Signed by Governor Doug Ducey on Monday the legislation extends the term of limited duration to one year, renewable for up to three years.
The legislation becomes law 90 days after close of the session. Currently, short-term, limited duration...Top of The Day
A federal court this week ruled that United Behavioral Health (UBH) used unlawful, systematic claims denials for mental health and substance abuse treatment claims filed on behalf of beneficiaries across the nation.
On Tuesday, US Chief Magistrate Judge Joseph Spero found that to save money the insurer developed internal policies that...Top of The Day
Saying Arizona is a "Pro-Vaccine State", Ducey said he would not sign any bills that could decrease vaccinations. In a rare statement on pending legislation, Arizona Governor Doug Ducey told reporters that because it involves public health, he is letting the people of Arizona that Arizona is "pro-vaccination". This comes after three...Top of The Day
Family planning clinics were never able to use the federal funds for abortions, but now no clinic that perform abortions or refer patients to another facility for the legal medical procedure can receive Title X funds; other new clinic restrictions are also causing concern.
The Henry J Kaiser Family Foundation (KFF) explains other...Top of The Day
State health officials reported 10 babies died in 2018 of congenital syphilis and Arizona medical providers are seeing the largest increase of syphilis cases in women and newborns. Officials also declared an outbreak in Dec. 2018.
The Arizona Department of Health Services confirmed the outbreak of syphilis, a bacterial infection that...Top of The Day
After recent news of a measles outbreak in the U.S., including Arizona, two vaccine-related bills have seen some time in committee. One has not. The bills that have been proposed and discussed include one that will require a physician or administrating provider to inform parents of the risks and benefits of each vaccine, and one...Top of The Day
Arizona's Medicaid agency reported the insurer faced serious challenges with provider contracts, loads and claims payment after its migration of its provider network into a single database.
According to the Arizona Healthcare Cost Containment System (AHCCCS), the claims dashboard submitted by Arizona Complete Health (ACH) "underscores...Top of The Day
On Friday, January 15, 2019 the non-profit system broke ground on its first rehab hospital under a joint venture partnership agreement with Select Medical that includes new facilities in metro Phoenix, West Valley and East Valley.
The new facility, Banner Rehabilitation Hospital – Phoenix, will cover 71,480 square-foot and three...Top of The Day
Expect facility renovations at Flagstaff Medical Center (FMC) including an expanded trauma center and new off-site facilities across the region, including urgent care in the city's eastern region.
Northern Arizona Healthcare's (NAH) "New Era Strategic Plan" is a three-year plan to spread funding across the NAH family including FMC,...Top of The Day
In a competitive field, UnitedHealthcare Pacificare (AARP) retains its lead following the Medicare Advantage open enrollment period that closed December 7, 2018 for the 2019 plan year.
CMS released January 2019 enrollments - MA enrollment in Arizona rose to 513,744, a 6% increase. This marks the first time Arizona has gone over the...Top of The Day
The agency's Center for Medicare and Medicaid Innovation (CMMI) announced updates to the Value-Based Insurance Design (VBID) Model along with a brand new Part D Payment Modernization Model.
The VBID model was launched in 2017, the update announced last Friday is designed to further reduce Medicare costs, enhance the quality of care...Top of The Day
On Friday, January 18, The Arizona Health Care Cost Containment System (AHCCCS) received 1115 Waiver Amendment approval from the Centers for Medicare and Medicaid Services (CMS) to begin implementing work requirements next year - the move is predicted to impact about 120,000 able bodied AHCCCS members ages 19 to 49; beginning April 2019...Top of The Day
Critics say the quick turnaround for applications after the program's recent overhaul to greater risk is cause for concern and are advocating CMS extend its application window and push back the deadline.
The National Association of ACOs (NAACOS) and America's Physician Groups (APG) both complain ACOs are still responding to the...Top of The Day
Pima Community Access Program (PCAP) helped low-income community members in Southern and Southeastern Arizona access quality, affordable health insurance options; all PCAP inquiries are now forwarded to the El Rio Health Center's outreach and enrollment department.
The not-for-profit organization provided access to professional...Top of The Day
U.S. District Court Judge Reed O'Conner hasn't budged from his view that the ACA is unconstitutional, but issued a stay Dec. 30 allowing the law to stand while his controversial decision is taken up on appeal.
Arizona is one of 20 GOP-led states that brought the case in Texas arguing the ACA's individual mandate is inseverable from...Top of The Day
Arizona's Medicaid agency will be led by Snyder beginning Jan. 4. She succeeds the retiring Tom Betlach, the longest serving AHCCCS director in the state's history.
Serving as deputy director of the Arizona Health Care Cost Containment System (AHCCCS) since December of 2017, Snyder isn't new public service, nor to Arizona. She...Top of The Day
The merger creating a new company called CommonSpirit Health won't close before the New Year as expected. The merger will create a system with a fleet of 140 hospitals (five in Arizona) operating across 16 states.
CommonSpirit Health would also include 700 care sites and employ 159,000 employees and about 25,000 physicians and other...Top of The Day
In the new "Pathways to Success" model, ACOs will have to be ready to take financial risk sooner.
The final policy reduces the amount of time new ACOs can stay in the program without taking risk from six to two years and just one year for existing one-sided ACOs. The agency made one exception to its fast track initiative: new,...Top of The Day
Efforts by Kansas and Louisiana, two Republican-led states, seeking to defund Medicaid funding for organizations offering women’s reproductive health services, such as abortions, was thwarted when the U.S. Supreme Court refused to hear the case in a 6 to 3 decision.
The two states attempted to block Medicaid funding for...Top of The Day
MDIG now has an agreement to provide sub-specialty diagnostic, vascular and interventional radiology services to three Steward hospitals in the state: Luke's Behavioral Health Center, St. Luke's Medical Center, and Mountain Vista Medical Center.
Effective December 1st, 2018MDIG will be the exclusive professional radiology services...