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Posts tagged with "Medicaid"

National News

Trump Administration Expected to Release Work Requirement Guidelines for Medicaid

A major shift in the 50-year-old program, the guidelines will set the conditions for allowing states to add work requirements to their Medicaid programs, bringing a conservative twist to the health insurance program for the poor. The Hill reports the changes represent the vision of Seema Verma, the administrator of the Centers for...
Arizona News

Phoenix Children's Care Network Forms Team with UnitedHealthcare

PCCN's network of 1000 physicians can be available to 50,000 enrollees in UnitedHealthcare's Medicaid health plans. No stranger to accountable care organization arrangements, more than 15 million people are enrolled in UnitedHealthcare plans across the country with care delivered in part through more than 800 accountable care...
Arizona Comings & Goings

Jami Snyder Named Deputy Director of Arizona Health Care Cost Containment System

Snyder brings 20 years of public and private sector health care experience to her new role. She has been serving as the Medicaid director for the state of Texas in the Texas Health and Human Services Commission, overseeing a $29 billion program serving 4.7 million people. At AHCCCS she will oversee daily administrative and program...
National News

As Population Ages, Health and Housing Are More Interrelated

The American population aged 65 and older is expected to more than double from 46 million today to more than 98 million by 2060. This growth, along with the increasing number of people with disabilities and dementia in a crisis of housing affordability, will have profound public health and housing implications...
Arizona News

CMS Administrator Seema Verma Discusses Her Vision for the Future of Medicaid

She spoke to the plenary session of the National Association of Medicaid Directors (NAMD) Fall Conference in Arlington, Virginia. Verma unveiled new CMS policies that encourage states to propose innovative Medicaid reforms, reduce federal regulatory burdens, increase efficiency, and promote transparency and accountability. A CMS...
Whistleblower Lawsuit Claims Epic's Software Set Up "Hundreds of Millions of Dollars" in Fraudulent Claims National News

Whistleblower Lawsuit Claims Epic's Software Set Up "Hundreds of Millions of Dollars" in Fraudulent Claims

The complaint alleges that Epic refused to adjust its billing software after the Centers for Medicare & Medicaid Services changed the way hospitals bill for anesthesia, prompting hospitals that use its software to improperly bill Medicare and Medicaid. The whistleblower in the lawsuit, Geraldine Petrowski, worked as a compliance...
National News

Report Shows US Healthcare Payments Moving to Alternative Payment Models

Payment reform is critical to building a health care system that results in better accessibility, quality, affordability, empowerment, and innovation. The Health Care Payment Learning & Action Network (LAN), is a public-private partnership launched in March 2015 to drive adoption and alignment of Alternative Payment Models...
Arizona News

AHCCCS Gets New Deputy Director, Beth Kohler Resigns

This afternoon at the State Medicaid Advisory Committee’s (SMAC) quarterly meeting, AHCCCS Director Tom Betlach briefly announced the resignation of Beth Kohler, Deputy Director of Arizona's Medicaid program. “I think you all know that unfortunately Beth is leaving us,” said Betlach, speaking solemnly of her departure....
National News

Failed Repeal & Replace Efforts Helpful say Medicaid Directors

Matt Salo, executive director of the National Association of Medicaid Directors, sees a newfound public awareness and appreciation of the safety-net health insurance program. Now the real work will move back to the states, which can push efforts to bolster the program to be more value-driven, holistic, and better coordinated for the...
National News

Not-for-Profit Healthcare Sector Faces Fiscal Pressures

Moody's Investor Services notes 2016 expenses grew faster than revenues. “Tighter margins will weigh on the sector going forward as reimbursement pressures and expenses increase.” After years of cost containment, annual expense growth of 7.2% widely outpaced annual revenue growth of 6.0%. Pension funding gaps...
National News

In-depth Study of Public Opinion on ACA

After failure of "Repeal & Replace" measures, Harvard researchers examine the state of public opinion. The New England Journal of Medicine published a report analyzing 27 national opinion polls by 12 survey organizations. It provides a look at four critical issues relevant to the previous House and recent Senate health care...
Arizona News

Trump Can Cut Medicaid Enrollment Without Congress

Lawmakers could not shrink Medicaid - waivers can. Medicaid is a $500 billion program with unprecedented growth the past four years and now covers 75 million people. Josh Archambault, senior fellow for the conservative Foundation for Government Accountability, said without congressional action on the health bill “the...
Senators Told They Will Vote, But Not Told What the Bills Will Be National News

Senators Told They Will Vote, But Not Told What the Bills Will Be

Senate Majority Leader Mitch McConnell will make a decision "soon" on which bill to bring up for a vote, depending on ongoing discussions with GOP senators. GOP leaders are determined to vote this week on their years-long quest to demolish the Affordable Care Act, even though the goal remains mired in political and substantive...
Ducey and Other GOP Governors Speaking Up on BCRA Arizona News

Ducey and Other GOP Governors Speaking Up on BCRA

Growing criticism from GOP governors may be enough to convince some Republicans to kill the Senate’s ACA repeal legislation. Worried about state budget impacts from loss of Medicaid funding and the reduction of citizens receiving Medicaid benefits, GOP governors are exerting influence on their home-state senators, making it more...
Arizona News

What Arizona Business, Healthcare and Government Leaders Are Saying About BCRA

The picture is developing of what the impacts are likely to be. The Arizona Chamber of Commerce predicted in a letter to U.S. Sens. John McCain and Jeff Flake that the Senate bill would harm the state's economy and "blow a hole" in the state budget. Hospital and health leaders are particularly worried about the proposed reductions...
Arizona News

Arizona Supreme Court to Make Decision on AHCCCS Hospital Funding for Medicaid Expansion

The question is whether the levy funding expanded Medicaid program is a "tax" or an "assessment". Governor Ducey's administration is asking the high court to reject arguments brought by the Goldwater Institute asserting that taxes can be enacted only with a two-thirds vote of both the House and Senate, which did not happen in this...
National News

Trump Calls House-passed AHCA "Mean"

May 4 the president praised the bill in the Rose Garden, disparaged it June 14. During a lunch meeting with 15 GOP senators, Trump’s characterizations seemed to undercut attempts by Senate leaders to mollify conservatives who want restrictions in their chamber’s bill, such as cutting the Medicaid health care program for the poor...
National News

Major Portions of ACA Repealed by House with Passage of The American Health Care Act

In a vote of 217 to 213, the U.S. House of Representatives passed the legislature on Thursday, May 4th The American Health Care Act eliminates tax penalties for people without health insurance, rolls back Medicaid expansion in favor of block grants, allow states to eliminate essential health benefits and create high risk pools for...
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