Money, phone line curbed smoking among California Medicaid recipients
New incentives added to California's Medicaid program helped to reduce the number of smokers, according to researchers. (Source: Health News - UPI.com)
Source: Health News - UPI.com - November 16, 2018 Category: Consumer Health News Source Type: news

CMS: Medicare and Medicaid Programs; Continued Approval of the Community Health Accreditation Partner's Hospice Accreditation Program
Announcement from the Centers for Medicare and Medicaid Services of the approval of the Community Health Accreditation Partner (CHAP) for continued recognition as a national accrediting organization for hospice that participate in the Medicare or Medicaid programs. The approval is effective from November 20, 2018 to November 20, 2024. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - November 16, 2018 Category: Rural Health Source Type: news

New research provides guidance on how to successfully motivate California's Medicaid population to quit smoking
(Elsevier) New research shows improved smoking cessation outcomes can be achieved within the Medi-Cal (California's Medicaid program) population by supplementing telephone counseling with access to nicotine-replacement patches and moderate financial incentives that are not contingent on outcomes. The group that received these additional services was more likely to make a quit attempt and remain smoke-free, both short- and long-term. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - November 16, 2018 Category: International Medicine & Public Health Source Type: news

12K Have Lost Arkansas Medicaid Coverage Over Work Rule
Arkansas has removed more than 12,000 people from its expanded Medicaid program over the past three months for not complying with a new work requirement. (Source: Arkansas Business - Health Care)
Source: Arkansas Business - Health Care - November 16, 2018 Category: American Health Source Type: news

In Arkansas, 12K Lose Medicaid Coverage Over Work Rule
Arkansas has removed more than 12,000 people from its expanded Medicaid program over the past three months for not complying with a new work requirement. (Source: Arkansas Business - Health Care)
Source: Arkansas Business - Health Care - November 15, 2018 Category: American Health Source Type: news

Insurance Coverage for Adult Obesity Care Increasing
THURSDAY, Nov. 15, 2018 -- Coverage for adult obesity care improved substantially in Medicaid and state employee insurance programs between 2009 and 2017, according to a study published online Nov. 14 in Obesity to coincide with the annual meeting... (Source: Drugs.com - Pharma News)
Source: Drugs.com - Pharma News - November 15, 2018 Category: Pharmaceuticals Source Type: news

States More Open to Funding Obesity Treatments
(MedPage Today) -- But some have " bizarre coverage criteria " for Medicaid patients, public employees (Source: MedPage Today Public Health)
Source: MedPage Today Public Health - November 15, 2018 Category: American Health Source Type: news

CMS: Agency Information Collection Activities: Proposed Collection; Comment Request
The Centers for Medicare and Medicaid Services is seeking comment on the Home Health National Provider Survey which is used to assess the impact of the use of Medicare quality reporting and incentive program measures. Comments are due by January 14, 2019. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - November 15, 2018 Category: Rural Health Source Type: news

On National Rural Health Day, We Recommit to Improving Rural Health
Blog post from Centers for Medicare and Medicaid Services (CMS) Administrator Seema Verma on National Rural Health Day, the challenges and strengths in rural health, and CMS' contributions to rural health, including the agency's Rural Health Strategy. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - November 15, 2018 Category: Rural Health Source Type: news

Estados que ampliar án la cobertura de Medicaid
Los votantes en Idaho, Nebraska y Utah aprueban la ampliaci ón, pero podría terminar la cobertura extendida de Montana. ... In English | Otras 300,000 personas en el país, la mayoría mayores de 50 a... (Source: AARP.org News)
Source: AARP.org News - November 15, 2018 Category: American Health Source Type: news

CMS: Medicaid Program: Medicaid and Children ’s Health Insurance Plan Managed Care
Notice of proposed rule from the Centers for Medicare and Medicaid Services to streamline the Medicaid and Children's Health Insurance Plan (CHIP) managed care regulatory framework in order to reduce regulatory burden and make the process more efficient and feasible for states to implement the program in a cost-effective manner. Comments on the proposed rule are due by January 14, 2019. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - November 14, 2018 Category: Rural Health Source Type: news

CMS: Medicare Program: End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury, End-Stage Renal Disease Quality Incentive Program, Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) and Fee Schedule Amounts, and Technical Amendments to Correct Existing Regulations Related to the CBP for Certain DMEPOS
Notice of final rule from the Centers for Medicare and Medicaid Services to update the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for calendar year 2019. Also updates requirements for the ESRD Quality Incentive Program and makes technical amendments to correct existing regulations for the Competitive Bidding Program for certain Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS), among other things. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - November 14, 2018 Category: Rural Health Source Type: news

States may now broaden mental health treatment under Medicaid
The Centers for Medicare and Medicaid Services may now allow for states to pursue Medicaid reimbursements for short-term inpatient treatment in mental health facilities despite a decades-old exclusion, Health and Human Services Secretary Alex Azar announced Tuesday. (Source: CNN.com - Health)
Source: CNN.com - Health - November 13, 2018 Category: Consumer Health News Source Type: news

More leeway for states to expand inpatient mental health
Trump administration allowing states to seek Medicaid funds to expand inpatient mental health care (Source: ABC News: Health)
Source: ABC News: Health - November 13, 2018 Category: Consumer Health News Tags: Health Source Type: news

US to give states leeway to expand inpatient mental health
The Trump administration allowing states to seek Medicaid funds to expand inpatient mental health (Source: ABC News: Health)
Source: ABC News: Health - November 13, 2018 Category: Consumer Health News Tags: Health Source Type: news

CMS: Medicare and Medicaid Programs: CY 2019 Home Health Prospective Payment System Rate Update and CY 2020 Case-Mix Adjustment Methodology Refinements; Home Health Value-Based Purchasing Model; Home Health Quality Reporting Requirements; Home Infusion Therapy Requirements; and Training Requirements for Surveyors of National Accrediting Organizations
The Centers for Medicare and Medicaid Services has issued a final rule with comment period to update the home health prospective payment system (HH PPS) rates effective for services provided beginning January 1, 2019. Among many other things, the rule also finalizes the methodology for determining rural add-on payments for calendar years 2019-2022 and finalizes the definition of "remote patient monitoring" and recognizes it as an allowable administrative cost. Comments on the final rule are due by December 31, 2018. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - November 13, 2018 Category: Rural Health Source Type: news

CMS Announces New Medicaid Demonstration Opportunity to Expand Mental Health Treatment Services
The Centers for Medicare and Medicaid Services (CMS) announced existing and new opportunities for states to design innovative service delivery systems for adults with serious mental illness (SMI) and children with serious emotional disturbance (SED). This includes the ability for states to receive authority to pay for short-term resident treatment services in an institution for mental disease (IMD). (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - November 13, 2018 Category: Rural Health Source Type: news

Affordable health care means better access to diabetes prevention, management
(Oregon Health& Science University) OHSU study compares rates of health care utilization at Community Health Centers in states with, without Medicaid expansion programs. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - November 13, 2018 Category: International Medicine & Public Health Source Type: news

Penn Study shows regular behavioral counseling leads to clinically significant weight loss
(University of Pennsylvania School of Medicine) Intensive behavioral therapy (IBT), which provides diet and physical activity counseling, is proven to help adults with obesity achieve meaningful weight loss in six to 12 months. A new Penn Medicine study, published today in Obesity, the journal of the Obesity Society, is the first randomized controlled evaluation of the efficacy of IBT when implemented under the Centers for Medicare and Medicaid Services (CMS) coverage guidelines (Source: EurekAlert! - Social and Behavioral Science)
Source: EurekAlert! - Social and Behavioral Science - November 13, 2018 Category: International Medicine & Public Health Source Type: news

Do Cash Incentives Improve CRC Screening Rates?
A study takes a closer look at colorectal cancer screening incentives among New York State Medicaid managed care patients. (Source: CancerNetwork)
Source: CancerNetwork - November 13, 2018 Category: Cancer & Oncology Authors: Leah Lawrence Source Type: news

Behavioral health company manager from Greensboro pleads guilty to Medicaid fraud
A Greensboro woman who managed a Wilson behavioral health company has pleaded guilty to health fraud conspiracy and aggravated identity theft, according to the U.S. Department of Justice. Renee Borunda will be sentenced to about three years in federal prison, followed by three years of supervised release. She'll also have to give $255,399 to the state Medicaid program. Borunda managed a company that offered behavioral health services to Medicaid recipients in Wilson. She used the personal information… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - November 12, 2018 Category: American Health Authors: Rebecca Ayers Source Type: news

Pregnant women favor urine testing for tobacco cessation; clinicians express concern
(American Academy of Family Physicians) Up to one-third of female smokers with Medicaid deny tobacco use during pregnancy. A new study finds that, despite reservations, low-income patients have a favorable view of using urine testing, with consent, to promote smoking cessation during pregnancy. (Source: EurekAlert! - Cancer)
Source: EurekAlert! - Cancer - November 12, 2018 Category: Cancer & Oncology Source Type: news

With GOP Losses, Obamacare Heads For Expansion And Calm
Obamacare and its Medicaid expansion are about about to enter a period of expansion and calm, healthcare executives, incoming members of Congress and industry analysts say. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - November 11, 2018 Category: Pharmaceuticals Authors: Bruce Japsen, Contributor Tags: NYSE:UNH NYSE:MOH NYSE:CNC NYSE:ANTM NYSE:AET Source Type: news

D.C. Week: Midterms Put ACA Repeal out of GOP's Reach
(MedPage Today) -- Also, three Republican states vote to expand Medicaid (Source: MedPage Today Psychiatry)
Source: MedPage Today Psychiatry - November 10, 2018 Category: Psychiatry Source Type: news

Utah latest state to legalize medical pot, expand Medicaid
Utah has joined more than 30 other states in legalizing medical marijuana by passing a ballot measure that was opposed by influential Mormon leaders (Source: ABC News: Health)
Source: ABC News: Health - November 10, 2018 Category: Consumer Health News Tags: Health Source Type: news

Federal panel calls for pause on Arkansas Medicaid rule
A federal advisory panel is urging the U.S. Department of Health and Human Services to temporarily stop Arkansas from enforcing the state's work requirement for Medicaid expansion enrollees (Source: ABC News: Health)
Source: ABC News: Health - November 9, 2018 Category: Consumer Health News Tags: Health Source Type: news

Gateway Health's new CEO talks plans, opportunities
The Medicare and Medicaid populations are forecast to grow by 25 million people between 2015 and 2025. (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - November 9, 2018 Category: American Health Authors: Paul J. Gough Source Type: news

Midterm election boosts Medicaid expansion, but challenges remain
Medicaid scored big in Tuesday's elections. (Source: ABC News: Health)
Source: ABC News: Health - November 9, 2018 Category: Consumer Health News Tags: Health Source Type: news

CMS, HHS: Patient Protection and Affordable Care Act; Exchange Program Integrity
Notice of proposed rule from the Centers for Medicare and Medicaid Services and U.S. Department of Health and Human Services to revise standards for the oversight of state health insurance Exchanges, periodic data matching frequency, and the length of a consumer's authorization for the Exchange to get updated tax information, among other things. Comments on the proposed rule are due by January 8, 2019. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - November 9, 2018 Category: Rural Health Source Type: news

Five Ways the Midterms Changed Healthcare Five Ways the Midterms Changed Healthcare
Three red states approved Medicaid expansion, Utah and Missouri legalized medical marijuana, and ACA changes are likely on hold for at least 2 years.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - November 8, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Second Sight Medical wins final CMS reimbursement nod for Argus II
Second Sight Medical (NSDQ:EYES) said today that the Centers for Medicare & Medicaid Services finalized the outpatient payment rate for its Argus II retinal prosthesis system for the coming year. The Argus II induces visual perception in blind patients with retinitis pigmentosa by stimulating of the retina’s remaining cells with electrical pulses, which allows for the perception of light patterns to the brain, the Sylmar, Calif.-based company said. CMS approved a Medicare hospital outpatient payment rate of $152,500 for the Argus II system and associated procedure, with the rate set to kick in next year...
Source: Mass Device - November 8, 2018 Category: Medical Devices Authors: Fink Densford Tags: Business/Financial News Optical/Ophthalmic Regulatory/Compliance Second Sight Source Type: news

Public Inspection: CMS, HHS: Patient Protection and Affordable Care Act; Exchange Program Integrity
Pre-publication notice of proposed rule from the Centers for Medicare and Medicaid Services and U.S. Department of Health and Human Services to revise standards for the oversight of state health insurance Exchanges, periodic data matching frequency, and the length of a consumer's authorization for the Exchange to get updated tax information, among other things. Comments on the proposed rule are due within 60 days of publication of this notice in the Federal Register, which is scheduled for November 9, 2018. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - November 8, 2018 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicaid Program: Medicaid and Children ’s Health Insurance Plan Managed Care
Pre-publication notice of proposed rule from the Centers for Medicare and Medicaid Services to streamline the Medicaid and Children's Health Insurance Plan (CHIP) managed care regulatory framework in order to reduce regulatory burden and make the process more efficient and feasible for states to implement the program in a cost-effective manner. Comments on the proposed rule are due within 60 days of official publication of this notice in the Federal Register, which is scheduled for November 14, 2018. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - November 8, 2018 Category: Rural Health Source Type: news

CMS: Privacy Act of 1974; Matching Program
Notice from the Centers for Medicare and Medicaid Services seeking comment on a new matching program between CMS and the Office of Personnel Management (OPM) entitled "Verification of Eligibility for Minimum Essential Coverage Under the Patient Protection and Affordable Care Act Through an Office of Personnel Management Health Benefit Plan." Under this program, OPM will provide CMS with data every month to verify each active federal employee's status as enrolled in or eligible for coverage under an OPM Health Benefit plan. The data will be used to determine eligibility and the amount of financial assistance avail...
Source: Federal Register updates via the Rural Assistance Center - November 8, 2018 Category: Rural Health Source Type: news

Quality Payment Program (QPP) Year 1 Performance Results
Blog post from the Centers for Medicare and Medicaid Services on the performance results of the Merit-based Incentive Payment System (MIPS) under the Quality Payment Program (QPP). Touches on the Small, Underserved, and Rural Support initiative. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - November 8, 2018 Category: Rural Health Source Type: news

Voters in Three States Say Yes to Medicaid Expansion
(MedPage Today) -- It's a go in Idaho, Nebraska, and Utah; a " no " in Montana (Source: MedPage Today Public Health)
Source: MedPage Today Public Health - November 8, 2018 Category: American Health Source Type: news

Midterm Elections: What's The Verdict For Aging Policies?
The midterm elections may have major implications for aging issues such as Medicare, Medicaid and Social Security. Here's one analyst's view. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - November 7, 2018 Category: Pharmaceuticals Authors: Next Avenue, Contributor Source Type: news

Myomo posts Q3 earnings, touts Medicare win
Shares in Myomo fell slightly today after the medical device maker posted Q3 earnings that narrowly missed Wall Street expectations, and announced reimbursement wins with the Centers for Medicare & Medicaid Services. The Cambridge, Mass.-based company posted losses of $7.6 million, or 21¢ per share, on sales of $610,000 for the three months ended September 30, seeing losses shrink 25.2% while sales grew 24.5% compared with the same period during the previous year. Losses-per-share were just behind the 19¢ consensus on Wall Street, where analysts expected to see sales of approximately $767,000, which...
Source: Mass Device - November 7, 2018 Category: Medical Devices Authors: Fink Densford Tags: Business/Financial News MassDevice Earnings Roundup Wall Street Beat Myomo Inc Source Type: news

Passport saved millions through partnership with Louisville startup — here's how
In just six months, Passport Health Plan has saved millions of dollars through a partnership with a local data-analytics firm that specializes in preventing preterm births. The firm, a Louisville startup called Lucina Health Inc., said it has helped Passport reduce the number of preterm births of its health plan enrollees by 13.5 percent. Passport is one of five health insurers that partner with Kentucky government to administer its Medicaid program. It's a nonprofi t corporation with about 308,000… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - November 7, 2018 Category: Pharmaceuticals Authors: Chris Larson Source Type: news

Medicaid Expansion Approved in Three Republican-Leaning States
WEDNESDAY, Nov. 7, 2018 -- Hundreds of thousands more low-income Americans could get health insurance after voters in three Republican-leaning states approved Medicaid expansion in the midterm elections. Public support for expansion in Utah,... (Source: Drugs.com - Pharma News)
Source: Drugs.com - Pharma News - November 7, 2018 Category: Pharmaceuticals Source Type: news

Midterm results show health is important to voters but no magic bullet
One likely development is an expansion of Medicaid in several of the 18 states. (Source: ABC News: Health)
Source: ABC News: Health - November 7, 2018 Category: Consumer Health News Tags: Health Source Type: news

Health concerns drive voters to back Medicaid, weed and trans rights
Voters in 37 states had more than candidates to choose Tuesday. There were more than 150 statewide measures on ballots this midterm election and several involved health-related issues ranging from the taxes on feminine hygiene products to Medicaid expansion, to abortion access, and legalizing the recreational and medicinal use of marijuana. Based on the preliminary vote results, here's what some voters went for and what they rejected. (Source: CNN.com - Health)
Source: CNN.com - Health - November 7, 2018 Category: Consumer Health News Source Type: news

New Medicaid Expansion States Could Boost UnitedHealth, Centene
Votes to expand Medicaid in Nebraska, Idaho and Utah could benefit health insurance companies like Centene and UnitedHealth Group. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - November 7, 2018 Category: Pharmaceuticals Authors: Bruce Japsen, Contributor Tags: NYSE:UNH NYSE:MOH NYSE:CNC NYSE:ANTM NYSE:AET Source Type: news

Idaho, Nebraska and Utah Vote to Expand Medicaid
The three deep-red states join 33 others that have already expanded the program under Obamacare to give free health coverage to most low income residents. (Source: NYT Health)
Source: NYT Health - November 7, 2018 Category: Consumer Health News Authors: ABBY GOODNOUGH Tags: States (US) Politics and Government Medicaid Referendums Sales and Excise Taxes Patient Protection and Affordable Care Act (2010) Health Insurance and Managed Care Nebraska Utah Idaho Source Type: news

Three Deep Red States Vote to Expand Medicaid
Idaho, Nebraska and Utah are set to join 33 others that have already expanded the program under Obamacare to give free health coverage to most low income residents. (Source: NYT Health)
Source: NYT Health - November 7, 2018 Category: Consumer Health News Authors: ABBY GOODNOUGH Tags: States (US) Politics and Government Medicaid Referendums Sales and Excise Taxes Patient Protection and Affordable Care Act (2010) Health Insurance and Managed Care Nebraska Utah Idaho Source Type: news

Utah Voters Approve Medicaid Expansion
Utah voters Tuesday approved Medicaid expansion under the Affordable Care Act via ballot initiative, overcoming years of Republican opposition by GOP state legislators. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - November 7, 2018 Category: Pharmaceuticals Authors: Bruce Japsen, Contributor Source Type: news

Idaho Medicaid Expansion Sails To Victory
Idaho voted Tuesday to expand Medicaid via ballot initiative, overcoming years of opposition from conservative Republican legislators who refused to pass legislation. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - November 7, 2018 Category: Pharmaceuticals Authors: Bruce Japsen, Contributor Source Type: news

Nebraska Voters Approve Medicaid Expansion In Snub To Gov. Ricketts
Nebraska voters approved Medicaid expansion under the Affordable Care Act via ballot initiative, overcoming years of Republican opposition by GOP state legislators and Gov. Pete Ricketts. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - November 7, 2018 Category: Pharmaceuticals Authors: Bruce Japsen, Contributor Source Type: news

Medicaid Expansion Tied to Better Kidney Disease Survival
TUESDAY, Nov. 6, 2018 -- There were significant improvements in one-year survival among patients with end-stage renal disease (ESRD) initiating dialysis following Medicaid expansion with the Affordable Care Act, according to a study published online... (Source: Drugs.com - Pharma News)
Source: Drugs.com - Pharma News - November 6, 2018 Category: Pharmaceuticals Source Type: news

EMS in Crisis: Patients Pocketing Insurance Checks
CARLISLE, Pa. (WHTM) - Cumberland Goodwill EMS in Carlisle responds to more than 10,000 calls a year to help people in crisis, but it's facing its own crisis. "We lose money every time we go out the door," Assistant Chief Nathan Harig said. EMS services already struggle with low reimbursement rates from Medicaid and Medicare. On top of that, add patients pocketing insurance checks. (Source: JEMS Administration and Leadership)
Source: JEMS Administration and Leadership - November 6, 2018 Category: Emergency Medicine Authors: Kendra Nichols Tags: News Videos Administration and Leadership Source Type: news