Meet the first woman and first person of color to lead Colorado's largest Medicaid plan
“I like to say that English is my second language and health care is my third,” she said. (Source: bizjournals.com Health Care News Headlines)
Source: bizjournals.com Health Care News Headlines - January 27, 2022 Category: Health Management Authors: Jensen Werley Source Type: news

Use of Alzheimer ’s drug aducanumab raises concerns about Medicare spending
FINDINGSA UCLA-led cost analysis of the controversial new Alzheimer ’s disease drug aducanumab shows that ancillary care services, such as additional MRIs and neurologist visits to monitorthe potentialbrain swelling and bleeding associated with the medication, account for nearly 20% of total Medicare costs related to the drug, or $6,564 per patient per year.With 1.1 to 5.7 million Medicare beneficiaries who have mild dementia or cognitive impairment identified as potentially eligible for the drug, these ancillary services could substantially increase annual Medicare spending, the analysis shows.BACKGROUNDIn June 2021, th...
Source: UCLA Newsroom: Health Sciences - January 27, 2022 Category: Universities & Medical Training Source Type: news

CMS: Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals; Changes to Medicare Graduate Medical Education Payments for Teaching Hospitals; Changes to Organ Acquisition Payment Policies
Notice from the Centers for Medicare and Medicaid Services (CMS) making typographical corrections to theDecember 27, 2021, final rule. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - January 27, 2022 Category: Rural Health Source Type: news

Anthem Profits Double To $1 Billion On Pandemic Medicaid Growth
Anthem ’s fourth quarter profits doubled to $1.1 billion thanks to strong enrollment in its Medicaid plans that have drawn more people to such coverage during the Covid-19 pandemic. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - January 26, 2022 Category: Pharmaceuticals Authors: Bruce Japsen, Senior Contributor Tags: Healthcare /healthcare Innovation /innovation Enterprise Tech /enterprise-tech Decision Maker Content decisionmaker business pharma Source Type: news

Access to vital health services fell during COVID, particularly for poorer Americans
Americans ’ use of common outpatient health services dipped sharply at the outset of the COVID-19 pandemic, then rebounded to near-normal levels by the end of 2020, only to decline again during the second surge in January–February 2021, according to a new UCLA-led study.But the 2020 recovery in care wasn ’t equal for all, researchers found. Some of the most socioeconomically disadvantaged patients — those with Medicaid or Medicare-Medicaid dual eligibility insurance — were far less likely than those with other insurance plans to return to using outpatient services at rates approaching normal, pre-pandemic levels....
Source: UCLA Newsroom: Health Sciences - January 22, 2022 Category: Universities & Medical Training Source Type: news

Georgia suing Biden administration over Medicaid rejection
Georgia officials have sued the Biden administration over its decision to revoke approval of the state’s plan to require new Medicaid recipients to meet a work requirement (Source: ABC News: Health)
Source: ABC News: Health - January 21, 2022 Category: Consumer Health News Tags: Health Source Type: news

CBO reaffirms our innovation ecosystem leads to improved lives, long-term savings
The Congressional Budget Office (CBO) recentlyreleased a new report looking at trends in spending, prices and use of prescription drugs. While some politicians are trying to use the report to justify a flawed policy that would let the federal government set the price of medicines, a closer, less partisan look at CBO ’s findings reaffirms that the biopharmaceutical lifecycle is working exactly as intended.Even with the introduction of many new treatments and cures, theCBO found that the average net price per prescription fell from $57 in 2009 to $50 in 2018 in the Medicare Part D program and from $63 to $48 in the Medicai...
Source: The Catalyst - January 21, 2022 Category: Pharmaceuticals Authors: Brian Newell Tags: Drug Cost Health Insurance Proactive Agenda Source Type: news

Why It ’s Still So Complicated to Get Free Home Covid Tests
This week, nearly two full years into the on-going pandemic, the Biden Administration told Americans that they would, at long last, be given access to free, rapid COVID-19 tests — a key tool in containing the spread of the virus. The government’s plan was two-fold. First, on Jan. 15, federal agencies implemented new rules requiring private health insurers to cover at-home tests. And second, on Jan. 18, the feds launched a new website to deliver free rapid antigen tests directly to Americans’ homes. [time-brightcove not-tgx=”true”] The effort was a major step in the right direction, public heal...
Source: TIME: Health - January 21, 2022 Category: Consumer Health News Authors: Abigail Abrams Tags: Uncategorized Source Type: news

Top-Rated Nursing Homes
Information on The List was obtained from Medicare ’s Nursing Home Compare database and could not be independently verified. Although every attempt is made to ensure the accuracy and thoroughness of The Lists, omissions sometimes occur. In case of ties, companies are listed alphabetically. Local and Memphis area refers to Shelby, Tipton, and Fayet te counties in Tenn.; DeSoto, Marshall, Tate, and Tunica counties in Miss. and Crittenden County, Ark. List only includes local nursing homes with a three-star or greater overall rating. The Centers for Medicare and Medicaid Services (CMS) creates an overall star rating for nur...
Source: bizjournals.com Health Care News Headlines - January 21, 2022 Category: Health Management Source Type: news

CMS: Agency Information Collection Activities: Proposed Collection; Comment Request
The Centers for Medicare and Medicaid Services is seeking comment on the following information collections: 1) Medicare Current Beneficiary Survey (MCBS) and 2) Application and Triennial Re-application to Be a Qualified Entity to Receive Medicare Data for Performance Measurement. Comments are due by March 22, 2022. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - January 21, 2022 Category: Rural Health Source Type: news

Opioid overdose survivors: medications for opioid use disorder and risk of repeat overdose in Medicaid patients - Crystal S, Nowels M, Samples H, Olfson M, Williams AR, Treitler P.
BACKGROUND: Patients with medically-treated opioid overdose are at high risk for subsequent adverse outcomes, including repeat overdose. Understanding factors associated with repeat overdose can aid in optimizing post-overdose interventions. METHOD... (Source: SafetyLit)
Source: SafetyLit - January 19, 2022 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

CMS: Clinical Laboratory Improvement Amendments of 1988 (CLIA) Proficiency Testing Regulations Related to Analytes and Acceptable Performance; Extension of Timeline for Publication of Final Rule
Notice from the Centers for Medicare and Medicaid Services announcing the extension of the timeline for the publication of a final rule updating proficiency testing (PT) regulations under the Clinical Laboratory Improvement Amendments of 1988 to address current analytes and newer technologies,originally proposed on February 4, 2019. The final rule will be published by February 4, 2023. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - January 19, 2022 Category: Rural Health Source Type: news

CMS: Announcement of the Advisory Panel on Outreach and Education (APOE) February 3, 2022 Virtual Meeting
The Centers for Medicare and Medicaid Services (CMS) Advisory Panel on Outreach and Education (APOE) will hold a virtual public meeting on February 3, 2022, from 12:00 p.m. – 5:00 p.m. Eastern. Presentations and written comments much be submitted to thedesignated federal official by January 27, 2022. Agenda items include a listening session with CMS leadership; recap of the September 2021 meeting; discussion of CMS programs, initiatives, and priorities; and more.Registration is required by January 27, 2022. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - January 18, 2022 Category: Rural Health Source Type: news

Texas Sues Planned Parenthood Over $10M in Medicaid Payments Texas Sues Planned Parenthood Over $10M in Medicaid Payments
Planned Parenthood called the lawsuit"another political attack" in Texas.Associated Press (Source: Medscape FamilyMedicine Headlines)
Source: Medscape FamilyMedicine Headlines - January 14, 2022 Category: Primary Care Tags: Ob/Gyn & Women ' s Health News Source Type: news

Outrage, Praise for CMS' Proposed Aducanumab Payment Policy Outrage, Praise for CMS' Proposed Aducanumab Payment Policy
Reaction to the Centers for Medicare& Medicaid Services ' proposed decision to restrict coverage of the controversial and expensive Alzheimer ' s disease drug aducanumab has been swift and polarized.Medscape Medical News (Source: Medscape Neurology and Neurosurgery Headlines)
Source: Medscape Neurology and Neurosurgery Headlines - January 14, 2022 Category: Neurology Tags: Psychiatry News Source Type: news