Plaintiff Goldwater Institute said the money the legislature used to fund the expanded Medicaid program was actually a tax and should have received a two-thirds vote that the state constitution requires of all revenue-raising measures.
Thousands of businesses, many of them small or midsize, will soon receive a letter saying that they owe the government money because they failed to offer their workers qualifying health insurance.
The first round of notices are being mailed to companies that have at least 100 full-time employees and ran afoul of the law in 2015, the...Arizona News
Currently, only people younger than 21 on AHCCCS are covered for chiropractic care.
Wayne Bennett, a Prescott chiropractor, said one of the most frustrating parts of his job is encountering AHCCCS patients with chronic pain who can't access chiropractic care because they can't afford it.
The Arizona Capitol Times reports that...National News
Azar, 50, a lawyer by training, has spent most of the last 10 years with pharmaceutical giant Eli Lilly, rising to president of its key U.S. affiliate before leaving in January to start his own consulting firm.
Tapped to replace the last HHS Secretary, Tom Price, who resigned amid controversy, Azar has history at HHS; having served in...National News
In its bulletin, the administration said agents and brokers who are registered with the federal marketplace can “get sales leads” and new clients.
The New York Times reports the administration said in a recent bulletin that it was “increasing partnerships” with insurance agents and viewed them as “important stakeholders”...National News
Otsuka Pharmaceutical created the first pill embedded with a sensor that can alert a patient’s physician or caregiver when it’s been ingested.
It is an upgraded version of Abilify, the antipsychotic drug first approved 15 years ago to treat schizophrenia, bipolar disorder, and depression. Otsuka collaborated with Proteus Digital...National News
Accenture study shows 91% of patients want to know out-of-pocket costs, only 25% of providers can provide the estimates.
HealthLeaders Media reports providers shouldn’t be afraid of sharing cost estimate information—the majority of patients aren’t using it to shop around, but rather to better plan their budgets, and 60% of...Arizona News
Banner Health's former CFO is named Mayo Clinic's Chief Financial Officer after a national search.
Dahlen joins Mayo Clinic after 11 years as senior vice president of finance and chief financial officer at Banner Health, an integrated health care delivery system in Phoenix.
I’m thrilled to join Mayo Clinic, an...National News
Conservatives have been clamoring to use the tax plan to nix ACA’s individual mandate after Republicans failed to repeal and replace the Affordable Care Act.
The Hill reports Republicans have a narrow path to get their tax plan through the Senate. With a 52-seat majority they can only afford to lose two GOP senators and still let...Arizona News
She spoke to the plenary session of the National Association of Medicaid Directors (NAMD) Fall Conference in Arlington, Virginia.
Verma unveiled new CMS policies that encourage states to propose innovative Medicaid reforms, reduce federal regulatory burdens, increase efficiency, and promote transparency and accountability. A CMS...Arizona News
New logo unveiled to emphasize Carondelet's evolution and fresh outlook for the future.
The new logo for the local hospital shows two blue hands cupping an orange flame, with “Holy Cross Hospital” in blue lettering and “Carondelet Health Network” in orange below.
The Sisters of St. Joseph of...National News
Not everyone will be happy.
November 2 the Centers for Medicare and Medicaid Services exposed the final rule implementing the changes. The rule is 1,250 pages long. You may wish to read it here. Thoughtfully included are the names and phone numbers of staff that can be contacted for more information , listed by topic areas.
In this white paper, the third in a series, McKinsey's Center for US Health System Reform explores initiatives state Medicaid programs can initiate to improve care delivery efficiency.
This white paper discusses initiatves in:
Care Delivery & Payment Innovation
Changes to Enrollment, Benefits...
The potential merger between CVS and Aetna could be worth more than $66 billion.
The online retailer Amazon's flirtation with the pharmacy business has been raised as a factor in the merger. But many industry experts say CVS and Aetna have another huge competitor on their minds: UnitedHealth Group. Kaiser Health News quotes Ana Gupte,...
The complaint alleges that Epic refused to adjust its billing software after the Centers for Medicare & Medicaid Services changed the way hospitals bill for anesthesia, prompting hospitals that use its software to improperly bill Medicare and Medicaid.
The whistleblower in the lawsuit, Geraldine Petrowski, worked as a compliance...
The jury’s verdict in favor of Esmeralda O. Tripp and against the University of Arizona Health Network, now Banner-University Medical Center Tucson, is the largest civil verdict reported in Arizona to date this year.
The Arizona Daily Star reports the 46 year old Tucson woman, now in a persistent vegetative state, presented to the...National News
There is disagreement over what to replace it with.
MedPAC members are concerned that MIPS will not achieve its desired goals. The flexibility of the program, various options for how physicians can report measures and the broad exemptions for certain types of clinicians, has made it complex. There are also statistical challenges that...National News
The bill extends CHIP funding for five years: funded by higher premiums to wealthier Medicare beneficiaries, cutting money from ACA’s public health fund and shortening the grace period for ACA enrollees who fail to make premium payments.
The Hill reports today that the bill would extend CHIP for five years and was combined...Arizona News
The latest Vagus Nerve Stimulation Therapy is designed to prevent seizures before they start and stop them if they take hold.
The new, recently FDA approved implantable generator SenTiva, features a wireless wand that interfaces with a small tablet offering patients with drug-resistant epilepsy a physician-directed customizable...Arizona News
The newly established position is now filled by Karen Stratton, Ph.D., formerly VP for women's and children's services at the University of Chicago Medicine.
Stratton began her new role October 30 as Arizona's largest health system expands its service line, Banner Children's. Her role as a clinician began as a pediatric...Arizona News
Year-over-year (YOY), SHP doubled its earned shared savings and is the only Arizona MSSP ACO to receive a check from CMS for 2016 performance.
With a steady beneficiary pool of around 19,000 YOY, Scottsdale Health Partners generated savings of nearly $19 million, earned nearly $9 million in shared savings and received an overall...
Cash for CHIP ran out when the federal fiscal year ended Sept. 30.
In the interim, the federal Centers for Medicare and Medicaid Services has used unspent dollars from the just-ended budget year to keep the program alive. Those funds will be depleted by December.
The Hill quoted Trish Riley, the executive director of the...
The new approach aims to streamline the measures hospitals and physician practices must report on, focusing on those most essential to quality of care and improved outcomes.
Healthcare IT News quotes Administrator Seema Verma:
We need to move from fee-for-service to a system that pays for value and quality – but how we define value...Arizona News
The contract to provide health care services to U.S. military members and their families in the western region started April 1, 2013 and officially ends Dec. 31, 2017.
UnitedHealthcare expects to eliminate 381 jobs in Arizona as of Jan. 2.
The Phoenix Business Journal quotes Bruce Jasurda, vice president of communications for...Arizona News
The marketplace is unique in several ways in Pima County.
Local residents should expect lower premium increases and more choice than they had for coverage in 2017.
The enrollment period, which ends at midnight Dec. 15, is half the length of what it was last year, and federal dollars to market it have been slashed. Healthcare.gov is...