, 2023 Category: Consumer Health News Authors: Jeneen Interlandi Tags: Colombia Deaths (Fatalities) Birth Rates Rural Areas Hospitals Health Insurance and Managed Care Source Type: news
Medicare Delays a Full Crackdown on Private Health Plans
After intense lobbying by insurers, U.S. health officials say changes to reduce overbilling in Medicare Advantage will be phased in over three years. (Source: NYT Health)
Source: NYT Health - March 31, 2023 Category: Consumer Health News Authors: Margot Sanger-Katz and Reed Abelson Tags: United States Politics and Government Law and Legislation Health Insurance and Managed Care Medicare Health and Human Services Department Medicare Advantage Source Type: news
