Originally created to ensure Medicaid beneficiaries with a serious mental illness (SMI) weren't warehoused in facilities by the government, the IMD exclusion means state Medicaid agencies can't pay for mental healthcare services received in a...Arizona News
Banner Health announced today its new Chandler hospital will be named Banner Ocotillo Medical Center. The news follows last week's approval from Chandler's City Council to move forward with the four-story 245,00 square foot development despite dissent from community members.
Objections to the project came from neighbors worrisome...Arizona News
Last week, Centers for Medicare and Medicaid Services (CMS) Administrator Seema Verma released an update to her Merit-based Incentive Payment System (MIPS) original performance evaluation published in May. The November 8 blog post revealed 93 percent of participants merited a positive payment adjustment for their 2017...Arizona News
Retiring AHCCCS Director Tom Betlach will join Missouri Medicaid Director Dale Carr and a senior leader from the Center for Program Integrity at CMS to discuss how states and the federal government are partnering to identify and address inappropriate or unnecessary spending in the healthcare system.
Department of Health & Human...Arizona News
A local and national leader on managed Medicaid and healthcare policy, Betlach spent nearly two decades with the Arizona Health Care Cost Containment System (AHCCCS), Arizona's Medicaid agency; Betlach served nine years as AHCCCS director and eight as its deputy director.
Governor Doug Ducey announced Betlach's retirement today,...Arizona News
Last month, a global stock market sell-off sent the S&P 500 into dangerous waters, having analysts discussing potential bear market climates but stocks rallied this week and healthcare was leading the numbers following the midterm elections.
PricewaterhouseCoopers (PwC) released an analysis today regarding the effects midterm...Arizona News
New York-based startup health insurance company Oscar Health is expanding and hiring 400 new employees as it acquires new office space to establish a more robust presence in Arizona.
Oscar Health moved into its Tempe office in The Circuit complex just two years ago and is leasing another space in the complex, adding hundreds of...
City of Hope and Translational Genomics Research Institute (TGen) announced plans to form an alliance earlier this week to develop a cell therapy manufacturing facility in Phoenix. California-based City of Hope is branching out from its California roots with multiple facilities in Duarte, California.
As an independent cancer...
As the midterm elections are right around the corner, healthcare is on the minds of many; politicians and voters alike. The news cycle this week is marred with a slew of "he said, she said" pieces, Republicans pointing condemning fingers at the policies of Democrats and vice versa. The question is not "why healthcare", however, but "what...Arizona News
The Maricopa County Special Health Care District Board approved the bond sale in September. The bond's subsequent pricing and high investment grade ratings was received well by investors on October 11. The transaction closes October 30, 2018.
Maricopa County Special Health Care District board member Mark Dewane said MIHS’s...Arizona News
Change Healthcare and ACO Partner reported a 26 percent lower 30-day readmission rate for participating providers and a 28 percent reduction in all cause readmission rates than a non-participant cohort in its first year. ACO partner is operated by Change Healthcare and Blue Cross Blue Shield of Arizona.
It is first complete plan...
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Hundreds of nurses at St. Joseph's and St. Mary's hospital in Tucson voted to unionize and join the largest registered nurses' union in the country--the National Nurses Organizing Committee (NNOC).
The votes were cast via secret ballot and officials from Carondelet Health Network, owner of the hospitals, told the Arizona Daily Star...Arizona News
The personal information of approximately 75,000 people was breached last month after a government run healthcare sign-up system was hacked. The Centers for Medicare and Medicaid Services (CMS) announced the news on Friday, Oct. 19 just a few weeks before the Affordable Care Act exchange opens up for open enrollment.
CMS administrator...Arizona News
In 2019, after a 140-year tradition serving as Maricopa County's public teaching hospital and safety net healthcare system, Maricopa Integrated Health System will be known as Valleywise Health.
Although still under the oversight of the Maricopa County Special Health Care District Board of Directors and governed by the same mission,...Arizona News
Care1st Health Plan Arizona is a WellCare company which currently serves 184,000 of the state's Medicaid members in eight counties under a new AHCCCS Complete Care (ACC) contract.
The company said the regional hub in Phoenix will better serve Medicaid members in Arizona, augment the company's clinical and operational functions...Arizona News
Last week, the Centers for Medicare and Medicaid Services (CMS) announced the average premium for benchmark silver plans in the Affordable Care Act (ACA) exchanges dropped by 1.5 percent for the 2019 benefit year - the first premium drop since HealthCare.gov opened for business in 2013.
In Arizona, consumers will have more plans...Arizona News
An Alternative Payment Model (APM) is one way of delivering value-based care, as the shift from traditional fee-for-service to a value-based payment model continues, programs are continuously looking to serve as a catalyst in offering cost-effective, higher-quality care. APMs incentivize this goal and can apply to an episode, condition,...Arizona News
Last week on Oct. 12, 33-year-old Nicholas White and 60-year-old Jeffrey White, father and son duo pleaded guilty to defrauding Affordable Care Act (ACA) programs out of $27 million across at least 12 states--including Arizona. Both were healthcare professionals out of Twin Peaks, California.
According to the Department of Justice...Arizona News
Last week the Department of Justice gave CVS and Aetna approval for their $69 billion merger on the condition that Aetna sells off its Medicare Part D prescription drug business. Insurers cozying up with the pharmaceutical industry is a growing trend, think: OptumRx and UnitedHealth, or the recent Cigna-Express Scripts...