CMS Spent Billions on Meds Without Confirmed Benefits OIG Says CMS Spent Billions on Meds Without Confirmed Benefits OIG Says
The Medicare and Medicaid programs spent more than $18 billion over 3 years on medications for which there was no proof of a significant clinical benefit, a new federal report shows.Medscape Medical News (Source: Medscape Psychiatry Headlines)
Source: Medscape Psychiatry Headlines - September 30, 2022 Category: Psychiatry Tags: Neurology & Neurosurgery News Source Type: news

Mental health startup Grow Therapy scores $75M in Series B funding
The new allocation will help the company expand its insurance coverage, including Medicare and Medicaid, across the U.S. (Source: mobihealthnews)
Source: mobihealthnews - September 30, 2022 Category: Information Technology Source Type: news

Oregon Will Be The First State To Cover Health-Related Climate Expenses Under Medicaid
(PORTLAND, Ore.) — Oregon is set to become the first state in the nation to cover climate change expenses for certain low-income patients under its Medicaid program as the normally temperate Pacific Northwest region sees longer heat waves and more intense wildfires. The new initiative, slated to take effect in 2024, will cover payment for devices such as air conditioners and air filters for Medicaid members with health conditions who live in an area where an emergency due to extreme weather has been declared by the federal government or the governor’s office, according to the Oregon Health Authority. [time-brig...
Source: TIME: Health - September 30, 2022 Category: Consumer Health News Authors: CLAIRE RUSH/AP Tags: Uncategorized climate change healthscienceclimate wire Source Type: news

CMS: Medicare Program; Medicare Appeals; Adjustment to the Amount in Controversy Threshold Amounts for Calendar Year 2023
Notice from the Centers for Medicare and Medicaid Services announcing the annual adjustment in the amount in controversy (AIC) threshold amounts for Administrative Law Judge (ALJ) hearings and judicial review under the Medicare appeals process. The calendar year 2023 AIC threshold amounts are $180 for ALJ hearings and $1,850 for judicial review. These adjustments will be effective for requests filed on or after January 1, 2023. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - September 30, 2022 Category: Rural Health Source Type: news

CMS: Medicare and Medicaid Programs: Application From The Joint Commission (TJC) for Continued Approval of its Psychiatric Hospital Accreditation Program
Announcement from the Centers for Medicare& Medicaid Services (CMS) of receipt of an application for continued recognition of the Joint Commission as a national accrediting organization for psychiatric hospitals that wish to participate in the Medicare or Medicaid programs. Comments are due by October 31, 2022. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - September 30, 2022 Category: Rural Health Source Type: news

Oregon to cover health-related climate expenses
Oregon is set to become the first state in the nation to cover certain climate change expenses under its Medicaid program (Source: ABC News: Health)
Source: ABC News: Health - September 29, 2022 Category: Consumer Health News Tags: Health Source Type: news

CMS: Agency Information Collection Activities: Proposed Collection; Comment Request
Notice from the Centers for Medicare& Medicaid Services (CMS) seeking comments on an information collection titled "Physician Certifications/Recertifications in Skilled Nursing Facilities Manual Instruction." The physician certification and recertification that a beneficiary requires a skilled nursing facility (SNF) level of care is a condition for Medicare Part A payment for post-hospital SNF services. Comments are due by November 28, 2022. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - September 29, 2022 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare and Medicaid Programs: Approval of Application From Det Norske Veritas for Continued Hospital Accreditation Program; Correction
Pre-publication notice from the Centers for Medicare& Medicaid Services making technical corrections to theSeptember 6, 2022, notice announcing the approval of Det Norske Veritas for continued recognition as a national accrediting organization for hospitals that wish to participate in the Medicare or Medicaid programs. The correction is effective upon publication of this notice in the Federal Register, which is scheduled for October 3, 2022. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - September 29, 2022 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare and Medicaid Programs: Application from The Joint Commission for Continued Approval of its Psychiatric Hospital Accreditation Program
Pre-publication announcement from the Centers for Medicare& Medicaid Services (CMS) of receipt of an application for continued recognition of the Joint Commission as a national accrediting organization for psychiatric hospitals that wish to participate in the Medicare or Medicaid programs. Comments are due within 30 days of the publication of this notice, which is scheduled for September 30, 2022. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - September 29, 2022 Category: Rural Health Source Type: news

CMS: Medicare Program; Medicare Part B Monthly Actuarial Rates, Premium Rates, and Annual Deductible Beginning January 1, 2023
Notice from the Centers for Medicare and Medicaid Services (CMS) announcing the monthly actuarial rates for beneficiaries enrolled in Part B of the Medicare Supplementary Medical Insurance (SMI) program beginning January 1, 2023. It also announces the monthly premium, the deductible for 2023, and income-related monthly adjustment amounts for beneficiaries with modified adjusted gross income above certain threshold amounts. These rates are effective on January 1, 2023. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - September 29, 2022 Category: Rural Health Source Type: news

CMS: Medicare Program; CY 2023 Part A Premiums for the Uninsured Aged and for Certain Disabled Individuals Who Have Exhausted Other Entitlement
Notice from the Centers for Medicare and Medicaid Services (CMS) announcing Medicare's Hospital Insurance (Part A) premium for uninsured enrollees in calendar year (CY) 2023. The premium is paid by enrollees age 65 and over who are not otherwise eligible for Part A benefits and by certain disabled individuals who have exhausted other entitlement. This premium is effective on January 1, 2023. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - September 29, 2022 Category: Rural Health Source Type: news

CMS: Medicare Program; CY 2023 Inpatient Hospital Deductible and Hospital and Extended Care Services Coinsurance Amounts
Notice from the Centers for Medicare and Medicaid Services (CMS) announcing the inpatient hospital deductible and coinsurance amounts for hospital and extended care services provided during calendar year 2023 under Medicare's Hospital Insurance Program (Medicare Part A). These rates are effective on January 1, 2023. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - September 29, 2022 Category: Rural Health Source Type: news

CareSource PASSE Names David Donohue CEO of Arkansas Market
He joins CareSource from nonprofit WellSense Health Plan, where he led the organization's New Hampshire Medicaid plan (Source: Arkansas Business - Health Care)
Source: Arkansas Business - Health Care - September 28, 2022 Category: American Health Source Type: news

Health organizations target Florida Medicaid transgender rule
Health care organizations are seeking to bolster a legal challenge to a new Florida rule that prevents Medicaid from paying for treatments such as puberty blockers and hormone therapy for transgender people. (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - September 28, 2022 Category: American Health Authors: Jim Saunders Source Type: news

Health organizations target Florida medicaid transgender rule
Health care organizations are seeking to bolster a legal challenge to a new Florida rule that prevents Medicaid from paying for treatments such as puberty blockers and hormone therapy for transgender people. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - September 28, 2022 Category: Biotechnology Authors: Jim Saunders Source Type: news