EOP: Lowering Prescription Drug Costs for Americans
Executive Order from the Office of the President directing the Secretary of Health and Human Services (HHS) to consider whether the Center for Medicare and Medicaid Innovation should test new payment and delivery models that would lower drug costs and promote access to innovative drug therapies for Medicare and Medicaid program beneficiaries. The Secretary of HHS must submit a report to the Assistant to the President for Domestic Policy outlining and describing models to be tested and implementation plans. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - October 19, 2022 Category: Rural Health Source Type: news

D.C. Council approves Medicaid contracts worth nearly $9 billion for city ’s low-income residents
The three providers will serve roughly 250,000 D.C. residents. (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - October 19, 2022 Category: Pharmaceuticals Authors: Sara Gilgore Source Type: news

Centene donated to Georgia political coffers as it faced overbilling allegations
Centene Corp., which is working to settle allegations that it overcharged Georgia ’s Medicaid program for pharmacy benefits, has been a major donor to that state's governor and attorney general. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - October 18, 2022 Category: Biotechnology Authors: James Drew Source Type: news

There's a Push to Expand Medicare's Coverage of Dental Issues
TUESDAY, Oct. 18, 2022 -- Dental coverage under Medicare could soon start expanding for seniors under a new proposal from the U.S. Centers for Medicare and Medicaid Services (CMS). Still, the proposed rules would not provide full coverage for... (Source: Drugs.com - Daily MedNews)
Source: Drugs.com - Daily MedNews - October 18, 2022 Category: General Medicine Source Type: news

CMS: Establishment of the Medicare Drug Rebate and Negotiations Group Within the Center for Medicare (CM)
Notice from the Centers for Medicare& Medicaid Services (CMS) establishing the Medicare Drug Rebate and Negotiations Group within the Center for Medicare to implement the Drug Price Negotiation Program and the Inflation Rebate Program in Medicare Part B and Part D as authorized under the Inflation Reduction Act of 2022. The Drug Price Negotiation Program group will negotiate drug prices with pharmaceutical manufacturers for certain Part B and Part D drugs, and the Inflation Rebate Program will determine which drugs had price increases exceeding inflation and compute, invoice, and collect rebates owed by manufacturers. This...
Source: Federal Register updates via the Rural Assistance Center - October 14, 2022 Category: Rural Health Source Type: news

Omeza Announces New CMS HCPCS Code for Omeza(R) Collagen Matrix
Studies of Wound Closure Rate with Novel Chronic Wound Treatment Continue SARASOTA, Fla., Oct. 13, 2022 -- (Healthcare Sales & Marketing Network) -- Omeza today announced that the Centers for Medicare and Medicaid Services (CMS) has confirmed a HCPCS r... Devices, Wound Care, Reimbursement Omeza, Collagen Matrix (Source: HSMN NewsFeed)
Source: HSMN NewsFeed - October 13, 2022 Category: Pharmaceuticals Source Type: news

CMS to reimburse for automated CCTA procedures
The U.S. Centers for Medicare and Medicaid Services (CMS) has assigned a ne...Read more on AuntMinnie.comRelated Reading: CMS officially postpones changes to radiation therapy payments Imaging groups push back against proposed 2023 Medicare cuts Midyear radiology coding update and other reminders What's in store for radiology in the 2023 Medicare Proposed Rule? CMS releases proposed Medicare Physician Fee Schedule for 2023 (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - October 13, 2022 Category: Radiology Source Type: news

Hope and Grief in a U.S. County With One of the Highest Suicide Rates
Brandon Kapelow is a filmmaker and photographer from Wyoming. He is a suicide-loss survivor and a peer-support facilitator for SOLACE and the Greater Los Angeles chapter of the American Foundation for Suicide Prevention. I was raised in the wilds of western Wyoming and spent my childhood exploring the foothills of the Rocky Mountains, camping in Idaho and Montana, and visiting family in Colorado and New Mexico. It was a beautiful but difficult place to grow up. Apart from Alaska, these are the states that continually rank highest for deaths by suicide, earning the Intermountain West the ominous designation “the Suici...
Source: TIME: Health - October 13, 2022 Category: Consumer Health News Authors: Brandon Kapelow Tags: Uncategorized feature healthscienceclimate Public Health Source Type: news

Public Inspection: CMS: Charter Amendments, Establishments, Renewals and Terminations: Establishment of the Medicare Drug Rebate and Negotiations Group within the Center for Medicare
Pre-publication notice from the Centers for Medicare& Medicaid Services (CMS) establishing the Medicare Drug Rebate and Negotiations Group within the Center for Medicare to implement the Drug Price Negotiation Program and the Inflation Rebate Program in Medicare Part B and Part D as authorized under the Inflation Reduction Act of 2022. The Drug Price Negotiation Program group will negotiate drug prices with pharmaceutical manufacturers for certain Part B and Part D drugs, and the Inflation Rebate Program will determine which drugs had price increases exceeding inflation and compute, invoice, and collect rebates owed by man...
Source: Federal Register updates via the Rural Assistance Center - October 13, 2022 Category: Rural Health Source Type: news

Critics Say Newsom's Pricey Medicaid Reforms Leave Patients Behind Critics Say Newsom's Pricey Medicaid Reforms Leave Patients Behind
Even though California Gov. Gavin Newsom is funneling billions of taxpayer money into an initiative to provide some low-income patients with social services, critics say it won ' t improve access to basic care.Kaiser Health News (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - October 12, 2022 Category: Emergency Medicine Tags: Emergency Medicine News Source Type: news

Ruminations on Healthcare Spending Ruminations on Healthcare Spending
Neurologist Allan Block notes that in the past 3 years, the Centers for Medicare& Medicaid Services spent $18 billion on drugs"for which there ' s no proof of significant clinical benefit."MDedge (Source: Medscape Transplantation Headlines)
Source: Medscape Transplantation Headlines - October 12, 2022 Category: Transplant Surgery Tags: Neurology & Neurosurgery Commentary Source Type: news

Brave Health raises $40M for Medicaid-focused virtual mental healthcare
The company announced a $10 million Series B raise last year. (Source: mobihealthnews)
Source: mobihealthnews - October 11, 2022 Category: Information Technology Source Type: news

Brave Health raises $40M to bring mental health care to Medicaid patients
It's the first company to receive an investment from a new $350 million fund dedicated to supporting health care access. (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - October 11, 2022 Category: American Health Authors: Ashley Portero Source Type: news

As Hospitals Close Children ’s Units, Where Does That Leave Lachlan?
Adult beds are more lucrative than children ’s beds. So as institutions look to boost profit margins, pediatrics are often among the first services to be cut. (Source: NYT Health)
Source: NYT Health - October 11, 2022 Category: Consumer Health News Authors: Emily Baumgaertner Tags: Hospitals Children and Childhood Rural Areas Shutdowns (Institutional) Emergency Medical Treatment Shortages Medicaid Mergers, Acquisitions and Divestitures Doctors United States Oklahoma your-feed-healthcare Source Type: news

How Insurers Exploited Medicare Advantage for Billions
By next year, half of Medicare beneficiaries will have a private Medicare Advantage plan. Most large insurers in the program have been accused in court of fraud. (Source: NYT)
Source: NYT - October 8, 2022 Category: American Health Authors: Reed Abelson and Margot Sanger-Katz Tags: Health Insurance and Managed Care Medicare Whistle-Blowers Suits and Litigation (Civil) Regulation and Deregulation of Industry Frauds and Swindling Centers for Medicare and Medicaid Services Source Type: news