More than a million Arizonans enrolled in UnitedHealthcare's employer-sponsored, individual and Medicaid health plans will continue to have access to Phoenix Children’s facilities and employed physicians.
Phoenix Children’s Hospital's...Arizona News
Arizona's Medicaid agency reported numerous case management issues against the former provider of Arizona Long Term Care Services (ALTCS).
After working as an ALTCS provider since 2006, Bridgeway lost its bid to secure a new contract with the Arizona Health Care Cost Containment System (AHCCCS) in March 2017 and was responsible for...Arizona News
As of July 1, the 60-bed facility in Mesa is known as Encompass Health Rehabilitation Hospital of East Valley.
Jeff Roberts, CEO of HealthSouth East Valley announced the news,
Our new Encompass Health brand reflects more than the change of our name. It reinforces our commitment to working together to continuously improve the care we...
Social determinants of health (SDOH) define the conditions in the places where people live, learn, work, and play that affect a wide range of health risks and outcomes.
UnitedHealthcare Grant Recipients:
Association of Arizona Food Banks to increase access to fresh produce at local food banks statewide.
Brighter Way Institute...
The decrease in enrollment between 2016 and 2017 occurred largely among people who enrolled without Advance Payment Tax Credits (APTCs) with the average monthly non-APTC enrollment declining by 1.3 million (20 percent) compared to a decrease of only 223,000 (3 percent) APTC subsidized enrollees. Arizona's enrollment losses tops in the...Arizona News
Beginning October 1, the new Value-Based Purchasing (VBP) model begins and Skilled Nursing Facilities (SNFs) will automatically lose two-percent of Medicare funding.
SNFs have the opportunity to receive incentive payments from the Centers of Medicare & Medicaid Services (CMS) based on the quality of their care rather than the...Arizona News
The Health Services Advisory Group (HSAG) produced the June 2018 report for Arizona Medicaid's acute care and Comprehensive Medical and Dental Program (CMDP).
Overview of the CYE 2017 External Review included the following MCOs
Care1st Health Plan Arizona, Inc. (Care1st)
Health Choice Arizona (HCA)
Health Net Access (Health...Arizona News
Banner Health and Lyft announced a partnership Thursday, offering patients a transportation solution to and from medical appointments in the near future, available in most Arizona Banner hospitals.
A press release from Banner Health confirmed the service will also be provided at: "urgent care sites and many of its centers, clinics...Arizona News
An Arizona Daily Star community poll of 1,400 participants found about 1 in 4 Tucson-area residents are not seeking medical care on account of affordability issues.
The poll also reported 16 percent of participants claimed to skip out on filling prescriptions because they could not cover the cost of refills and another 16 percent...Arizona News
The Peoria pharmacists denied Nicole Arteaga her prescription for medication that would help manager her miscarriage and health, according to azcentral.
Recently learning that her pregnancy would result in a miscarriage, Arteaga made a decision to take medication to treat it rather than undergo an invasive surgical...
For failing to improve inmate healthcare following a 2014 lawsuit, the Arizona Department of Corrections was found to be in civil contempt of court along with its Director Charles Ryan and Medical Director Richard Pratt.
A judge on June 22, found Arizona’s prisons chief to be in civil contempt of court and fined the state $1.4...
A federal appellate court ruled last week that the federal government does not have to pay health insurers billions of dollars owed.
These payments were built into the Affordable Care Act (ACA) as a way to offer insurers protection from gains or losses on an exchange that was uncharted territory for insurers, according to Fierce...Arizona News
This week, the AHCCCS Contractor Operations Manual (ACOM) and the AHCCCS Medical Policy Manual (AMPM) got a refresh.
Click here for the revisions and/or additions to the ACOM
and AHCCCS operations reporting guidelines including the Claims Dashboard Reporting Guide, Grievance System Reporting Guide and Provider Affiliation...Arizona News
The 85-bed facility ranks among the worst in the country, receiving a one-star rating from the U.S. Department of Veteran Affairs.
Providing short-term rehabilitation and stabilization, the Prescott Community Living Center demonstrated a lack in quality of care with 45 percent of patients claiming to have moderate to severe...Arizona News
Federal and state governments have geared themselves toward fighting a nationwide opioid epidemic that, according to the National Conference of State Legislatures, is responsible for 115 deaths daily. In Arizona, Gov. Doug Ducey declared opioid related overdoses a public health emergency in 2017—taking an aggressive position on the...Arizona News
The hospital's owner, New Vision Health, closes after creditors filed for involuntary Chapter 11 bankruptcy protection.
Court documents reveal creditors were owed about $13.1 million in unpaid loans and the hospitals' leases were terminated due to nonpayment. Reports say the bankruptcy receiver tried to secure capital to keep the...Arizona News
In his dual role as senior VP at Change Healthcare and president and COO of ACO Partner, John Wallace spoke with HealthLeaders Media about the model, why it works, and how it will grow.
Learn more about ACO Partner in our June newsletter, but until then this interview will shed light on the value-based initiative that now includes...Arizona News
House Bill 2154, enacted earlier this year by Gov. Doug Ducey, has significantly expanded Arizona's current data breach notification law effective Aug. 1, 2018.
Changes include a more expansive definition of “personal information” that was formerly one of the narrowest in the country, according to Ballard Spahr’s Privacy and...Arizona News
An unannounced review of the Phoenix VA Healthcare System was conducted in early February 2018 by the Department of Veteran Affairs’ Office of Inspector General (OIG). These inspections occur approximately every three years and are evaluated according to the measures for that year.
The OIG’s concerns for February were centered...Arizona News
The Hertel Report is proud to celebrate our intern Veronica Graff, who shared a byline on this front page story in the Arizona Republic on Sunday about the emotional and physical damage suffered by ex-Cardinal players and their struggles with the NFL.
The news feature includes interviews from nine former players and explains how a...