‘Make money by denying care’: new US rules aim to curb use of approval by private health insurances
A new set of rules from the Biden administration seeks to rein in private health insurance companies’ use of prior authorization – a byzantine practice that requires people to seek insurance company permission before obtaining medication or having a procedure. The cost-containment strategy often…#aijanemeraanerud #nemeraanerud #nemeraaneruds #medicare #medicaid #healthinsuranceplans #cms #carlymorton #beaver #pennsylvania (Source: Reuters: Health)
Source: Reuters: Health - February 2, 2024 Category: Consumer Health News Source Type: news
Georgia sues Biden administration to extend Medicaid program with work requirement
Georgia is suing the Biden administration to try to keep the state’s new health plan for low-income residents running until 2028 (Source: ABC News: Health)
Source: ABC News: Health - February 2, 2024 Category: Consumer Health News Tags: Health Source Type: news
Healthy Activities Save Kids ’ Lives. Why Are They So Hard to Find?
It was a quiet Saturday morning, and as a pediatrician who had a busy week, that meant it was the perfect time to cozy up with a large mug of coffee at my kitchen table and make my way through the many lab results that had come into the electronic health record inbox since the previous day. I may not be setting a great example of work-life balance. But clinic days are filled with seeing patients, teaching trainees, and answering questions from our care team. Saturdays are the only time I’m able to give patients and their families undivided attention and no-rush answers.
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Source: TIME: Health - February 2, 2024 Category: Consumer Health News Authors: Julia Rosenberg Tags: Uncategorized healthscienceclimate Source Type: news
I'm Worried About Retirement Costs. Will Medicaid Pay For Home Care?
Medicaid is a program is designed to assist families with limited income and resources. Medicaid covers various medical services, including hospitalization, doctor’s visits and nursing home care. It may also cover home care services, but it depends on the state and the Medicaid program. Here’s a…#medicaid #hcbs #noneexpanded #nonepatient #veteransaffairs #vahomemaker #homehealthaide (Source: Reuters: Health)
Source: Reuters: Health - February 2, 2024 Category: Consumer Health News Source Type: news
Cancer screening hasn't rebounded to prepandemic levels
Preventive health screenings, including those for screening mammography, have not rebounded to pre-COVID-19 pandemic levels, a new study published February 2 in JAMA Health Forum found.
Researchers led by Rishi Wadhera, MD, from Beth Israel Deaconess Medical Center in Boston found that eligible adults were significantly less likely to receive breast cancer screening and other types of health screening in 2021 compared with 2019.
“These findings support the need for public health efforts to increase the use of preventive health screenings among eligible U.S. adults,” Wadhera and co-authors wrote.
Previous research ha...
Source: AuntMinnie.com Headlines - February 2, 2024 Category: Radiology Authors: Amerigo Allegretto Tags: Subspecialties Breast Imaging Source Type: news
Seniors could soon get a big break on drug prices
When it comes to paying for their medical prescriptions, Americans have been taking it on the chin for years. We pay nearly three times as much per capita as citizens of other developed countries, for example, and since older Americans tend to need more medications than younger ones, it is a…#medicare #commonwealthfund #ada #staciebdusetzina #marketwatch #medicaid #imbruvica #unclesam #alexschriver #larrylevitt (Source: Reuters: Health)
Source: Reuters: Health - February 1, 2024 Category: Consumer Health News Source Type: news
U.S. Makes Initial Offers in Medicare Drug Price Negotiations
The offers amount to a starting gun in the price talks between the federal government and the makers of 10 prescription drugs that have been selected for negotiations. (Source: NYT Health)
Source: NYT Health - February 1, 2024 Category: Consumer Health News Authors: Noah Weiland Tags: Medicare Drugs (Pharmaceuticals) Prices (Fares, Fees and Rates) Health Insurance and Managed Care Inflation Reduction Act of 2022 Biden, Joseph R Jr Health and Human Services Department Centers for Medicare and Medicaid Services United Sta Source Type: news
Platte Valley Hospital pilots program to reduce length of stay, readmission rates
To deliver the best care in the most efficient way, caregivers at Platte Valley Hospital have taken a hard look at how much time patients spend with them and what patients do after they leave the hospital.
This might sound odd coming from an institution that typically earns more money based on the number of people they serve within hospital walls.
Times are changing. All Colorado hospitals that accept Medicaid patients are now participating in the state-mandated Hospital Transformation Program. … (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - February 1, 2024 Category: Biotechnology Authors: Intermountain Health Source Type: news
CMS: Clinical Laboratory Improvement Amendments of 1988 (CLIA) Fees; Histocompatibility, Personnel, and Alternative Sanctions for Certificate of Waiver Laboratories; Correction
Notice from the Centers for Medicare& Medicaid Services (CMS) making technical and typographical corrections to theDecember 28, 2023, notice titled "Clinical Laboratory Improvement Amendments of 1988 (CLIA) Fees; Histocompatibility, Personnel, and Alternative Sanctions for Certificate of Waiver Laboratories." This correction is effective January 27, 2024. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - February 1, 2024 Category: Rural Health Source Type: news
Mississippi eyes quicker Medicaid coverage in pregnancy to try to reduce deaths of moms and babies
Mississippi could start providing Medicaid coverage earlier in pregnancy in a bid to improve health outcomes for moms and babies (Source: ABC News: Health)
Source: ABC News: Health - January 31, 2024 Category: Consumer Health News Tags: Health Source Type: news
Minnesota Hospitals in Financial Crisis as State ’s Healthcare Systems Record Hundreds of Millions of Dollars in Losses
Nationwide, hospital losses are in the billions of dollars, which affects access to medical care including clinical laboratory testing Hospitals and health systems across the United States continue to report substantial financial losses. At some institutions, this might severely restrict access to physicians and clinical laboratory testing for patients in those areas. The latest state […]
The post Minnesota Hospitals in Financial Crisis as State’s Healthcare Systems Record Hundreds of Millions of Dollars in Losses appeared first on Dark Daily. (Source: Dark Daily)
Source: Dark Daily - January 31, 2024 Category: Laboratory Medicine Authors: Jillia Schlingman Tags: Laboratory Hiring & Human Resources Laboratory Management and Operations Laboratory News Laboratory Resources anatomic pathology Becker’s Hospital Review Center for Healthcare Quality and Payment Reform centers for medicare and medicaid se Source Type: news
CMS: Medicare Program; Calendar Year (CY) 2024 Home Health (HH) Prospective Payment System Rate Update; HH Quality Reporting Program Requirements; HH Value-Based Purchasing Expanded Model Requirements; Home Intravenous Immune Globulin Items and Services; Hospice Informal Dispute Resolution and Special Focus Program Requirements, Certain Requirements for Durable Medical Equipment Prosthetics and Orthotics Supplies; and Provider and Supplier Enrollment Requirements; Correction
Notice from the Centers for Medicare& Medicaid Services (CMS) making technical corrections to theNovember 13, 2023, final rule. This correcting document is effective January 31, 2024. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - January 31, 2024 Category: Rural Health Source Type: news
CMS Focusing on Better Aligning Quality Measures, Adding New ACO Models
(MedPage Today) -- Are you exasperated by all the different quality measures you're required to report? One official at the Centers for Medicare & Medicaid Services (CMS) knows exactly how you feel.
"I led care transformation at a health system... (Source: MedPage Today Public Health)
Source: MedPage Today Public Health - January 30, 2024 Category: American Health Source Type: news
CMS: Medicare and Medicaid Programs; Quarterly Listing of Program Issuances-October Through December 2023
Quarterly listing of Centers for Medicare& Medicaid Services (CMS) manual instructions, substantive and interpretive regulations, and Federal Register notices published from October through December 2023, including contact information for general questions or additional information about specific sections. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - January 30, 2024 Category: Rural Health Source Type: news
CMS: Medicare Program; Request for Information on Medicare Advantage Data
Notice from the Centers for Medicare& Medicaid Services (CMS) seeking comments on all aspects of data related to the MA program, including data not currently collected. CMS is especially interested in data-related recommendations related to beneficiary access to care, including provider directories and networks; prior authorization and utilization management, including denials of care and beneficiary experience with appeals processes as well as use and reliance on algorithms; cost and utilization of different supplemental benefits; all aspects of MA marketing and consumer decision-making; care quality and outcomes, includi...
Source: Federal Register updates via the Rural Assistance Center - January 30, 2024 Category: Rural Health Source Type: news
