End the Emergency Powers
As life increasingly returns to its pre-pandemic state, the time has come to revisit the emergency declarations the Trump administration issued in early 2020, which are still in effect — and then pull the plug. Meanwhile, businesses are open. Social distancing is gone. Mass gatherings are back.…#rsv #michaelrbloomberg #supremecourt #centersfordiseasecontrolandpreventi #defenseinnovationboard #medicaid #medicare #trump #democrats (Source: Reuters: Health)
Source: Reuters: Health - December 8, 2022 Category: Consumer Health News Source Type: news

When Paxlovid Is “Commercialized” In 2023, Patient Access To The Covid-19 Treatment Will Depend On Insurance Status
The oral tablet Paxlovid (nirmatrelvir/ritonavir) is used to treat Covid-19. The antiviral can prevent Covid-19 infections from becoming severe. As such, it has helped many people infected with Covid-19 from being hospitalized or dying. Until now, the federal government has paid for all doses of…#medicare #medicaid #ashishjha #foodanddrugadministration #responseteam (Source: Reuters: Health)
Source: Reuters: Health - December 8, 2022 Category: Consumer Health News Source Type: news

When Paxlovid Is “Commercialized” In 2023, Patient Access To The Covid-19 Treatment Will Depend On Insurance Status
Regardless of what happens to Paxlovid's price once the drug is commercialized in 2023, a uniquely American situation will emerge in which a person ’s access to a potentially life-saving Covid-19 treatment will likely depend on arbitrary features like insurance status, age, and Medicaid-eligibility. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - December 8, 2022 Category: Pharmaceuticals Authors: Joshua Cohen, Contributor Tags: Healthcare /healthcare Innovation /innovation business pharma & Source Type: news

When Paxlovid Is ‘Commercialized’ In 2023, Patient Access To The Covid-19 Treatment Will Depend On Insurance Status
Regardless of what happens to Paxlovid's price once the drug is commercialized in 2023, a uniquely American situation will emerge in which a person ’s access to a potentially life-saving Covid-19 treatment will likely depend on arbitrary features like insurance status, age, and Medicaid-eligibility. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - December 8, 2022 Category: Pharmaceuticals Authors: Joshua Cohen, Contributor Tags: Healthcare /healthcare Innovation /innovation business pharma & Source Type: news

Oregon settles with Medicaid managed services giant Centene for $17M
Centene is a pharmacy benefits manager and operates a CCO through its subsidiary Trillium. (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - December 7, 2022 Category: American Health Authors: Elizabeth Hayes Source Type: news

Public Inspection: CMS, HHS: Medicare and Medicaid Programs: Advancing Interoperability and Improving Prior Authorization Processes for Medicare Advantage Organizations, Medicaid Managed Care Plans, State Medicaid Agencies, etc.
Pre-publication notice of proposed rule from the Centers for Medicare& Medicaid Services that would place new requirements on Medicare Advantage (MA) organizations, state Medicaid fee-for-service (FFS) programs, state Children's Health Insurance Program (CHIP) FFS programs, Medicaid managed care plans, CHIP managed care entities, and Qualified Health Plan (QHP) issuers on the Federally-facilitated Exchanges (FFEs) to improve the electronic exchange of healthcare data and streamline processes related to prior authorization. This proposed rule would also add a new measure for eligible hospitals and Critical Access Hospitals ...
Source: Federal Register updates via the Rural Assistance Center - December 7, 2022 Category: Rural Health Source Type: news

CMS: Medicare and Medicaid Programs: Application From the Center for Improvement in Healthcare Quality for Initial CMS Approval of Its Critical Access Hospital Accreditation Program
Announcement from the Centers for Medicare and Medicaid Services (CMS) of receipt of an application for initial recognition of the Center for Improvement in Healthcare Quality (CIHQ) as a national accrediting organization for critical access hospitals (CAHs) that wish to participate in the Medicare or Medicaid programs. Comments are due by January 6, 2023. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - December 7, 2022 Category: Rural Health Source Type: news

Making Healthcare More Accessible And Affordable: A Conversation With Medicare Director Meena Seshamani, MD, PhD
When the Medicare and Medicaid Act was signed into law in 1965, the path to entrepreneurship and retirement was more straightforward than it is now. Today, Americans are working longer and many are starting businesses later in life. In fact, the number of people starting businesses after the age…#healthaffairs #departmentofhealthandhumanservices #accountablecareorganizations #rhettbuttleinflationreductionact #medicare #centerformedicare #medicaidact #cms #universityofoxford #officeofhealthreform (Source: Reuters: Health)
Source: Reuters: Health - December 6, 2022 Category: Consumer Health News Source Type: news

CMS: Medicare, Medicaid, and Children's Health Insurance Programs; Provider Enrollment Application Fee Amount for Calendar Year 2023
Notice from the Centers for Medicare and Medicaid Services announcing the application fee for providers initially enrolling in the Medicare or Medicaid programs, or the Children's Health Insurance Program (CHIP); revalidating their Medicare, Medicaid, or CHIP enrollment; or adding a new Medicare practice location. The new fee is $688 and is required for applications submitted January 1, 2023, through December 31, 2023. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - December 5, 2022 Category: Rural Health Source Type: news

CMS: Federal Financial Participation in State Assistance Expenditures; Federal Matching Shares for Medicaid, the Children's Health Insurance Program, and Aid to Needy Aged, Blind, or Disabled Persons for October 1, 2023 Through September 30, 2024
Notice from the Department of Health and Human Services releasing the Federal Medical Assistance Percentages (FMAP) rates for the period of October 2, 2023, through September 30, 2024. The rates are used to determine the amount of Federal matching for state Medicaid, Temporary Assistance for Needy Family (TANF) Contingency Funds, and Enhanced Federal Medical Assistance Percentages (eFMAP) rates for the Children's Health Insurance Program (CHIP) expenditures, among other federal assistance programs. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - December 5, 2022 Category: Rural Health Source Type: news

CMS Delays Enforcement on Phase II of Good Faith Estimate Policy
Announces the release of guidance from the Centers for Medicare& Medicaid Services (CMS) that the Good Faith Estimate (GFE) requirement scheduled to go into effect on January 1, 2023 has been delayed. Notes impacts of the GFE requirements on Rural Health Clinics and outlines resources and assistance through the National Association of Rural Health Clinics. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - December 5, 2022 Category: Rural Health Source Type: news

The Impact of the COVID-19 Public Health Emergency Expiration on All Types of Health Coverage
When the declaration of the emergency expires states will resume normal eligibility determinations. This could result in millions losing access to affordable health coverage through Medicaid. (Source: RWJF News Digest - Health Insurance Coverage)
Source: RWJF News Digest - Health Insurance Coverage - December 5, 2022 Category: American Health Authors: Buettgens M Tags: Healthcare Coverage and Access Source Type: news

How Muslim American candidates made history in the midterms
Support Intelligent, In-Depth, Trustworthy Journalism. Geoff Bennett Geoff Bennett Leave your feedback The 2022 midterms saw the greatest number of Muslim Americans elected to office. According to a report from Jetpac Resource Center and the Council on American-Islamic Relations, 153 Muslim…#councilonamericanislamicrelations #georgiastatehouseofrepresentatives #ruwaroman #georgiahouseofrepresentatives #generalassembly #medicaid #ruwaromman #muslimamericans #pbsnewshour #pbsnewsweekend (Source: Reuters: Health)
Source: Reuters: Health - December 3, 2022 Category: Consumer Health News Source Type: news

HHS: Request for Information; Essential Health Benefits
Notice from the Centers for Medicare& Medicaid Services (CMS) seeking comments on a request for information regarding the Essential Health Benefits (EHB) under the Patient Protection and Affordable Care Act. CMS is seeking comments on the description of the EHB, the scope of benefits covered in typical employer plans, the review of EHB, coverage of prescription drugs, and substitution of EHB. Comments are due by January 31, 2023. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - December 2, 2022 Category: Rural Health Source Type: news

Public Inspection: Request for Information; Essential Health Benefits
Pre-publication notice from the Centers for Medicare& Medicaid Services (CMS) seeking comments on a request for information regarding the Essential Health Benefits (EHB) under the Patient Protection and Affordable Care Act. CMS is seeking comments on the description of the EHB, the scope of benefits covered in typical employer plans, the review of EHB, coverage of prescription drugs, and substitution of EHB. Comments are due within 60 days of the publication of this notice, which is scheduled for December 2, 2022. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - December 1, 2022 Category: Rural Health Source Type: news