Even Republicans Are Embracing Medicaid Expansion. That's A Costly Mistake.
There are plenty of ideas about how to make Medicaid work for the poor Americans it's meant to serve. But ignoring $80 billion in improper payments isn't going to help. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - December 19, 2022 Category: Pharmaceuticals Authors: Sally Pipes, Contributor Tags: Policy /policy Business /business Innovation /innovation Healthcare /healthcare Decision Maker Content decisionmaker sallypipesblog Source Type: news
CMS: Medicare and Medicaid Programs: Application From the Center for Improvement in Healthcare Quality for Continued Approval of Its Hospital Accreditation Program
Announcement from the Centers for Medicare and Medicaid Services (CMS) of the continued approval of the Center for Improvement in Healthcare Quality (CIHQ) as a national accrediting organization for hospitals that wish to participate in the Medicare or Medicaid programs. The approval period is January 1, 2023 - January 1, 2028. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - December 19, 2022 Category: Rural Health Source Type: news
Federal Agency Warns Thousands of Medicare Recipients May Have Had Data Stolen
The federal agency that manages Medicare warned that a subcontractor suffered a data breach that might involve “beneficiaries’ personally identifiable information” or “protected health information.” In a statement issued on Wednesday, the Centers for Medicare & Medicaid Services (CMS) announced…#cse #colonialpipeline #socialsecurity #chiquitabrookslasure #healthcaremanagementsolutions #canadas #medicare #centersformedicaremedicaidservices #northamerican #iran (Source: Reuters: Health)
Source: Reuters: Health - December 18, 2022 Category: Consumer Health News Source Type: news
U.S. Health Officials Seek New Curbs on Private Medicare Advantage Plans
Proposed regulations would crack down on misleading ads for the private plans and would enhance scrutiny of denials for coverage of medical care. (Source: NYT Health)
Source: NYT Health - December 17, 2022 Category: Consumer Health News Authors: Reed Abelson and Margot Sanger-Katz Tags: Medicare Health Insurance and Managed Care Medicare Advantage Centers for Medicare and Medicaid Services Source Type: news
I want my brother to move out of our inherited home
Dear Newsweek, I'm a 54-year-old female on the autistic spectrum. I work part-time and have a difficult time keeping a job, but I try my best. I also have mental health issues. I share a house with my older half-brother, he is 64, and had a traumatic brain injury from a car accident three and a…#whatshouldido #dearnewsweek #biancapadilla #supplementalsecurityincome #miami #medicaid #americanswithdisabilitiesactnational #nationalfamilycaregiversupportprogra #wendyoneill #carewell (Source: Reuters: Health)
Source: Reuters: Health - December 17, 2022 Category: Consumer Health News Source Type: news
CMS delays decision on amyloid PET coverage
The U.S. Centers for Medicare and Medicaid Services (CMS) plans to take mor...Read more on AuntMinnie.comRelated Reading:
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SNMMI pushes for coverage of PET tracers for Aduhelm use (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - December 16, 2022 Category: Radiology Source Type: news
Triangle doctor to pay $385K to settle fraud claim
A Triangle OB/GYN practice and its owner are paying $385,000 to settle allegations of Medicaid fraud. (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - December 16, 2022 Category: Pharmaceuticals Authors: Lauren Ohnesorge Source Type: news
CMS: Membership List and Meeting Dates for the Ground Ambulance and Patient Billing (GAPB) Advisory Committee, January 17-18, 2023
The Centers for Medicare& Medicaid Services (CMS) announces the membership of the Ground Ambulance and Patient Billing (GAPB) Advisory Committee and provides notice of its first virtual public meeting to be held on January 17-18, 2023. The agenda includes an overview of the No Surprises Act, and information on the ground ambulance industry, insurance and payment systems, billing practices, and the impact of balance billing on consumers, among other things. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - December 16, 2022 Category: Rural Health Source Type: news
Centene to pay $44.4 million to settle latest PBM allegations
So far, Centene has reached settlements that have been announced by at least 12 states, requiring the nation's largest Medicaid managed care provider to make about $552.4 million in payments. Centene last year set aside $1.1 billion to resolve allegations from states. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - December 15, 2022 Category: Biotechnology Authors: James Drew Source Type: news
Grant Funding for Medicaid Home and Community-Based Services Tops $17 Million
Today the Wisconsin Department of Health Services (DHS) announces the final 26 awardees for the Medicaid home and community-based services (HCBS)grant opportunity. A total of $17.3 million for 69 organizations will fund activities that improve services for people who are older or have a disability, helping them remain in their home or community. Previously, DHS announced theinitial $12 million in funding for...(see release) (Source: Wisconsin DHFS Press Releases)
Source: Wisconsin DHFS Press Releases - December 15, 2022 Category: Hospital Management Authors: millejcodn Source Type: news
Grant Funding for Medicaid Home and Community-Based Services Tops $17 Million
Today the Wisconsin Department of Health Services (DHS) announces the final 26 awardees for the Medicaid home and community-based services (HCBS) grant opportunity. A total of $17.3 million for 69 organizations will fund activities that improve services for people who are older or have a disability, helping them remain in their home or community. Previously, DHS announced the initial $12 million in funding for 43 organizations. The additional $5.3 million in awards marks the completion of the...(see release)JenniferC.MillerDecember 15, 2022 (Source: Wisconsin DHFS Press Releases)
Source: Wisconsin DHFS Press Releases - December 15, 2022 Category: Hospital Management Authors: JenniferC.Miller Source Type: news
Public Inspection: HHS, CMS: Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2024
Pre-publication notice of proposed rule from the U.S. Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) proposing payment parameters and provisions related to the risk adjustment and risk adjustment data validation programs and user fees for Federally-facilitated Exchanges and State-based Exchanges on the Federal platform, among other things. Comments are due by January 30, 2023. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - December 15, 2022 Category: Rural Health Source Type: news
Public Inspection: CMS: Medicare Program; Contract Year 2024 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, Medicare Parts A, B, C, and D Overpayment Provisions of the Affordable Care Act and Programs of All-Inclusive Care for the Elderly; Health Information Technology Standards and Implementation Specifications
Pre-publication notice of proposed rule from the Centers for Medicare and Medicaid Services to amend regulations for Medicare Advantage (Part C), Medicare
Prescription Drug Benefit (Part D), Medicare cost plan, and Programs of All-Inclusive Care for
the Elderly (PACE), among other things. Comments on the proposed changes are due February 13, 2023. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - December 15, 2022 Category: Rural 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 following information collections: 1) Annual Eligibility Redetermination, Product Discontinuation and Renewal Notice; 2) Medicare Advantage and Prescription Drug Program: Final Marketing Provisions in 42 CFR 422.111(a)(3) and 423.128(a)(3); 3) Medicare Plan Performance Warning Information; and 4) Medicare Enrollment Application for Institutional Providers. Comments are due February 13, 2023. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - December 15, 2022 Category: Rural Health Source Type: news
CMS: Agency Information Collection Activities: Submission for OMB Review; Comment Request
The Centers for Medicare and Medicaid Services is seeking comment on the following information collections: 1) Physician Certifications/Recertifications in Skilled Nursing Facilities Manual Instruction, which requires a physician to certify a Medicare beneficiary's need for posthospital skilled nursing facility services; and 2) Notice of Denial of Medicare Prescription Drug Coverage. Comments are due by January 17, 2023. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - December 15, 2022 Category: Rural Health Source Type: news
