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Lower Medicaid Fees Linked to Scarcer Primary Care Appointments Lower Medicaid Fees Linked to Scarcer Primary Care Appointments
When the fees paid to healthcare providers by Medicaid go up, appointments with primary care doctors suddenly become more available to Medicaid beneficiaries – and the opposite happens when fees go down, according to a recent U.S. study.Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - November 17, 2017 Category: Consumer Health News Tags: Medscape Today News Source Type: news

Arizona Supreme Court upholds Medicaid expansion funding
Whether it's a fee or a tax, Arizona Supreme Court says OK to this funding. (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - November 17, 2017 Category: American Health Authors: Angela Gonzales Source Type: news

Lower Medicaid fees linked to scarcer primary care appointments
(Reuters Health) - When the fees paid to healthcare providers by Medicaid go up, appointments with primary care doctors suddenly become more available to Medicaid beneficiaries – and the opposite happens when fees go down, according to a recent U.S. study. (Source: Reuters: Health)
Source: Reuters: Health - November 16, 2017 Category: Consumer Health News Tags: healthNews Source Type: news

Trump Plan to Add Medicaid Work Requirement Stirs Fears Trump Plan to Add Medicaid Work Requirement Stirs Fears
The Trump administration's recent endorsement of work requirements in Medicaid and increased state flexibility is part of broader strategy to shrink the fast-growing program for the poor and advance conservative ideas that Republicans failed to get through Congress.Kaiser Health News (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - November 16, 2017 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

CMS data shows PatientPing's ACO users are saving more
National data sets from the Center for Medicare and Medicaid Services reveal that Accountable Care Organizations (ACOs) that use PatientPing, a care coordination platform, have seen higher savings than other ACOs, the company reported. (Source: mobihealthnews)
Source: mobihealthnews - November 16, 2017 Category: Information Technology Source Type: news

CMS Administrator Seema Verma To Outline Her Three-Year Plan At 2017 Forbes Healthcare Summit
Seema Verma, the Administrator of the Centers for Medicare and Medicaid Services and a key figure in the future of the Affordable Care Act, will be interviewed live on-stage at the Forbes Healthcare Summit by Forbes Opinion Editor Avik Roy on November 30. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - November 16, 2017 Category: Pharmaceuticals Authors: Matthew Herper, Forbes Staff Tags: NASDAQ:BLUE NYSE:UNH NYSE:NVS NYSE:LLY NASDAQ:ONCE Source Type: news

CMS Administrator Seema Verma To Outline Her Plan At 2017 Forbes Healthcare Summit
Seema Verma, the Administrator of the Centers for Medicare and Medicaid Services and a key figure in the future of the Affordable Care Act, will be interviewed live on-stage at the Forbes Healthcare Summit by Forbes Opinion Editor Avik Roy on November 30. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - November 16, 2017 Category: Pharmaceuticals Authors: Matthew Herper, Forbes Staff Tags: NASDAQ:BLUE NYSE:UNH NYSE:NVS NYSE:LLY NASDAQ:ONCE Source Type: news

Examining Oral Health Care Utilization and Expenditures for Low-Income Adults
Brief analyzed dental service use and cost data for non-elderly Medicaid-enrolled adults by a number of individual-, community-, and state-level factors. (Source: PHPartners.org)
Source: PHPartners.org - November 16, 2017 Category: International Medicine & Public Health Source Type: news

Obamacare May Have Helped More Americans Quit Smoking
Source: HealthDay Related MedlinePlus Pages: Medicaid, Quitting Smoking (Source: MedlinePlus Health News)
Source: MedlinePlus Health News - November 16, 2017 Category: Consumer Health News Source Type: news

What States Can Learn From One Another on Health Care
Some have made large improvements in certain areas. What have they done to get better? (Source: NYT Health)
Source: NYT Health - November 16, 2017 Category: Consumer Health News Authors: DHRUV KHULLAR Tags: States (US) Health Insurance and Managed Care Prices (Fares, Fees and Rates) Medicaid Infant Mortality United States Politics and Government Source Type: news

Obamacare May Have Helped More Americans Quit Smoking
THURSDAY, Nov. 16, 2017 -- States that expanded Medicaid under the Affordable Care Act saw a greater increase in low-income adults who quit smoking than did states that did not expand Medicaid, a new study found. Under the health care act, states... (Source: Drugs.com - Daily MedNews)
Source: Drugs.com - Daily MedNews - November 16, 2017 Category: General Medicine Source Type: news

Administrator ’s Blog: National Rural Health Day (November 16, 2017)
Blog post from the Centers for Medicare and Medicaid Services (CMS) from CMS Administrator Seema Verma on the topic of National Rural Health Day. Touches on challenges faced by rural communities like physician recruitment and what CMS will do to mitigate those challenges and help improve rural health. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - November 16, 2017 Category: Rural Health Source Type: news

Study: Home health, assisted living costs are up in Alabama
Health care costs are on the rise in the state of Alabama.   According to Genworth Financial's annual Cost of Care Survey, the price to receive long-term care services at home with a home health care aide has increased both nationally and in Alabama.   The annual median cost of long-term care services in Alabama has risen an average of 2.19 percent from 2016 to 2017. “Given today’s increasing labor costs, strict Medicaid eligibility requirements and more stringent Medicare regulations, we… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - November 15, 2017 Category: Pharmaceuticals Authors: Tyler Patchen Source Type: news

Univera projecting 20% membership growth for 2018
The Amherst-based health insurer points to new commercial clients, as well as a plan to reintroduce Medicaid offerings. (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - November 15, 2017 Category: American Health Authors: Tracey Drury Source Type: news

Reducing Disparities in Vaccination Coverage by Poverty Status Among Young Children: An Assessment of Parental Experience, Barriers, and Challenges with Accessing Quality Vaccination Services
The purpose of this Notice of Funding Opportunity (NOFO) is to gain a better understanding from the parents/guardians of young children about the factors contributing to vaccination coverage disparities observed between young children living below the poverty level and those living at or above the poverty level. These factors may include challenges accessing vaccination services, receiving lower quality vaccination services, Medicaid policy-related barriers, knowledge/attitudes/beliefs toward vaccination, and competing priorities. (Source: HSR Information Central)
Source: HSR Information Central - November 15, 2017 Category: International Medicine & Public Health Source Type: news

Nearly 1.5 million people signed up for Obamacare plans so far: CMS
WASHINGTON (Reuters) - More than 800,000 people signed up for Obamacare individual health insurance plans in the second week of open enrollment, the U.S. Centers for Medicare and Medicaid Services said on Wednesday, bringing the total number of sign-ups to nearly 1.5 million so far. (Source: Reuters: Health)
Source: Reuters: Health - November 15, 2017 Category: Consumer Health News Tags: healthNews Source Type: news

Declining Medicaid Fees and Primary Care Availability for New Medicaid Patients
Primary care appointment availability for new Medicaid patients declined when Medicaid fees for providers decreased after the ACA-mandated " fee bump " expired. (Source: HSR Information Central)
Source: HSR Information Central - November 15, 2017 Category: International Medicine & Public Health Source Type: news

2018 Updates to the Child and Adult Core Health Care Quality Measurement Sets
This informational bulletin describes the 2018 updates to the core set of children's health care quality measures for Medicaid and the Children's Health Insurance Program (CHIP) (the Child Core Set) and the core set of health care quality measures for adults enrolled in Medicaid (the Adult Core Set). (Source: HSR Information Central)
Source: HSR Information Central - November 15, 2017 Category: International Medicine & Public Health Source Type: news

CMS: Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2018; Medicare Shared Savings Program Requirements; and Medicare Diabetes Prevention Program
Final rule from the Centers for Medicare and Medicaid Services (CMS) addressing changes to the Medicare physician fee schedule (PFS) and other Medicare Part B payment policies. Also includes policies necessary to begin offering the expanded Medicare Diabetes Prevention Program model, and information about new care coordination services and payments for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQCHs). Provisions of the rule take effect January 1, 2018. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - November 15, 2017 Category: Rural Health Source Type: news

ROI Forecasting Calculator for Quality Initiatives
The ROI Forecasting Calculator is designed to help Medicaid stakeholders assess and demonstrate a return on investment (ROI) from projects to improve quality in health care. (Source: HSR Information Central)
Source: HSR Information Central - November 14, 2017 Category: International Medicine & Public Health Source Type: news

Medicaid coverage for methadone improves treatment for opioid use disorder in pregnancy
(Wolters Kluwer Health) Pregnant women with opioid use disorder (OUD) are more likely to receive evidence-based treatment with an 'opioid agonist' -- usually methadone -- in states where those medications are covered by Medicaid, reports a study in the December issue of Medical Care, published by Wolters Kluwer. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - November 14, 2017 Category: International Medicine & Public Health Source Type: news

Medicaid Recipients May Have to Get Jobs
3 days ago ... AARP says the work requirement is inconsistent with the intent of federal law and would have harmful effects on the health of potential Medicaid  ... (Source: AARP.org News)
Source: AARP.org News - November 14, 2017 Category: American Health Source Type: news

Poor children benefit when parents have access to healthcare
(Reuters Health) - Low-income children in the U.S. whose parents qualified for Medicaid were more likely to receive preventive care, regardless of their own insurance coverage, a new study finds. (Source: Reuters: Health)
Source: Reuters: Health - November 13, 2017 Category: Consumer Health News Tags: healthNews Source Type: news

OPEN ACCESS REFERENCES: Fall ‘17
Conclusions: Nearly 1 out of 8 parents presenting to an urban pediatric ED reported using the Internet in the 24 hours prior to the ED visit. Among privately insured, at least one in 5 parents reported using the Internet prior to visiting the ED. Web-based medical information often influences decision making regarding ED utilization. Pediatric providers should provide parents with recommendations for high-quality sources of health information available on the Internet. (Interact J Med Res 2017;6(2):e17) doi:10.2196/ijmr.5075 Quest Diagnostics Health Trends™ Prescription Drug Monitoring Report 2017 . Wale, et al, Int...
Source: Society for Participatory Medicine - November 13, 2017 Category: General Medicine Authors: Nanette Mattox Tags: Newsletter Source Type: news

Appeals court won't reconsider Planned Parenthood defunding
A federal appeals court says it won't reconsider a panel's ruling that Arkansas can block Medicaid funding to Planned Parenthood, two years after the state ended its contract with the group over videos secretly recorded by an anti-abortion group (Source: ABC News: Health)
Source: ABC News: Health - November 13, 2017 Category: Consumer Health News Tags: Health Source Type: news

Providing Medicaid to Parents Helps Kids Get Checkups, Too Providing Medicaid to Parents Helps Kids Get Checkups, Too
Parent enrollment was linked with a large increase in the likelihood a child would get an annual well visit, a new study showed. Policies that qualify parent and child separately may miss the mark.Medscape Medical News (Source: Medscape Business of Medicine Headlines)
Source: Medscape Business of Medicine Headlines - November 13, 2017 Category: Pharmaceuticals Tags: Pediatrics News Source Type: news

State Medicaid Integration Tracker © (November 2017)
This latest edition of the tracker provides state updates to efforts to implement integrated care delivery-system models. (Source: HSR Information Central)
Source: HSR Information Central - November 13, 2017 Category: International Medicine & Public Health Source Type: news

CMS: Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs
Final rule from the Centers for Medicare and Medicaid Services (CMS) revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and the Medicare Ambulatory Surgical Center (ASC) Payment System for calendar year 2018. Included in the rule is a provision that reduces Medicare Part B payments to Disproportionate Share Hospitals (DSHs) and Rural Referral Centers (RRCs) for drugs acquired through the 340B Drug Pricing Program. Effective January 1, 2018, payments to affected facilities will be reduced from average sales price (ASP) plus 6 percent, to ASP minus 22.5 percent. Among others, Critical Access Hospital...
Source: Federal Register updates via the Rural Assistance Center - November 13, 2017 Category: Rural Health Source Type: news

Parental Medicaid expansion translates into preventive care for their children
(University of Pittsburgh Schools of the Health Sciences) When low-income parents enroll in Medicaid through the Affordable Care Act (ACA) state expansion program, their children have considerably better odds of receiving annual preventive care pediatrician visits. This 'spillover effect' demonstrates that the potential benefits of Medicaid expansion extend beyond the newly covered adults. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - November 13, 2017 Category: International Medicine & Public Health Source Type: news

Medicaid expansion under ACA linked to higher rate of smoking cessation
(University of Pittsburgh Schools of the Health Sciences) When low-income adults were newly covered by Medicaid under the Affordable Care Act (ACA), they were more likely to quit smoking cigarettes than their counterparts in states that did not offer Medicaid expansion. The findings support a policy-driven approach to reduce high smoking rates among low-income adults by giving greater access to smoking cessation programs. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - November 13, 2017 Category: International Medicine & Public Health Source Type: news

Heart ’s pumping function is not an indicator of heart failure survival rates
FINDINGSContrary to popular practice, a measure of the heart ’s pumping function known as “left ventricular ejection fraction” is not associated with the long-term outcomes of hospitalized heart failure patients, a UCLA-led study of Medicare patients has found. Hospitalized heart failure patients in all age groups within the study and with all levels of ejection fraction had significantly lower rates of survival after five years and a higher risk of re-hospitalization than people in the United States without heart failure. Better treatments for heart failure and new ways of predicting patient outcomes are...
Source: UCLA Newsroom: Health Sciences - November 13, 2017 Category: Universities & Medical Training Source Type: news

Trump Health Agency Challenges Consensus on Reducing Costs
The Obama administration sped up programs aiming to pay doctors based on quality instead of quantity. The Trump administration is slowing them down. (Source: NYT Health)
Source: NYT Health - November 12, 2017 Category: Consumer Health News Authors: ABBY GOODNOUGH and KATE ZERNIKE Tags: United States Politics and Government Medicare Doctors Centers for Medicare and Medicaid Services Source Type: news

Red States Revive Medicaid Expansion After Maine Vote
Nebraska, Utah and Idaho are looking at ways to put a Medicaid expansion initiative on the 2018 general election ballot following a successful referendum in Maine Tuesday. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - November 10, 2017 Category: Pharmaceuticals Authors: Bruce Japsen, Contributor Tags: NYSE:UNH NYSE:MOH NYSE:CNC NYSE:ANTM NYSE:AET Source Type: news

Top Nursing Homes in Greater Baltimore
Rank Name/Prior Rank/URL Ratings total Certified beds Medicare/Medicaid participation Setting 1 Ro (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - November 10, 2017 Category: American Health Source Type: news

Top Nursing Homes in Greater Baltimore
Rank Name/Prior Rank/URL Ratings total Certified beds Medicare/Medicaid participation Setting 1 Ro (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - November 10, 2017 Category: Biotechnology Source Type: news

Medicaid Retroactive Coverage Waivers: Implications for Beneficiaries, Providers, and States
This issue brief answers key questions about Medicaid retroactive coverage, describes Iowa's recent waiver amendment, considers the policy implications of retroactive coverage waivers, and identifies issues to watch. (Source: HSR Information Central)
Source: HSR Information Central - November 10, 2017 Category: International Medicine & Public Health Source Type: news

Key Themes in Medicaid Section 1115 Behavioral Health Waivers
This issue brief describes recent Section 1115 waiver activity in four areas: using Medicaid funds to pay for substance use and/or mental health services in " institutions for mental disease " (IMDs), expanding community-based behavioral health benefits, expanding Medicaid eligibility to cover additional people with behavioral health needs, and financing delivery system reforms. (Source: HSR Information Central)
Source: HSR Information Central - November 10, 2017 Category: International Medicine & Public Health Source Type: news

Waiver Basics: Understanding Home- and Community-Based Medicaid Waivers
December 13, 2017 12:00-1:00pm ET. (Source: HSR Information Central)
Source: HSR Information Central - November 10, 2017 Category: International Medicine & Public Health Source Type: news

US Senators urge CMS head Verma to include med device ID on claims
Two US Senators this week wrote to Centers for Medicare and Medicaid head Seema Verma urging her to add a field for unique medical device identifier information on insurance claim forms. The letter, from Senators Elizabeth Warren (D-Mass) and Chuck Grassley (R-Iowa), cited a report from the Department of Health and Human Services’ Office of Inspector General from September. The report claims that nearly $1.5 billion in costs to Medicare came from patients treated with seven specific cardiac devices from 3 manufacturers that were recalled or showed high failure rates over a 10 year period. The OIG release also claimed...
Source: Mass Device - November 9, 2017 Category: Medical Devices Authors: Fink Densford Tags: Business/Financial News Regulatory/Compliance Centers for Medicare and Medicaid Services (CMS) Source Type: news

Maine governor says voters wrong to approve Medicaid expansion
Gov. Paul LePage has vetoed five different attempts by the state Legislature to expand the program (Source: Health News: CBSNews.com)
Source: Health News: CBSNews.com - November 9, 2017 Category: Consumer Health News Source Type: news

In election glow, Dems see health care as a winning issue
Dems see political edge from health care, especially widened Medicaid access for low-income people (Source: ABC News: Health)
Source: ABC News: Health - November 9, 2017 Category: Consumer Health News Tags: Health Source Type: news

How do Health Care Costs fit into Family Budgets? Snapshots from Medicaid Enrollees
This brief examines the family budgets of Medicaid enrollees in five cities, how health care costs fit into these budgets, and their views on how potential changes to health care could affect them (Source: HSR Information Central)
Source: HSR Information Central - November 9, 2017 Category: International Medicine & Public Health Source Type: news

One in Five US Adults Still Using Tobacco Products in 2015
The Centers for Disease Control and Prevention (CDC) released a new Morbidity and Mortality Weekly Report (MMWR) that found that 1 in 5 U.S. adults used some form of tobacco product in 2015. The report also includes data on tobacco use by race/ethnicity and gender. Higher tobacco use was found for adults living in the Midwest, people with a General Equivalency Diploma (GED), people with annual household incomes under $35,000, those with a disability, uninsured adults or adults insured through Medicaid, adults with serious psychological distress, and those who are lesbian, gay, or bisexual. (Source: News stories via the Rur...
Source: News stories via the Rural Assistance Center - November 9, 2017 Category: Rural Health Source Type: news

Election Results Invigorate Medicaid Expansion Hopes
Passage of a referendum in Maine and Democratic gains in Virginia mean two more states may expand Medicaid soon. Advocates hope for more successes next year. (Source: NYT Health)
Source: NYT Health - November 9, 2017 Category: Consumer Health News Authors: ABBY GOODNOUGH and MARGOT SANGER-KATZ Tags: Medicaid State Legislatures Patient Protection and Affordable Care Act (2010) Source Type: news

Maine Governor Will Not Expand Medicaid, Ignoring Voters Maine Governor Will Not Expand Medicaid, Ignoring Voters
Maine Republican Governor Paul LePage said on Wednesday he will not expand the state's Medicaid program under Obamacare, ignoring a ballot initiative widely backed by voters, calling it"ruinous" for the state's budget.Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - November 8, 2017 Category: Consumer Health News Tags: Medscape Today News Source Type: news

Maine governor says he will not expand Medicaid despite vote
(Reuters) - Maine Governor Paul LePage said on Wednesday he would not carry out an expansion of the state's Medicaid program under Obamacare that was approved by voters unless it was fully funded by the legislature, calling it "ruinous" for the state's budget. (Source: Reuters: Health)
Source: Reuters: Health - November 8, 2017 Category: Consumer Health News Tags: healthNews Source Type: news

In election glow, Dems see health care as a winning issue
Dems see political edge from health care, especially widened Medicaid access for low-income people (Source: ABC News: Health)
Source: ABC News: Health - November 8, 2017 Category: Consumer Health News Tags: Health Source Type: news

Exclusive: See which Florida doctors received the most in non-research payments from drug and device companies
Ever wondered about the financial relationships between doctors and businesses? Wonder no more. Federal data from the Centers for Medicare& Medicaid Services, available through the Physician Payment Sunshine Act, gives insights in answering this questions.   Nationwide, 1,481 drug developers and medical device makers paid $8.18 billion in 2016 in the form of royalties, licensing fees, speaking fees and travel and lodging reimbursements, among other forms of consideration, to about 631,000 physicians… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - November 8, 2017 Category: Biotechnology Authors: Susan Lundine Source Type: news

Maine governor will not expand Medicaid, ignoring voters
(Reuters) - Maine Republican Governor Paul LePage said on Wednesday he will not expand the state's Medicaid program under Obamacare, ignoring a ballot initiative widely backed by voters, calling it "ruinous" for the state's budget. (Source: Reuters: Health)
Source: Reuters: Health - November 8, 2017 Category: Consumer Health News Tags: healthNews Source Type: news

Maine governor will not expand Medicaid, ignore voters
(Reuters) - Maine Republican Governor Paul LePage said on Wednesday he will not expand the state's Medicaid program under Obamacare, ignoring a ballot initiative widely backed by voters, calling it "ruinous" for the state's budget. (Source: Reuters: Health)
Source: Reuters: Health - November 8, 2017 Category: Consumer Health News Tags: healthNews Source Type: news