CMS proposal could decrease hospital revenue, hospital officials say
Orthopedic surgeons and ambulatory surgery centers (ASCs) are excited by a new proposal by the Centers for Medicare and Medicaid Services (CMS) to pay for joint replacement...Arizona News
Mayo Clinic Hospital in Phoenix cracks the top 20 nationally for first time.
For the second year in a row, Mayo Clinic Rochester topped the best hospital rankings list by U.S. News and World Report. For the first time, an Arizona hospital makes the top 20 on the national list, called the "honor roll". That hospital? Mayo Clinic...
Tweeted by President Trump on Wednesday, August 9, the sentiment contrasts with a bipartisan effort to fix the Affordable Care Act.
Health and Human Services Secretary Tom Price also had pointed comments to Congress on Wednesday,
"Both folks in the House and the Senate, on both sides of the aisle frankly, have said that Obamacare...
The public comment period ended August 7, 2017; advocacy groups made a last-ditch effort to plead their case on behalf of patients.
More than 75 consumer advocacy groups spoke out to save an Obama-era rule allowing patients to sue nursing homes over neglect, sexual assault, or abuse.
The Centers for Medicare and Medicaid Services...Arizona News
Appellate Court decision allows states to defend ACA's cost-sharing reductions.
A Washington, D.C. appellate court ruled that state's attorneys general have legal standing to sue to receive the Affordable Care Act's cost-sharing reduction subsidies.
The decision adds some clarity and relief to state-level officials as President...Arizona News
MGMA members can view this comprehensive overview of 2018 proposed rule changes to MIPS/APMs and physician fee schedules
This policy analysis by MGMA explains the intricacies of 2018 proposed rules for MIPS/APMs and physician fee schedules.
The 2018 proposed rule revises three central tenets of the MIPS/APM programs:
Scottsdale-based healthcare marketing and public relations firm sees opportunity in Tennessee.
Activate Health’s client roster includes Dignity Health, Avella Specialty Pharmacy, NurseGrid, Arizona Care Network and SpringBoard Healthcare. Activate also has experience launching health information technologies including mobile apps,...Arizona News
Slashing Medicaid could lead to hospital closures in Arizona
Under the Senate replacement bill for the Affordable Care Act (ACA), rural hospitals in Arizona face potentially drastic Medicaid cuts that would increase debt and potentially send some hospitals out of business, leaving thousands of rural Arizonans without a hospital...
How much do Medicaid beneficiaries really like the care they are receiving?
The Centers of Medicare & Medicaid Services (CMS) develops and conducts Consumer Assessment of Healthcare Providers & Systems (CAHPS) surveys to better understand Medicaid beneficiaries’ experiences with providers. These CMS surveys are not measuring...
A fresh and complete look on the impact upcoming healthcare reforms will have on Arizona’s budget, people and economy.
Recent legislation passed by Congress is dramatically cutting federal funds, putting hundreds of thousands of Arizonans at risk of losing Medicaid coverage and could impact the federal budget by billions in the...Arizona News
Blue Cross Blue Shield of Arizona and Centene have filed their intent to offer individual products in 2018 with the Arizona Department of Insurance
CMS released its updated county-level map of 2018 projections on July 5, 2017.
This is yet another failing report card for the Exchanges. The American people have fewer insurance...Arizona News
The insurer, which launched an MAPD product in Colorado last year, is led by former UnitedHealth executive Bob Sheehy.
The new start-up insurance company Bright Health is entering the Arizona marketplace in 2018 in collaboration with Arizona Care Network (ACN). Marketing of MA plans begins October...Arizona News
Kaiser Family Foundation releases its look at enrollment trends as of 2017.
Some highlights in the June 2017 Issue Brief:
Enrollment in MA plans has grown 71 percent since 2010 with one in three Medicare beneficiaries enrolled in the plans.
Enrollment is concentrated in a small number of firms with UnitedHealthcare and Humana...Arizona News
The insurer filed to push rates up for its PPO and HMO small group major medical products available off exchange
This week the ADOI published its threshold rate review determinations as follows.
On March 17, Humana requested an overall increase of 7.91 percent (minimum. .476 percent to maximum 11.61 percent) for its PPO's...Arizona News
AHCCCS will administer the grant from the Department of Health and Human Services Substance Abuse and Mental Health Services Administration (SAMHSA)
The grant of $24,343,406 will be awarded during a two-year period and is designed to combat opioid use disorder and opioid-related deaths.
Implementation of the award will begin quickly, in...Arizona News
A cardiologist from Tennessee, Dr. Guy Reed replaces Dr. Stuart Flynn
Dr. Reed will be paid $700,000 a year and begins his new position this summer.
"Dr. Reed has an extraordinary track record as a cardiologist, research-scientist, educator and administrator. He represents the highest quality of academic medicine and research. His...Arizona News
Lines of business impacted are Health Net's commercial, Medicaid and exchange products
The termination now stands effective as of April 30, 2017 for commercial and Health Net Access.
The Hertel Report has learned that Dignity Health is committed to resolving this issue by Monday.
Health Net providers received the announcement April...Arizona News
UHC filed for an overall increase of 11.4 percent for small group PPO and 19 percent for individual PPO
The small group PPO rate change is effective July 1, 2017 and affects UHC's PPOs, non-grandfathered small group major medical offered OFF exchange.
The individual PPO affects Golden Rule's (dba UHC) for individual major medical...Arizona News
After DOJ blocked the deal last summer Cigna filed a $14 billion lawsuit against Anthem
Anthem and Cigna haven't received a decision from a federal appeals court on whether the DOJ's anti-trust concerns could stop the $54 billion merger.
In her February 2017 ruling on the proposed acquisition by Anthem, U.S. District Court Judge...