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Melanie MacEachern

Freelance writer with skills and knowledge in healthcare policy, reproductive justice and art history. Skilled administrative assistant. Graduated from University of Michigan.

Author's Posts

National Reports & Surveys

REPORT: Older Americans Report Racial & Ethnic Discrimination in Healthcare

Last week, the Commonwealth Fund published the results of a survey on discrimination in healthcare which demonstrated that nearly one-quarter of Black and Hispanic seniors have personally experienced racial discrimination or unfair treatment due to...
REPORT: AHA Finds Skyrocketing Expenses and Inflation Causing Financial Challenges for America's Hospitals National Reports & Surveys

REPORT: AHA Finds Skyrocketing Expenses and Inflation Causing Financial Challenges for America's Hospitals

On Monday, the American Hospital Association (AHA) released a report on the new costs incurred on hospitals and health systems, including the effects of workforce shortages, the COVID-19 pandemic, and economic inflation. The report demonstrates a struggle within the American healthcare system to absorb rising costs, even with the relief...
Arizona News

Centene Earnings Up for Q1 2022, Meeting Difficulties in Medi-Cal Rx Program

On Tuesday, Centene Corporation announced its financial results for the first quarter of 2022, which ended on March 31. The company showed strong growth out of the COVID-19 pandemic and expects to maintain momentum throughout the year, but faces investigation for its participation in state Medicaid programs, including the California...
CMS Rules

No Surprises Act Interim Final Rule and Arbitration Continues to Face Legal Challenges

The No Surprises Act, a law that aims to protect Americans covered by private health plans from receiving surprise medical bills relating to emergency services or non-emergency services from out-of-network providers at in-network facilities, has been met with trouble since its implementation at the beginning of the year. In February,...
CMS Proposes SEP for New Beneficiaries, Closing Coverage Gaps CMS Rules

CMS Proposes SEP for New Beneficiaries, Closing Coverage Gaps

Last Friday, April 22, 2022, the Centers for Medicare and Medicaid Services (CMS) issued a proposal to rectify a few of the issues many Americans face with Medicare enrollment. The CMS press release says the proposed rule will implement provisions from the Consolidated Appropriations Act of 2021 and President Joe Biden's executive...
COVID-19 Update April 21, 2022: Workforce Shortages, OSHA to Revoke AZ State Plan, Mask Mandates Lifted on Public Transit Arizona News

COVID-19 Update April 21, 2022: Workforce Shortages, OSHA to Revoke AZ State Plan, Mask Mandates Lifted on Public Transit

Fallout from COVID-19 policies continue as hospitals nationwide struggle to maintain a workforce. Nurse and healthcare worker unions and advocacy organizations blame hospital policies and reduced pay for the worker shortages. OSHA moved to revoke Arizona's state plan after ongoing violations of federal policy to enforce worker...
Arizona News

Arizona Legislature Lurches Toward a Budget; Healthcare Bills Moving Along

The Arizona State Legislature is back to work this week following an extended period of budget negotiations. The theme of this legislative session overall has centered on education, and a number of healthcare bills that saw action this week have to do with education. On Wednesday, the House Appropriations Committee weighed a potential...
CMS IPPS and LTCH PPS Proposed Rules: Health Equity and 3.2% Increase CMS Rules

CMS IPPS and LTCH PPS Proposed Rules: Health Equity and 3.2% Increase

On Monday, the Centers for Medicare and Medicaid Services (CMS) published the Hospital Inpatient Prospective Payment (IPPS) and Long Term Care Hospitals (LTCH PPS) Proposed Rule, which will update Medicare fee-for-service payment rates and policies for inpatient hospitals and LTCHs for fiscal year 2023. The rule includes a 3.2% increase...
National News

MA Taking Advantage of Its Growing Market Share - Onboarding Key to Additional Benefits

It is now incredibly well established that Medicare Advantage is popular among seniors and gaining new members every year, so quickly in fact that it is expected to represent half of the Medicare market by 2026. The question on everyone's minds now is: What will Medicare Advantage do with all this success, and how can it improve to...
National & Arizona Initiatives to Boost Maternal Health Outcomes Arizona News

National & Arizona Initiatives to Boost Maternal Health Outcomes

Last week was Black Maternal Health Week in the U.S., and with it came a number of announcements on support services through both public and private programs to improve health outcomes for pregnant or postpartum women of color and their children across the country and in Arizona. In a short blog post for the Arizona Department of...
National News

Policymakers Move to Tackle Community Health Concerns, Mental Health, Rural Veterans Access to Care

Under the Biden administration and throughout the COVID-19 pandemic, the national push to improve community access to health resources has gained steam and policy decisions reflect the public demand for greater resources. On Tuesday, the U.S. Department of Health and Human Services (HHS) announced a $105 million grant to strengthen...
COVID-19 April 14 Update: BA.2 & Long-term Care Policies Change Arizona News

COVID-19 April 14 Update: BA.2 & Long-term Care Policies Change

The BA.2 variant, also known as the "stealth Omicron," is now the dominant coronavirus version in the U.S. and more than 60 other countries. This week, Philadelphia became the first major city in the U.S. to announce that it would return to mandating masks in public spaces due to the spread of BA.2. Meanwhile, Arizona, the Centers for...
Lawsuits Filed Against Nursing Homes, COVID-19 Waivers and Telehealth Fraud, Medicare and Medicaid Fraud National News

Lawsuits Filed Against Nursing Homes, COVID-19 Waivers and Telehealth Fraud, Medicare and Medicaid Fraud

As COVID-19 restrictions relax and business practices return to normal guidelines, a large number of negligence and wrongful death suits have been filed due to a repeal of liability protections and statutory deadlines. Johnson & Johnson was unable to overturn a ruling in a deceptive marketing case regarding transvaginal mesh...
Arizona News

Arizona Legislative Session: Governor Signs Bill Banning Billing for Rape Kits & Other Health Related Legislation

Last week was rather slow at the Arizona State legislature, but Governor Doug Ducey did sign legislation that would ensure that victims of a sexual crime are not charged for any part of the medical or forensic examination. Other bills moving through the legislature include patient consent for HIV testing and wellness programs for...
The Great Unwinding: Ending PHE Policies in a Time of Crushing Medical Debt National News

The Great Unwinding: Ending PHE Policies in a Time of Crushing Medical Debt

As the COVID-19-related public health emergency (PHE) winds down, concerns are being raised that the structures of support provided to the public during the crisis will have a negative impact on beneficiaries when the PHE comes to a close. These include Medicaid enrollees, who have not been reviewed for qualification by state Medicaid...
CMS Rules

Medicare Advantage Update: A Look at 2023 CMS Payment Policies, MA Market Dominance, Increases in Premiums and Deductibles

This week in Medicare Advantage (MA), the program is on track to account for 54% of Medicare spending by 2030 and the Centers for Medicare and Medicaid Services (CMS) finalized the plan rates for 2023. Also, Humana takes a look at social needs in Medicare Advantage before COVID and eHealth looks at the rise in premiums and deductibles...
CMS Rules

CMS Calls For 4.6% Cuts to SNFs in FY 2023 PPS Proposed Rule

On Monday, the Centers for Medicare and Medicaid Services (CMS) filed the Fiscal Year 2023 Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Proposed Rule. The reimbursements include a 3.9% increase to industry reimbursements, but in aggregate the impact of payment policies would result in a decrease of $320 million in...
COVID-19 Update April 7, 2022: Hospitalizations Still Falling, the Threat of BA.2 Emerges Arizona News

COVID-19 Update April 7, 2022: Hospitalizations Still Falling, the Threat of BA.2 Emerges

COVID-19 has fallen out of the national spotlight, as cases and death counts fall week-over-week. But there are still challenges present. The threat of the BA.2 variant that caused a post-Omicron resurgence in Europe demonstrated COVID-19 still requires vigilance, effort and funding to overcome. In Arizona this week, there were 6,840...
National News

VBC News: MSSP Turns 10, Palliative Care Struggles, Rural Payment Models & Reining in Rx Costs

This week, the Center for Medicare hinted at new value-based approaches to palliative care; health equity takes precedence in the national conversation on rural payment models; and value-based contracts are analyzed for their ability to mitigate drug costs. The Medicare Shared Savings Program (MSSP) is now ten years old, and with it...
Arizona News

White House Turns Its Attention to Tackling Long COVID

Long COVID still remains elusive to medical and public health officials, and as cases of COVID-19 in the U.S. subside, researchers and the federal government are turning their attention to the lasting effects of COVID-19 infection. Some studies on Long COVID estimate that 30% of people who catch the virus will experience long-term...
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