Medicaid

Medicaid benefits | 10/12/2020

Order Paper Medicaid benefits It need a Introduction , body and conclusion Last paper for reference The two states are New Jersey and Florida Research two different state’s Medicaid benefits and compare the two. Medicaid is a joint Federal- state program and each state may have different benefits. This is a great example of learning ways in which our government “work”. Be sure to provide the two states in which you …

The best Side of megan clancy | 10/12/2020

… investigation.”HealthCare4PPL.com would not supply clinical assistance, prognosis or treatment method. The knowledge contained Within this Web page is only for basic information and facts purposes. The data generally emanates from Facilities for Medicare & Medicaid Solutions (CMS) printed facts, and although we endeavour to maintain the knowledge current and correct, we make no representations or warranties of any form, Specific or implied, with regards to the completeness, accuracy, trustworthiness, suitability …

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Fat, effing lazy, whiny slobs are…. | 10/12/2020

… addition to that, how cool it is that we go for procedures that cost thousands of tax payer dollars,one MRI’s and how we will still not follow Dr. Orders, because,vwr ate on Medicaid , and it’s cool to waste tax payers dollars, after all, you know, MEDICAID. Then, let’s have a greasy hamburger recipe thread, because, well, you know, FOOD STAMPS, then when we feel bad after that, we …

hillsborough nj cardiac rehab No Further a Mystery | 10/12/2020

… time for a senior to transition to an ALF. A monetary planner or eldercare legal professional can assist you make your mind up what’s ideal for your special circumstance. Note that Medicare, not like Medicaid , doesn’t buy assisted living other than in relation to hospice care. Medicare is made Virtually completely for medical payments.Besides personal care, pretty much each individual assisted living Neighborhood in the state delivers the subsequent services …

How will the election change the future of Medicaid in North Carolina? | 10/12/2020

Last Updated 23 minutes ago How will the election change the future of Medicaid in North Carolina? BY Jacob Meredith-Andrews As the 2020 election nears, the nearly 1.1 million North Carolinians who are uninsured and the large volume of rural hospitals facing closures have become central issues in the state’s General Assembly race. 12.7 percent of residents under the age of 65 in North Carolina in 2018 did not …

Non-U.S. Citizens To Begin Receiving Medicaid-Like Healthcare From IL in December | 10/12/2020

Non-U.S. Citizens To Begin Receiving Medicaid-Like Healthcare From IL in December By Benjamin Cox on October 11, 2020 at 6:07pm Low-income immigrants ages 65 and older in Illinois will be eligible for health care coverage that is similar to Medicaid despite their immigration status. The expanded health care coverage was a part of the state budget that passed this year. According to the Chicago Tribune , between 400 …

Pointers For Fortitude Valley Dental Care - Where To Look | 10/12/2020

… the Central Business District. You are only a brief distance far from the main road. There is a simple car parking center. This dental clinic approves all significant insurance policy strategies such as Medicare, Medicaid , and personal.Oral services provided by this dental clinic include routine cleansings, origin canals, teeth bleaching, and tooth removal. There are specializeds available at this dental clinic like orthodontics, pediatric dental care, orthodontic surgery, aesthetic dentistry …

COVID-19 coverage safety net has plenty of holes in US - WHYY | 10/12/2020

… had several doctor appointments. She eventually asked someone at the hospital about the cost, and they said she shouldn’t receive any bills. Fager had lost her job in March and qualified for New York’s Medicaid coverage program. She said it picked up all the costs. “I couldn’t believe it,” she said. “Even when I couldn’t breathe, that was in the back of my mind the whole time I was there …

Facts About care one rehabilitation nj Revealed | 10/12/2020

… work support, and help with everyday responsibilitiesA fiscal planner or eldercare lawyer may help you come to a decision what is actually ideal for your distinctive situation. Take note that Medicare, as opposed to Medicaid , doesn’t purchase assisted living apart from in relation to hospice care. Medicare is created Nearly completely for medical payments.Minnesota does not license facilities under the term assisted living. Rather, Assisted Living Services could be the …

Senator Susan Collins Joins Other Lawmakers, Asks CMS to Ditch PDGM’s 4.36% Behavioral Adjustment | Home Health Care News | 10/12/2020

Senator Susan Collins (R-Maine) has sent a letter to the U.S. Centers for Medicare & Medicaid Services (CMS) on behalf of home health providers, urging the agency to reconsider the 4.36% behavioral adjustment baked into the Patient-Driven Groupings Model (PDGM) this year and in 2021. Collins isn’t alone. U.S. Representative Vern Buchanan, a Republican from Florida, recently did the same . “I write to request that you revisit the calculation …

How Much You Need To Expect You’ll Pay For A Good subacute care near me | 10/12/2020

How Much You Need To Expect You’ll Pay For A Good subacute care near me How Much You Need To Expect You’ll Pay For A Good subacute care near me Category: Blog • Medicaid . The federal/state health care method for those with lower incomes and limited assets, may possibly supply some enable in case you’ve exhausted other fiscal sources.The psychological journey of existence after a heart assault can be as …

divorce support group nyc Secrets | 10/12/2020

… some legal guidance.My moms and dads are on a small and fixed profits. I’m doing the best I can but don’t Possess a driver’s license but on account of clinical keep and waiting on Medicaid acceptance along with needed tests to complete “official” process of MS prognosis. I want a 2nd MRI but can’t afford to pay for it.If you are not really positive about group therapy, then you should …

Mallinckrodt Secures Broad Consensus with Key Stakeholders on Comprehensive Chapter 11 Restructuring | PR Newswire | 10/12/2020

… the Company’s financial position and better positioning it for long-term growth; Resolve opioid-related claims against the Company, its subsidiaries and related entities; and Resolve various Acthar Gel-related matters, including the CMS Medicaid rebate dispute, an associated False Claims Act (“FCA”) lawsuit and an FCA lawsuit relating to Acthar’s previous owner’s interactions with an independent charitable foundation. Taken together, these actions are intended to enable the Company to …

Nurse Practitioner House Calls Southeast Region Student Loan Repayment Options Available for External Candidates - UnitedHealth Group - Clearwater, FL | 10/12/2020

… make a difference in the lives of patients. This growth is not only a testament to our model’s success but the efforts, care, and commitment of our Nurse Practitioners. Serving millions of Medicare and Medicaid patients, Optum is the nation’s largest health and wellness business and a vibrant, growing member of the UnitedHealth Group family. We’re also the career home for Nurse Practitioners who bring compassion and passion, energy and …

Nurse Practitioner House Calls Southeast Region Student Loan Repayment Options Available for External Candidates - UnitedHealth Group - Atlanta, GA | 10/12/2020

… make a difference in the lives of patients. This growth is not only a testament to our model’s success but the efforts, care, and commitment of our Nurse Practitioners. Serving millions of Medicare and Medicaid patients, Optum is the nation’s largest health and wellness business and a vibrant, growing member of the UnitedHealth Group family. We’re also the career home for Nurse Practitioners who bring compassion and passion, energy and …

Nurse Practitioner, HouseCalls, OR Statewide Traveler, Sign On Bonus and Loan Repayment for External Candidates and Eligible Employees - UnitedHealth Group - OR, OR | 10/12/2020

… make a difference in the lives of patients. This growth is not only a testament to our model’s success but the efforts, care, and commitment of our Nurse Practitioners. Serving millions of Medicare and Medicaid patients, Optum is the nation’s largest health and wellness business and a vibrant, growing member of the UnitedHealth Group family. We’re also the career home for Nurse Practitioners who bring compassion and passion, energy and …

Mallinckrodt Secures Broad Consensus with Key Stakeholders on Comprehensive Chapter 11 Restructuring - PharmiWeb.com | 10/12/2020

… the Company’s financial position and better positioning it for long-term growth; Resolve opioid-related claims against the Company, its subsidiaries and related entities; and Resolve various Acthar Gel-related matters, including the CMS Medicaid rebate dispute, an associated False Claims Act (“FCA”) lawsuit and an FCA lawsuit relating to Acthar’s previous owner’s interactions with an independent charitable foundation. Taken together, these actions are intended to enable the Company to …

Business Briefs: ‘Suicide: Culture & Community’ conference; Fierro joins CHP; Holmes leaves 18 Degrees | 10/12/2020

Fierro most recently worked in private practice and as the clinical program manager for Medicaid members of Fallon Health . She was also vice president of behavioral health services at the Edward M. Kennedy Community Health Center in Worcester. Earlier, she was program administrator for a child protective services center at Saint Peter’s University Hospital in New Jersey. Fierro has worked as a faculty and adjunct faculty member at several colleges …

Mallinckrodt files for bankruptcy protection amid U.S. opioid litigation | 10/12/2020

Reuters) - Mallinckrodt Plc filed for Chapter 11 bankruptcy protection on Monday in the face of lawsuits alleging it fueled the U.S. opioid epidemic and after it lost a court battle to avoid paying higher rebates to state Medicaid programs for its top-selling drug. The company listed both assets and liabilities in the range of $1 billion to $10 billion, according to a filing with the U.S. Bankruptcy Court for …

A Background Analysis For Programs For General Dentistry Location | 10/12/2020

… from the Central Enterprise Zone. You are only a short range away from the main road. There is a simple vehicle parking facility. This dental clinic accepts all significant insurance strategies such as Medicare, Medicaid , and also personal.Dental services offered by this dental clinic consist of regular cleanings, root canals, teeth whitening, and tooth extraction. There are specialties readily available at this dental clinic like orthodontics, pediatric dental care, orthodontic …

IRS Issues Final Rules For ABLE Accounts | 10/12/2020

… how ABLE accounts should operate. The accounts, which were established by the 2014 ABLE Act , allow individuals with disabilities to accrue up to $100,000 without risking eligibility for Social Security and other government benefits. Medicaid can be retained no matter how much money is saved in the accounts. Advertisement - Continue Reading Below The rules released this month stem from when the accounts were originally created as well as tweaks to …

Americans Need to Divorce Health Insurance From Our Jobs – InsideSources | 10/12/2020

… health plans according to their needs. As of March 2019, the U.S. Census estimates that 91 percent of the population had health insurance. Nearly one third receive coverage from government health insurance, whether Medicare, Medicaid or state employees. Left out are approximately 29.9 million Americans without health insurance — public, private or otherwise. The number of uninsured is an important metric because it is the target group for most substantial health …

Fascination About divorce support group nyc | 10/12/2020

… mom and dad are on a small and fixed income. I’m performing the very best I am able to but don’t have a driver’s license but due to medical maintain and waiting around on Medicaid acceptance and also vital screening to accomplish “official” means of MS prognosis. I would like a next MRI but can’t afford to pay for it.Task HopeLine - Verizon has teamed up with domestic violence businesses and …

Mallinckrodt files for bankruptcy amid U.S. opioid litigation By - Up News Info | 10/12/2020

… N:) filed for bankruptcy protection on Monday in the face of lawsuits alleging it fueled the U.S. opioid epidemic and after the drugmaker lost a court battle to avoid paying higher rebates to state Medicaid programs for its top-selling drug. Disclaimer: Fusion Media would like to remind you that the data contained in this website is not necessarily real-time nor accurate. All CFDs (stocks, indexes, futures) and Forex …

Mallinckrodt Seeks Bankruptcy to Offload Opioid Liabilities - Bloomberg | 10/12/2020

… plan that hands ownership to bondholders, wipes out shareholders and sets aside $1.6 billion to resolve all opioid litigation. The filing also will help resolve a U.S. government probe into whether the company defrauded Medicaid by overcharging for Acthar Gel, its top-selling mutiple sclerosis drug. The move comes as Mallinckrodt was readying for two trials over accusations it illegally marketed opioids and failed to properly oversee large shipments of …

Kaiser Family Foundation

The future of Obamacare is at risk again. Here’s what’s at stake | 9/25/2020

… for the roughly 20 million people who’ve gained coverage on the Affordable Care Act exchanges and through the expansion of Medicaid to low-income adults. The law is also what allows parents to keep their … the individual market prior to the law, according to the Kaiser Family Foundation . “The implications of the court case could stretch far and wide,” said Cynthia Cox, director of Kaiser’s Program on the ACA. “Virtually …

Medicare Advantage

Zing Health Names Eric Mattelson Chief Actuary | PR Newswire | 9/24/2020

PRNewswire/ – Zing Health, a physician-led Medicare Advantage HMO plan, announced today that Eric Mattelson has been named chief actuary. He will focus on identifying key cost drivers and implementing innovative financial strategies to advance … for a 430,000-life provider-sponsored health plan spanning managed Medicaid, Medicare Advantage, TRICARE and Self-insured Employer Group. He was integrally involved in financial analytic support for more than 40,000 life Medicare ACOs, and …

Medicare

Zing Health Names Eric Mattelson Chief Actuary | PR Newswire | 9/24/2020

PRNewswire/ – Zing Health, a physician-led Medicare Advantage HMO plan, announced today that Eric Mattelson has been named chief actuary. He will focus on identifying key cost drivers and implementing innovative financial strategies to advance … for a 430,000-life provider-sponsored health plan spanning managed Medicaid, Medicare Advantage, TRICARE and Self-insured Employer Group. He was integrally involved in financial analytic support for more than 40,000 life Medicare ACOs, and …

ACOs

By Helping Nearly a Million Patients Get Better Care, Aledade ACOs Have Saved More Than $400 Million in Wasteful Health Care Spending | PR Newswire | 9/23/2020

BETHESDA, Md. , Sept. 23, 2020 /PRNewswire/ – Today, Aledade, Inc. announced that its accountable care organizations (ACOs) with commercial payers, Medicaid, Medicare Advantage, and the Medicare Shared Savings Program (MSSP) have saved more than $400 million across the health care system in five years by helping patients receive higher-quality care, with over half of that value created in the past year. In 2019 alone, independent primary care practices in Aledade …

Healthcare Operations

A New Approach to Health Plan Operations | PR Newswire | 9/23/2020

… claims administration software and services to the next level with the release of HxOne; an end-to-end, fully integrated healthcare operations solution. HxOne combines advanced claims system technology, flexible front and back-office services … supports all types of health plans, including commercial insurance, Medicare, Medicaid, self-funded plans, IPAs, and ACOs. It uses modern technology and is deemed the most advanced claims system on the market. The design is …

ACO

By Helping Nearly a Million Patients Get Better Care, Aledade ACOs Have Saved More Than $400 Million in Wasteful Health Care Spending | PR Newswire | 9/23/2020

BETHESDA, Md. , Sept. 23, 2020 /PRNewswire/ – Today, Aledade, Inc. announced that its accountable care organizations (ACOs) with commercial payers, Medicaid, Medicare Advantage, and the Medicare Shared Savings Program (MSSP) have saved more than $400 million across the health care system in five years by helping patients receive higher-quality care, with over half of that value created in the past year. In 2019 alone, independent primary care practices in Aledade …

Federation of American Hospitals

Payers, other stakeholders urge Congress to blunt COVID-19-spurred insurance losses | Healthcare Dive | 9/23/2020

… coverage. Policy experts outlined a handful of short-term policies they want Congress to adopt, including increased federal funding for Medicaid, COBRA funding and special enrollment periods. “The odds are we are on track to … America’s Health Insurance Plans, NAACP, American Benefits Council and the Federation of American Hospitals voiced support for policy proposals that could ensure short-term relief for Americans across the country as the nation has experienced …

Ambulance Services

CMS taking prior authorization model for ambulance transport nationwide | FierceHealthcare | 9/23/2020

The Trump administration is taking a prior authorization program for ambulance services nationwide. The Centers for Medicare & Medicaid Services said in an announcement on Tuesday that the edicare Prior Authorization Model for Repetitive, Scheduled Non-Emergent Ambulance Transport (RSNAT) has saved the program $650 million over the past four years. CMS analyses suggest that non-emergent ambulance transport is a frequent source of improper payments, with an estimated improper payment …

Population Health

CareFirst BlueCross BlueShield Selects Altruista Health’s Care Management Workflow Platform to Serve 3.4 Million Members | PR Newswire | 9/22/2020

… Medicaid. CareFirst will leverage GuidingCare modules for care management , utilization management , population health and other operational areas. “Altruista’s in-depth clinical knowledge, future-ready technology and strong track record serving both commercial and government programs were critical factors in our decision,” said Stacia Cohen, RN , Executive Vice President, Health Services. “We were looking for a true partnership as we make a significant transition from a custom solution to an industry …

Consumer Engagement

AdhereHealth Unveils Newest Adhere™ Platform SaaS Offering for Medicare Advantage Plans to Maximize Star Ratings Performance | PR Newswire | 9/22/2020

… and health outcomes, announced today the launch of Resolve SaaS, a one-of-a-kind solution to navigate health plan consumer engagement for Star Ratings initiatives. The Resolve SaaS solution enables Medicare Advantage plans to … customer relationship management (CRM) system. “With the Centers for Medicare & Medicaid Services (CMS) change for the Medicare Advantage Star Ratings 2021 contract year to quadruple-weight CAHPS measures, the government has decidedly placed an emphasis …

American Hospital Association

AHA Contests Study on High Hospital Prices for Privately Insured | RevCycle Intelligence | 9/22/2020

… than what Medicare would pay and that gap has recently increased, but the AHA says the research is flawed. The American Hospital Association (AHA) is speaking out against a new RAND Corporation study that found … patients treated by that hospital who are covered by either Medicaid or Medicare.” The hospital-level portion of private prices explained by the share of Medicare and Medicaid patients was 0.3 percent, the data showed …

Utilization Management

CareFirst BlueCross BlueShield Selects Altruista Health’s Care Management Workflow Platform to Serve 3.4 Million Members | PR Newswire | 9/22/2020

… Medicaid. CareFirst will leverage GuidingCare modules for care management , utilization management , population health and other operational areas. “Altruista’s in-depth clinical knowledge, future-ready technology and strong track record serving both commercial and government programs were critical factors in our decision,” said Stacia Cohen, RN , Executive Vice President, Health Services. “We were looking for a true partnership as we make a significant transition from a custom solution to an industry …

COVID-19

University Hospital helped during COVID-19. Now, we need to support this facility. | PRWeb | 9/22/2020

University Hospital helped during COVID-19. Now, we need to support this facility. Opinion Updated 2:04 PM; Today 1:35 PM 39. A clinician treats a COVID-positive patient inside of a negative pressure isolation room … all revenue comes from healthcare subsidies such as Medicare and Medicaid, the reimbursement rate is a fraction of what private insurance pays, lowering overall revenues for the hospital. While University Hospital has to subsist on …

ACA

Without Ginsburg, Judicial Threats to the ACA, Reproductive Rights Heighten | Kaiser Health News | 9/21/2020

Without Ginsburg, Judicial Threats to the ACA, Reproductive Rights Heighten Julie Rovner, Kaiser Health News Sep 21, 2020 Please subscribe to keep reading. You can cancel at any time. Already a subscriber? Thanks for reading … pandemic — who buy insurance through the ACA marketplaces or have Medicaid through the law’s expansion could lose coverage right away. Many millions more would lose the law’s popular protections guaranteeing coverage for people with preexisting …

Patient Satisfaction

CMS Nursing Home Visitation Advisory Targets Social Isolation | Patient Engagement HIT | 9/21/2020

… isolation is impeding nursing home patient health and patient experience. Source: CMS By September 21, 2020 - The Centers for Medicare & Medicaid Services (CMS) has issued updated advisory for nursing home visitation aimed at ameliorating social … READ MORE: COVID-19 Sparked Change to ICU Family Visits, Patient Satisfaction Family visitation guidelines have been especially important in nursing homes, where older adults at higher risk for the coronavirus live in close quarters …

Home Health

Genuine Health Group Saves Medicare $4 Million And Keeps Half To Share With Its Doctors | PRWeb | 9/21/2020

… Health Group Saves Medicare $4 Million And Keeps Half To Share With Its Doctors Share Article Centers For Medicare And Medicaid Services Rewards Genuine Health ACO For Delivering High Quality Care And Lowering Costs MIAMI … time, and Genuine Health provides advanced technology, innovative programs like home health visits for patients transitioning from the hospital, and intense monitoring and care for patients with chronic conditions, such as diabetes, COPD, and congestive …

Infection Prevention

CMS Nursing Home Visitation Advisory Targets Social Isolation | Patient Engagement HIT | 9/21/2020

… isolation is impeding nursing home patient health and patient experience. Source: CMS By September 21, 2020 - The Centers for Medicare & Medicaid Services (CMS) has issued updated advisory for nursing home visitation aimed at ameliorating social … number and size of visits occurring simultaneously to support safe infection prevention actions (e.g., maintaining social distancing).” The agency also recommended facilities limit the number of visitors per resident to a “reasonable number.” The agency …

CDC

CMS Nursing Home Visitation Advisory Targets Social Isolation | Patient Engagement HIT | 9/21/2020

… isolation is impeding nursing home patient health and patient experience. Source: CMS By September 21, 2020 - The Centers for Medicare & Medicaid Services (CMS) has issued updated advisory for nursing home visitation aimed at ameliorating social … in older populations. Per the Centers for Disease Control & Prevention (CDC), social isolation can cause a spike in all-cause premature death. Social isolation has also been credited with a 50 percent increase in the …

Oncology

Late-breaking ESMO Presentation Shows Libtayo® (cemiplimab) Monotherapy Increases Overall Survival in First-line Advanced Non-small Cell Lung Cancer with PD-L1 Expression of ≥50% | PR Newswire | 9/21/2020

… cemiplimab) in first-line locally advanced or metastatic non-small cell lung cancer (NSCLC) at the European Society for Medical Oncology (ESMO) Virtual Congress 2020. The trial compared Libtayo monotherapy to platinum-doublet chemotherapy in … benefit management companies, and government programs such as Medicare and Medicaid; coverage and reimbursement determinations by such payers and new policies and procedures adopted by such payers; competing drugs and product candidates that may be …

Uncompensated Care

Rand Corporation Reports Commercial Insurers Pay More For Healthcare | 9/21/2020

… of health care spending, for 57% of the “nonelderly” population, about 153 million of us. Government-funded programs, Medicare and Medicaid, fulfill that role for most remaining Americans, leaving 8.5% paying entirely out of their … the intensity of service, costs for medical education, and otherwise uncompensated care. “Price variation is expected in a market as complex as health care.” Commercial insurance pays more than Medicare for the same services. In …

Department of Health and Human Services

House bill would cement Medicare telehealth changes | MedCity News | 9/20/2020

… Post a comment / Jul 16, 2020 at 5:55 PM Shares 1 Since the start of the Covid-19 pandemic, the Department of Health and Human Services made sweeping changes that expanded telehealth coverage for Medicare … The bill would also allow the Centers for Medicare and Medicaid Services to continue reimbursing for telehealth for three months after the public health emergency ends, allowing those who had benefited from expanded telehealth coverage …

Telehealth

House bill would cement Medicare telehealth changes | MedCity News | 9/20/2020

… bill introduced to the U.S. House of Representatives on Thursday would permanently lift site restrictions for Medicare patients to access telehealth. During the pandemic, several restrictions on where telehealth visits could be conducted and what … The bill would also allow the Centers for Medicare and Medicaid Services to continue reimbursing for telehealth for three months after the public health emergency ends, allowing those who had benefited from expanded telehealth coverage …

American Telemedicine Association

House bill would cement Medicare telehealth changes | MedCity News | 9/20/2020

Medicaid Services to continue reimbursing for telehealth for three months after the public health emergency ends, allowing those who had benefited from expanded telehealth coverage to access it for longer. It would also require a study on the use of telehealth during the pandemic, and would give the Department of Health and Human Services the authority to expand telehealth for Medicare patients in future emergencies. The American Telemedicine Association praised …

Employee Wellness

Hospitals charge privately insured patients 250% more than those on Medicare. The gap is growing. | Healthcare Dive | 9/19/2020

… November, available to people who can’t afford expensive private insurance or those residing in states that have yet to expand Medicaid under the Affordable Care Act. RAND also found outpatient services in 2018 were priced … from the Santa Monica, California-based think tank noted that employee wellness programs are not very effective, while narrow networks a little more so. However, reference pricing — where patients are incentivized to receive care at …

Patient Monitoring

HealtheMed Raises Seed Capital, Announces the Launch of Its Telemedicine Platform for Medicaid Populations | PRWeb | 9/18/2020

HealtheMed Raises Seed Capital, Announces the Launch of Its Telemedicine Platform for Medicaid Populations Share Article Innovative new television-based system to enable healthcare in the home MINNEAPOLIS HealtheMed ( http://www.healthemed.net ) today announces the launch … quickly access medical services, including medication adherence, medication management, remote patient monitoring, chronic disease management, and primary/specialty care. The HealtheMed platform will consist of a large TV with attached camera and microphone for two …

Microsoft Health

Navigating telehealth: What to expect at a remote doctor’s visit | MSN | 9/23/2020

… violence Sequels that outperformed the original at the box office Most Americans don’t know these lucrative Social Security “secrets” Ad Microsoft Incredible Blanket Puts Humans In A Deep Sleep, Melting Stress Away Ad Microsoft 23 … reimbursement, with different states offering differing degrees of flexibility with Medicaid and private health insurance providers offering different levels of coverage. Before booking a virtual appointment, confirm with your insurance or your doctor’s office if …

Aledade

By Helping Nearly a Million Patients Get Better Care, Aledade ACOs Have Saved More Than $400 Million in Wasteful Health Care Spending | PR Newswire | 9/23/2020

BETHESDA, Md. , Sept. 23, 2020 /PRNewswire/ – Today, Aledade, Inc. announced that its accountable care organizations (ACOs) with commercial payers, Medicaid, Medicare Advantage, and the Medicare Shared Savings Program (MSSP) have saved more than $400 million across the health care system in five years by helping patients receive higher-quality care, with over half of that value created in the past year. In 2019 alone, independent primary care practices in Aledade

Centene

Payers, other stakeholders urge Congress to blunt COVID-19-spurred insurance losses | Healthcare Dive | 9/23/2020

… coverage. Policy experts outlined a handful of short-term policies they want Congress to adopt, including increased federal funding for Medicaid, COBRA funding and special enrollment periods. “The odds are we are on track to … Economic Security Act. To provide insight on Medicaid growth trends, Centene collected enrollment from 21 states that post the information online. John Kaelin, senior adviser for the nation’s largest Medicaid managed care organization showed that …

Altruista Health

CareFirst BlueCross BlueShield Selects Altruista Health’s Care Management Workflow Platform to Serve 3.4 Million Members | PR Newswire | 9/22/2020

CareFirst BlueCross BlueShield Selects Altruista Health’s Care Management Workflow Platform to Serve 3.4 Million Members GuidingCare® technology will support Maryland, District of Columbia and Northern Virginia membership News provided by Sep 22, 2020, 12:25 ET … well as the Federal Employee Program (FEP), Medicare Advantage and Medicaid. CareFirst will leverage GuidingCare modules for care management , utilization management , population health and other operational areas. “Altruista’s in-depth clinical knowledge, future-ready technology …

Regeneron Pharmaceuticals

Late-breaking ESMO Presentation Shows Libtayo® (cemiplimab) Monotherapy Increases Overall Survival in First-line Advanced Non-small Cell Lung Cancer with PD-L1 Expression of ≥50% | PR Newswire | 9/21/2020

… In a prespecified analysis of patients with confirmed PD-L1 expression of ≥50%, Libtayo reduced risk of death by 43% Regeneron Pharmaceuticals, Inc. (NASDAQ: REGN ) and Sanofi today announced the presentation of positive pivotal trial … benefit management companies, and government programs such as Medicare and Medicaid; coverage and reimbursement determinations by such payers and new policies and procedures adopted by such payers; competing drugs and product candidates that may be …

Regeneron

Late-breaking ESMO Presentation Shows Libtayo® (cemiplimab) Monotherapy Increases Overall Survival in First-line Advanced Non-small Cell Lung Cancer with PD-L1 Expression of ≥50% | PR Newswire | 9/21/2020

… In a prespecified analysis of patients with confirmed PD-L1 expression of ≥50%, Libtayo reduced risk of death by 43% Regeneron Pharmaceuticals, Inc. (NASDAQ: REGN ) and Sanofi today announced the presentation of positive pivotal trial … benefit management companies, and government programs such as Medicare and Medicaid; coverage and reimbursement determinations by such payers and new policies and procedures adopted by such payers; competing drugs and product candidates that may be …

Cerner

5 startups seeking to improve payer/provider efficiency will be in the spotlight at INVEST Digital Health - MedCity News | 9/19/2020

… program is a technology that is designed to ensure all eligible individuals receive the coverage they are qualified for including Medicaid, CHIP, SNAP, programs through the Health Exchange Marketplace, and other state and local resources … among others. The solution, embedded in the EHR (e.g. Epic, Cerner), engages patients using interactive texting in over 100+ languages. CEO: Kamal Anand Headquarters: Saratoga, CA Itiliti Health focuses on inefficiency and waste associated with …

Gilead Sciences

State treasurers urge Gilead to lower the price of remdesivir and not pursue “unreasonable profits” | 9/18/2020

Reprints OLIVIER DOULIERY/AFP via Getty Images N early a dozen state treasurers are asking Gilead Sciences ( GILD ) to lower the price of its experimental remdesivir treatment for Covid-19, arguing the company is attempting … more: $520 for a vial, or $3,120 over five days. Medicaid and Medicare will also pay the higher rate. But a recent study in the Journal of Virus Eradication suggested it costs 93 cents to …

CVS

‘We feel bullish’: Payers look ahead to 2021 | Healthcare Dive | 9/18/2020

… is now still “a little below par,” but well above that depression and meeting internal expectations, CEO Bruce Broussard said. CVS Health-owned Aetna has seen its commercial business come back faster than Medicare, CFO … rates and federal lobbying for friendly policies like an increased Medicaid match rate, Neidorff said. Attractive markets The COVID-19 recession booted millions of Americans off employer-sponsored insurance, though the full scope of the …

CVS Health

‘We feel bullish’: Payers look ahead to 2021 | Healthcare Dive | 9/18/2020

… is now still “a little below par,” but well above that depression and meeting internal expectations, CEO Bruce Broussard said. CVS Health-owned Aetna has seen its commercial business come back faster than Medicare, CFO … rates and federal lobbying for friendly policies like an increased Medicaid match rate, Neidorff said. Attractive markets The COVID-19 recession booted millions of Americans off employer-sponsored insurance, though the full scope of the …

HealthDay

Getting a Hip Replacement? Choice of Hospital Can Be Crucial | U.S. News & World Report | 9/18/2020

Getting a Hip Replacement? Choice of Hospital Can Be Crucial Sept. 18, 2020 HealthDay Reporter (HealthDay) FRIDAY, Sept. 18, 2020 (HealthDay News) – The COVID-19 pandemic has shown a spotlight on disparities in the U.S … who are low-income, minority and either uninsured or on Medicaid. A number of studies have found that Black, Latino and Medicaid patients have more complications after joint replacement surgery, versus white and privately insured …

Gilead

State treasurers urge Gilead to lower the price of remdesivir and not pursue “unreasonable profits” | 9/18/2020

Reprints OLIVIER DOULIERY/AFP via Getty Images N early a dozen state treasurers are asking Gilead Sciences ( GILD ) to lower the price of its experimental remdesivir treatment for Covid-19, arguing the company is attempting … more: $520 for a vial, or $3,120 over five days. Medicaid and Medicare will also pay the higher rate. But a recent study in the Journal of Virus Eradication suggested it costs 93 cents to …

Xtelligent Healthcare Media

Designating Ownership of Provider Data Will Improve Care Coordination, Study Finds | HIT Consultant | 9/18/2020

… improve care coordination , yet only 18 percent of organizations report having a dedicated data governance department. Conducted in collaboration with Xtelligent Healthcare Media , the LexisNexis Risk Solutions Health Care survey is designed to identify provider … least one inaccuracy according to a Centers for Medicare and Medicaid Services (CMS) report of Medicare Advantage organizations. Without accurate healthcare provider data, patients can get lost in the system and providers are unable to …

ConsejoSano

ConsejoSano Selected By American Heart Association Bernard J. Tyson Impact Fund For First Round of Investments | PR Newswire | 9/17/2020

NORTH HOLLYWOOD, Calif. , Sept. 17, ConsejoSano , a patient experience and engagement solution for payers, providers and health systems, announced today that it has received an investment from the Bernard J. Tyson Impact Fund, which is … navigation solutions to payers, providers and health systems serving Medicare, Medicaid and other underserved populations. It is the only healthcare engagement solution that focuses on multicultural patients in the country. Currently ConsejoSano offers services in …

Tabula Rasa HealthCare

Tabula Rasa HealthCare Supports Legislation Establishing Medication Risk Prevention Program for NJ Medicaid Nasdaq:TRHC | Globe Newswire | 9/17/2020

MOORESTOWN, N.J., Tabula Rasa HealthCare, Inc® (TRHC) (NASDAQ: TRHC), a healthcare technology company advancing the field of medication safety, announced that on Monday, September 14, TRHC Chairman and CEO, Calvin H. Knowlton, PhD appeared before the New Jersey Senate Health, Human Services and Senior Citizens Committee in support of a proposed amendment to Senate Bill No. 887, the Medicaid Prescription Drug Quality, Cost and Transparency Act. The proposed amendment would …

Amwell

Telehealth company Amwell spikes in public debut with outsized $742M IPO | FierceHealthcare | 9/17/2020

Telehealth company Amwell saw its stock spike 42% in its first day of trading Thursday after raising an outsized initial public offering. Buoyed by strong demand for IPOs, Amwell raised $742 million Wednesday with the … plans to expand into adjacent markets such as Medicare and Medicaid, government clients, clinical partnerships such as its existing collaboration with Cleveland Clinic and international markets, according to the regulatory filing. But there are significant …

Apple Health

Anthem to study whether Apple Watch could help people with asthma | MSN | 9/17/2020

… on California dive boat where fire killed 34 Here’s why Trader Joe’s employees are so peppy Anthem to study whether Apple Watch could help people with asthma Anthem is teaming up with Apple and other … coverage to both commercial populations and lower-income populations through Medicaid. Anthem has said that it intends to recruit a diverse study population. “We know individuals enrolled in Medicaid disproportionately bear the burden of asthma …

Washington Health Alliance

Statewide Report Introduces Quality Composite Score To Compare Performance Of Medical Groups And Clinics | PR Newswire | 9/16/2020

SEATTLE The Washington Health Alliance (Alliance) issues its 14 th Community Checkup report today with results for 1,978 clinics, 327 medical groups, 106 hospitals, 16 health plans, 39 counties, and all nine Accountable Communities of … the state (an indicates more than 50% of patients are Medicaid-insured). Commercially-insured Medicaid-insured The Polyclinic Yakima Valley Farm Workers Clinic Virginia Mason Medical Center Northwest Physicians Network Kaiser Permanente Washington Swedish Medical …

Teladoc

Remote monitoring is rapidly growing — and a new class of patient-consumer is driving the shift | STAT | 9/16/2020

… by transforming consumer gadgets to medical devices, with an eye on clinical evidence. Related: With Livongo’s arsenal of health devices, Teladoc is poised to move into remote monitoring Apple was the first to enter the … meters. And starting last year, the Centers for Medicare and Medicaid Services began reimbursing providers who use remote monitoring tools with new billing codes explicitly focused on remote health tracking, including codes that focus on …

Alphabet Inc

Backed by Google’s Investment Arm, Home-Based Care Startup Ready Lands $54 Million | Home Health Care News | 9/16/2020

… 54 million in Series C funding. Among the investors in its latest funding round: GV, the venture capital arm of Alphabet Inc. (Nasdaq: GOOGL), the parent company of Google. The recent boost in funding has … care investment group co-founded by former Centers for Medicare & Medicaid Services (CMS) Administrator Andy Slavitt, who served during the Obama administration. COVID-19 has particularly accelerated Ready’s business in New York. Ready’s original plan …

Omada Health

Remote monitoring is rapidly growing — and a new class of patient-consumer is driving the shift | STAT | 9/16/2020

… I solve this care need without showing up in person?’” said Sean Duffy, chief executive officer and co-founder of Omada Health, a virtual diabetes care provider. “That consumer expectation change is going to be … meters. And starting last year, the Centers for Medicare and Medicaid Services began reimbursing providers who use remote monitoring tools with new billing codes explicitly focused on remote health tracking, including codes that focus on …

Virta Health

Virta Health Launches Beyond Telemedicine Conference, Convening 40+ Industry Leaders to Discuss Today’s Most Pressing Issues in Telehealth | Business Wire | 9/16/2020

SAN FRANCISCO- Virta Health , the first company with a treatment to sustainably reverse type 2 diabetes without medications or surgery, today announced the launch of its inaugural Beyond Telemedicine conference. The three-day, fully-virtual … Association Don Berwick: Former Administrator of Centers for Medicare and Medicaid Robin Glass: President, Doctor on Demand David Brailer: Chairman of Health Evolution, former US National Coordinator, Health Information Technology Emily Barson: Executive Director of …

AstraZeneca

Canexia Health Closes New Financing Round to Accelerate Precision Oncology Roadmap | Business Wire | 9/16/2020

… Genolife will offer Canexia Health’s circulating tumor DNA (ctDNA) assay, Follow It , in Quebec. Additional new commercial partner agreements include AstraZeneca Canada , the Eastern Ontario Regional Laboratory Association (EORLA), and Queen’s University . All are involved … key reimbursement milestone with the US Centers for Medicare and Medicaid. ● Corporate rebrand and growth . In July, the company rebranded from Contextual Genomics to Canexia Health to reflect the company’s deep focus on cancer patients …

Teva Pharmaceutical

First Long-Term Data on the use of AJOVY® (fremanezumab-vfrm) Injection in Patients with Migraine Published in Neurology - Business Wire | 9/15/2020

Teva Pharmaceutical Industries Ltd. (NYSE and TASE: TEVA) today announced that results from the 52-week, multicenter, randomized, double-blind, parallel group study evaluating monthly or quarterly AJOVY ® (fremanezumab-vfrm) injection in adults with chronic … patent settlement agreements; failure to comply with complex Medicare and Medicaid reporting and payment obligations; and environmental risks; other financial and economic risks, including: our exposure to currency fluctuations and restrictions as well as credit …

Teva Pharmaceutical

First Long-Term Data on the use of AJOVY® (fremanezumab-vfrm) Injection in Patients with Migraine Published in Neurology - Business Wire | 9/15/2020

Teva Pharmaceutical Industries Ltd. (NYSE and TASE: TEVA) today announced that results from the 52-week, multicenter, randomized, double-blind, parallel group study evaluating monthly or quarterly AJOVY ® (fremanezumab-vfrm) injection in adults with chronic … patent settlement agreements; failure to comply with complex Medicare and Medicaid reporting and payment obligations; and environmental risks; other financial and economic risks, including: our exposure to currency fluctuations and restrictions as well as credit …

J.P. Morgan Securities

Centene Corporation Announces Offering of Senior Notes | PR Newswire | 9/23/2020

… Financial Solutions, 1155 Long Island Avenue, Edgewood, NY 11717, by email at [email protected] , or by calling (888) 603-5847; from J.P. Morgan Securities LLC, c/o Broadridge Financial Solutions, 1155 Long Island Avenue, Edgewood, NY … to nearly 1 in 15 individuals across the nation, including Medicaid and Medicare members (including Medicare Prescription Drug Plans) as well as individuals and families served by the Health Insurance Marketplace, the TRICARE program, and …

Wells Fargo Securities

Centene Corporation Announces Offering of Senior Notes | PR Newswire | 9/23/2020

… issue a notice of redemption for the outstanding notes of any series. BofA Securities, Barclays, J.P. Morgan, Truist Securities and Wells Fargo Securities are acting as joint book-running managers for the offering of the … to nearly 1 in 15 individuals across the nation, including Medicaid and Medicare members (including Medicare Prescription Drug Plans) as well as individuals and families served by the Health Insurance Marketplace, the TRICARE program, and …

Deerfield Management

On-demand Healthcare Service, Ready, Raises $54 Million in Series C Financing | Business Wire | 9/16/2020

… finance the expansion of its operations and clinical programs that bring medical care directly to patients in their homes. GV, Deerfield Management Company, City Light Capital, Town Hall Ventures, Frist Cressey Ventures and others have … hardest hit communities. The populations Ready serves primarily consist of Medicaid beneficiaries, and patients dually eligible for Medicare and Medicaid. The Ready model will grow to include mental health, expanded point-of-care testing, vaccinations …

Frist Cressey Ventures

On-demand Healthcare Service, Ready, Raises $54 Million in Series C Financing | Business Wire | 9/16/2020

… that bring medical care directly to patients in their homes. GV, Deerfield Management Company, City Light Capital, Town Hall Ventures, Frist Cressey Ventures and others have invested over $100 million across two funding rounds in … hardest hit communities. The populations Ready serves primarily consist of Medicaid beneficiaries, and patients dually eligible for Medicare and Medicaid. The Ready model will grow to include mental health, expanded point-of-care testing, vaccinations …

Town Hall Ventures

On-demand Healthcare Service, Ready, Raises $54 Million in Series C Financing | Business Wire | 9/16/2020

… and clinical programs that bring medical care directly to patients in their homes. GV, Deerfield Management Company, City Light Capital, Town Hall Ventures, Frist Cressey Ventures and others have invested over $100 million across two … hardest hit communities. The populations Ready serves primarily consist of Medicaid beneficiaries, and patients dually eligible for Medicare and Medicaid. The Ready model will grow to include mental health, expanded point-of-care testing, vaccinations …

Morgan Stanley

Centene added 1.1M members since March amid COVID-19 job losses | Healthcare Dive | 9/15/2020

… Medicaid, two sweet spots for Centene. It’s the biggest player in the ACA exchanges, with about 2.2 million customers, and the largest Medicaid managed care provider, with almost 12.6 million covered lives. Of the 1.1 million new members, “many of these individuals joined our programs as a result of having lost their jobs,” CEO Michael Neidorff said Monday at Morgan Stanley’s annual global healthcare conference. The majority of the increase …

Questa Capital

CredSimple Rebrands as andros; Launches New Proprietary Data Platform to Digitally Transform the Healthcare Industry | PR Newswire | 9/15/2020

… demanding more technology enabled solutions that can address their heightened compliance and regulatory needs,” said Brad Sloan , Managing Partner at Questa Capital. “andros has developed a powerful SaaS platform that is providing a new standard … for all health plan products including commercial, Medicare Advantage, Managed Medicaid (MCOs), Duals (MMP), LTSS/HCBS, ISNP and DSNP and specialty networks including dental, behavioral, and telehealth. Today, over 75 healthcare organizations, including three of …

Innovation Ventures

Showcase Announced for the Louisiana Medicaid Innovation Challenge | PR Newswire | 9/14/2020

… Sept. 14, The Louisiana Department of Health (LDH) in partnership with Adaptation Health, has announced the presenters for the Louisiana Medicaid Innovation Challenge . The Virtual Showcase will be held on September 25 , starting at 10 … discuss the need in the state: Dr. Andrey Ostrovsky ; Social Innovation Ventures and former Chief Medical Officer for the Center for Medicaid and CHIP Services Earl “Nupsius” Benjamin-Robinson, Dr.H.Sc; Deputy Director of Community Partnerships …

RBC Capital Markets

Intra-Cellular’s Caplyta could cruise toward blockbusterland with bipolar depression win: analyst | FiercePharma | 9/10/2020

… within medical organizations face, and to come together to collaborate and share best practices. Learn More Encouraged by the data, RBC Capital Markets analyst Brian Abrahams figured Caplyta could eventually hit $1.2 billion in global … of over 95% of patients in Medicare Part D and Medicaid, the two largest channels for the product, SVB Leerink analyst Marc Goodman noted in an investor report last month. New-to-brand scripts have …

Bain Capital

Centene leads $33.5M investing round in at-home and in-school pediatric telemedicine startup | Becker’s Hospital Review | 9/3/2020

… Bain Capital, will go toward expanding Hazel Health’s services fivefold this fall. The startup is set to offer its telemedicine services in school districts with about 1.5 million children enrolled. Partnering with Medicaid insurer Centene will help Hazel Health expand its services to more low-income families to get children connected with pediatricians who offer both virtual and in-person care, Mr. Golomb said. “In most states if you’re on …

HMS Holdings

Here’s Why You Should Retain HMS Holdings in Your Portfolio - August 25, 2020 - Zacks.com | 8/25/2020

HMS Holdings Corp ( HMSY - Free Report ) is gaining on strong momentum within the Payment Integrity (PI) and Population Health Management (PHM) segments. However intense competition has been offsetting the positives. The company, with a market … government markets. Of late, the company has signed its second Medicaid managed care plan to leverage its population risk intelligence solution. The plan aims to target conditions like opioid abuse, at-risk pregnancies and chosen …

California Health Care Foundation

Local Universities Receive $8M in Medical Scholarship Funds | PR Newswire | 8/20/2020

… all we can as a health plan to provide students with a supportive network of healthcare professionals.” According to the California Health Care Foundation, the Inland Empire has one of the lowest ratios of Primary … Empire Health Plan, is one of the top 10 largest Medicaid health plans and the largest not-for-profit Medicare-Medicaid plan in the country. With a network of more than 6,400 Providers and more …

SV Health Investors

Centauri Health Solutions Announces Acquisition of HCFS | Business Wire | 8/19/2020

… SV Health Investors. Weiss Brown LLP acted as legal counsel to Centauri and Shields Legal Group acted as legal counsel to HCFS. About Centauri Health Solutions Centauri Health Solutions provides services to payors and providers in government sponsored healthcare programs, including Medicare Advantage and Medicaid. In partnership with our clients, we improve the lives and health outcomes of the members and patients we touch through compassionate outreach, sophisticated analytics, and …

Heritage Group

New Martinsville Spero Health Clinic Brings Addiction Treatment Services with Telehealth Visits | Business Wire | 8/17/2020

… throughout Kentucky, Ohio, Tennessee, Indiana, and Virginia providing care for more than 7,500 patients each month. Spero Health accepts Virginia Medicaid and most commercial insurance plans. The Martinsville clinic will open its doors on August … overcome addiction. Based in Nashville, Tenn. and privately held by Heritage Group, Health Velocity Capital, South Central, Inc. and Frist Cressey Ventures, Spero Health operates more than 40 outpatient clinics located throughout Kentucky, Ohio, Indiana …

Health Velocity Capital

New Martinsville Spero Health Clinic Brings Addiction Treatment Services with Telehealth Visits | Business Wire | 8/17/2020

… throughout Kentucky, Ohio, Tennessee, Indiana, and Virginia providing care for more than 7,500 patients each month. Spero Health accepts Virginia Medicaid and most commercial insurance plans. The Martinsville clinic will open its doors on August … Based in Nashville, Tenn. and privately held by Heritage Group, Health Velocity Capital, South Central, Inc. and Frist Cressey Ventures, Spero Health operates more than 40 outpatient clinics located throughout Kentucky, Ohio, Indiana, Tennessee and …

Y Combinator

VenoStent has a new technology to improve outcomes for dialysis patients | TechCrunch | 8/9/2020

… of patients with end-stage renal disease, according to the company. Caring for these patients can cost the Medicare and Medicaid Services system roughly $2 billion per year — and Bouré and Lucks believed that they’d … to push forward. Now, as it graduates from the latest Y Combinator cohort, the company is finally ready for prime time. In the interim, a series of grants and its award of a Kidney XPrize …

SVB Leerink

Health insurers strike gold with COVID-19 | Modern Healthcare | 8/7/2020

… Some of the insurers, including national companies Anthem , Humana and UnitedHealth Group , nearly doubled their profits. Centene Corp., a prominent Medicaid managed care company, grew profit 144% , aided in part by its acquisition of a … with respect to acuity?” said Stephen Tanal, managing director at SVB Leerink. The drop in the use of healthcare services was dramatic, falling as much as 70% below normal levels in April before beginning to …

Cambia Health Solutions

With CMS mandate looming, Abacus Insights rolls out interoperability solution for health plans | FierceHealthcare | 7/31/2020

… The company launched this week a new interoperability solution to help health plans comply with the Centers for Medicare and Medicaid Services interoperability mandate. Abacus’ secure data management and application programming interface (API) delivery platform … Services Inc. and Echo Health Ventures, a strategic collaboration of Cambia Health Solutions and Mosaic Health Solutions. RELATED: Here are 6 ways the ONC’s new rules for opening health record access will impact the industry …

Echo Health Ventures

With CMS mandate looming, Abacus Insights rolls out interoperability solution for health plans | FierceHealthcare | 7/31/2020

… The company launched this week a new interoperability solution to help health plans comply with the Centers for Medicare and Medicaid Services interoperability mandate. Abacus’ secure data management and application programming interface (API) delivery platform … Venture Fund, CRV, .406 Ventures, Horizon Healthcare Services Inc. and Echo Health Ventures, a strategic collaboration of Cambia Health Solutions and Mosaic Health Solutions. RELATED: Here are 6 ways the ONC’s new rules for opening …

New Mountain Capital

W2O Acquires Discern Health to Strengthen Value-Based Care Capabilities | HIT Consultant | 7/28/2020

… driven, technology-enabled marketing and communications solutions. Leaders from Discern come from companies and organizations like the Centers for Medicare & Medicaid Services (CMS), National Quality Forum (NQF), and the National Committee for Quality Assurance (NCQA … W2O has completed since the company announced its partnership with New Mountain Capital just over a year ago. W2O’s approach to growth is to add experts and capabilities that its clients recommend. This approach continues …

TPG Capital

PwC: Deals among providers, payers slowed in first half of 2020 due to COVID-19 | FierceHealthcare | 7/24/2020

… making targets that enable these functions more attractive,” the report said. “Behavioral health is also seeing COVID-related demand, and Medicaid enrollment has increased, so capabilities in these areas could become more valuable.” PwC found … robust investments from private equity firms; for example, the firm TPG Capital invested $1.2 billion in the online behavioral health company LifeStance Health. The continued investments could suggest 2020 “will see additional large deals among …

Goldman Sachs

Alphabet spinoff CityBlock Health raises $54 million - MedCity News | 7/16/2020

… Sidewalk Labs in 2017, and has since opened clinics in Brooklyn, Queens, Connecticut, Massachusetts and North Carolina. It primarily serves Medicaid and dual-eligible patients, offering them primary care, behavioral health, and substance abuse treatment … led the funding round, with participation from AIMS Imprint of Goldman Sachs and Alphabet. Last year, CityBlock raised a $65 million series B led by Redpoint Ventures, which it used to expand its model to …

Redpoint Ventures

Alphabet spinoff CityBlock Health raises $54 million - MedCity News | 7/16/2020

… Sidewalk Labs in 2017, and has since opened clinics in Brooklyn, Queens, Connecticut, Massachusetts and North Carolina. It primarily serves Medicaid and dual-eligible patients, offering them primary care, behavioral health, and substance abuse treatment … year, CityBlock raised a $65 million series B led by Redpoint Ventures, which it used to expand its model to North Carolina. While many healthcare providers have struggled financially during the pandemic, CityBlock said it …

General Atlantic

Doctor On Demand Announces $75M in Series D Financing Led by General Atlantic to Expand Comprehensive Virtual Care | Business Wire | 7/8/2020

… On Demand, the nation’s leading virtual care provider, announced it has secured $75 million in Series D financing led by General Atlantic, a leading global growth equity firm, with participation from existing investors. The funds … 50 states, just weeks after the Centers for Medicare and Medicaid Services (CMS) expanded coverage to allow for the reimbursement of telemedicine visits for this high-risk patient population. “Doctor On Demand is a virtual …

Optum Ventures

In-Home Care Company DispatchHealth Raises $135.8M, Backed by Optum Ventures and Humana | Home Health Care News | 6/23/2020

Medicaid plans, as well as traditional Medicare and Medicaid. “DispatchHealth is extending health care beyond traditional facilities to the most accessible environment of all: the patient’s home,” Larry C. Renfro, managing partner of Optum Ventures, said in a statement. “We are excited to continue partnering with DispatchHealth to drive value and outcomes for the industry.” In addition to Optum Ventures, DispatchHealth’s Series C round included participation from existing investors Alta …

Kaiser Permanente

Rural Hospitals Teeter on Financial Cliff as COVID Medicare Loans Come Due | Kaiser Health News | 9/22/2020

… the hospitals for Medicare patients’ treatments until the loan is repaid in full. /p p The federal Centers for Medicare & Medicaid Services has not yet begun trying to recoup its money, with the coronavirus still … J. Kaiser Family Foundation /a which is not affiliated with Kaiser Permanente. /p h3 USE OUR CONTENT /h3 p This story can be republished for free ( a href=”https://khn.org/news/california-expands-privacy-protection …

University Hospital, Stony Brook NY

University Hospital helped during COVID-19. Now, we need to support this facility. | PRWeb | 9/22/2020

University Hospital helped during COVID-19. Now, we need to support this facility. Opinion Updated 2:04 PM; Today 1:35 PM 39. A clinician treats a COVID-positive patient inside of a negative pressure isolation room … all revenue comes from healthcare subsidies such as Medicare and Medicaid, the reimbursement rate is a fraction of what private insurance pays, lowering overall revenues for the hospital. While University Hospital has to subsist on …

HCA

Moody’s: Hospital financial outlook worse as COVID-19 relief funds start to dwindle | FierceHealthcare | 9/21/2020

… away from the hospital and people lose higher-paying commercial plans and go to lower-paying government programs such as Medicaid. “The number of surgical procedures done outside of the hospital setting will continue to … to COVID-19 impact Some for-profit systems such as HCA and Tenet pointed to relief funding to help generate profits in the second quarter of the year. But the benefits are likely to dwindle …

Mayo Clinic

Tonal meets home workout demand with $110M; Kaiser Permanente leads Osso VR’s $14M; and more digital health fundings | MobiHealthNews | 9/21/2020

… will also be targeting new software-based additions to its product, new fitness content and a research project with the Mayo Clinic. “As we see more people exercising from home, Tonal’s rapid growth underscores its … Minneapolis-based telemedicine startup HealtheMed noted the launch of its Medicaid-focused telemedicine platform with the closure of a seed round of funding from angel investors. The amount of the raise was not disclosed. HealtheMed’s …

University of Rochester

In nursing homes and assisted living communities, minorities suffer most from Covid-19, research says - CNN | 9/21/2020

CNN) Older racial and ethnic minority residents in nursing homes and assisted living communities in the United States and their caregivers have been hit hardest by the Covid-19 pandemic, according to new research by the University of Rochester Medical Center. The findings, based on newly mandated weekly data from the Centers for Medicare and Medicaid Services of more than 15,500 nursing homes, came from two studies published Monday in …

Cityblock Health

Alphabet spinoff CityBlock Health raises $54 million | MedCity News | 9/20/2020

CityBlock Health, a company building out healthcare services for low-income communities, raised $53.5 million in a series B extension. The company plans to use the funds to expand its clinical programs and further develop … Brooklyn, Queens, Connecticut, Massachusetts and North Carolina. It primarily serves Medicaid and dual-eligible patients, offering them primary care, behavioral health, and substance abuse treatment services. The company also considers other health needs outside of …

Rush University Medical Center

Urban Hospitals of Last Resort Cling to Life in Time of COVID | Physicians Weekly | 9/18/2020

… struggle because they treat a large share of patients who are uninsured — and can’t pay bills — or are covered by Medicaid, whose payments don’t cover costs. But metropolitan hospitals confront additional threats beyond what rural … David Ansell, senior vice president for community health equity at Rush University Medical Center, a teaching hospital on Chicago’s West Side. He said the decision to close Mercy “is really criminal in my mind, because …

Meridian Health

N.J.’s first payer-provider joint company to launch Medicare plans in October | Crain’s New York Business | 9/18/2020

… a company offering Medicare Advantage plans, the companies announced this week. Horizon Blue Cross Blue Shield of New Jersey, Hackensack Meridian Health and RWJBarnabas Health created Braven Health, which will offer three plans in eight … West Orange in Essex County. The Centers for Medicare and Medicaid Services has approved Braven to start offering its products, but the New Jersey Department of Banking and Insurance has yet to sign off on …

RWJBarnabas Health

N.J.’s first payer-provider joint company to launch Medicare plans in October | Crain’s New York Business | 9/18/2020

… Medicare Advantage plans, the companies announced this week. Horizon Blue Cross Blue Shield of New Jersey, Hackensack Meridian Health and RWJBarnabas Health created Braven Health, which will offer three plans in eight counties—Bergen, Essex … West Orange in Essex County. The Centers for Medicare and Medicaid Services has approved Braven to start offering its products, but the New Jersey Department of Banking and Insurance has yet to sign off on …

Rush University Medical Center, Chicago IL

Urban Hospitals of Last Resort Cling to Life in Time of COVID | Physicians Weekly | 9/18/2020

… struggle because they treat a large share of patients who are uninsured — and can’t pay bills — or are covered by Medicaid, whose payments don’t cover costs. But metropolitan hospitals confront additional threats beyond what rural … David Ansell, senior vice president for community health equity at Rush University Medical Center, a teaching hospital on Chicago’s West Side. He said the decision to close Mercy “is really criminal in my mind, because …

Hackensack Meridian

N.J.’s first payer-provider joint company to launch Medicare plans in October | Crain’s New York Business | 9/18/2020

… create a company offering Medicare Advantage plans, the companies announced this week. Horizon Blue Cross Blue Shield of New Jersey, Hackensack Meridian Health and RWJBarnabas Health created Braven Health, which will offer three plans in … West Orange in Essex County. The Centers for Medicare and Medicaid Services has approved Braven to start offering its products, but the New Jersey Department of Banking and Insurance has yet to sign off on …

Community First Medical Center, Chicago IL

As they focused on others with COVID-19 and refused to walk away, Illinois health care workers bore the brunt of pandemic’s fury - Chicago Tribune | 9/18/2020

… toll of COVID-19 on health care field: A memorial to 46 of those who died » Not far away, at Community First Medical Center in Chicago, Nancy Veto was caring for infected patients in the … during the same time period. And the Centers for Medicare & Medicaid Services, which tracks nursing homes, reports nearly 900 worker fatalities just in those facilities nationwide, including 45 in Illinois. The Tribune has identified and …

Mercy Hospital & Medical Center, Chicago IL

Urban Hospitals of Last Resort Cling to Life in Time of COVID | Physicians Weekly | 9/18/2020

… slur his words. “That’s when I knew I was going to have a stroke,” he said. Coronado was rushed to Mercy Hospital & Medical Center, the hospital nearest his home on Chicago’s South Side. Doctors there … are uninsured — and can’t pay bills — or are covered by Medicaid, whose payments don’t cover costs. But metropolitan hospitals confront additional threats beyond what rural hospitals do. State-of-the-art hospitals in affluent city …

Intermountain Healthcare

WEDI Announces Agenda for Virtual Event - WEDI National Conference | PRWeb | 9/17/2020

Medicaid Services (CMS); Stephen Konya, Senior Innovation Strategist, Office of the National Coordinator for Health IT (ONC); Sheila Shapiro, Senior Vice President, National Strategic Partnerships, UnitedHealthcare Care Modernization & Innovation; Dr. Lina Walker, Vice President, Health Security, AARP; Mari Savickis, Vice President, Public Policy, CHIME; Grant Wood, Senior IT Strategist, Intermountain Healthcare Precision Genomics; Alison Armstrong, Health Policy Director, Anthem; Denise St Clair, Senior Policy Expert, Centers for Medicare & Medicaid Services …

Massachusetts General Hospital

Telehealth company Amwell spikes in public debut with outsized $742M IPO | FierceHealthcare | 9/17/2020

… the telehealth boom and why it will ‘democratize’ healthcare Former Massachusetts Governor Deval Patrick and Peter Slavin, M.D., president of Massachusetts General Hospital, are directors of the company, and each held options on 352,000 class … plans to expand into adjacent markets such as Medicare and Medicaid, government clients, clinical partnerships such as its existing collaboration with Cleveland Clinic and international markets, according to the regulatory filing. But there are significant …

One Medical

Virta Health Launches Beyond Telemedicine Conference, Convening 40+ Industry Leaders to Discuss Today’s Most Pressing Issues in Telehealth | Business Wire | 9/16/2020

… Veterans Affairs Francine Kaufman: Former President of the American Diabetes Association Don Berwick: Former Administrator of Centers for Medicare and Medicaid Robin Glass: President, Doctor on Demand David Brailer: Chairman of Health Evolution, former US … System Reform, Commonwealth Fund Andrew Diamond: Chief Medical Officer of One Medical Recent discussion around telehealth has focused primarily on its utility within today’s fee-for-service system based on episodic care, while largely ignoring …

PeaceHealth

The racist history that explains why some communities don’t have enough ICU beds - The Washington Post | 9/16/2020

… wearing a powered air-purifying respirator (PAPR) checks a patient’s vital signs inside the covid-19 intensive care unit at PeaceHealth Southwest Medical Center in Vancouver, Wash., on April 30, 2020. (Nathan Howard/Bloomberg) By … as New York City’s HHC continue to face cuts to Medicaid even as the virus rages. In the opposite direction, Missouri voters’ approval of Medicaid expansion this summer signals that the pandemic may be connecting …

Tufts Medical Center

Opinion: Medicaid needs to change its archaic rules for women seeking permanent contraception | STAT | 9/16/2020

Medicaid needs to change its archaic rules for women seeking permanent contraception By Divya Dethier , Megan L. Evans , and Erin Tracy Bradley September 16, 2020 Reprints Adobe F or many women who don’t want to … Boston. Megan L. Evans is an obstetrician and gynecologist at Tufts Medical Center and assistant professor of obstetrics and gynecology at Tufts University School of Medicine in Boston. Erin Tracy Bradley is an obstetrician and …

Department of Veterans Affairs

Virta Health Launches Beyond Telemedicine Conference, Convening 40+ Industry Leaders to Discuss Today’s Most Pressing Issues in Telehealth | Business Wire | 9/16/2020

Department of Veterans Affairs Francine Kaufman: Former President of the American Diabetes Association Don Berwick: Former Administrator of Centers for Medicare and Medicaid Robin Glass: President, Doctor on Demand David Brailer: Chairman of Health Evolution, former US National Coordinator, Health Information Technology Emily Barson: Executive Director of United States of Care Eric Hargan: Deputy Secretary of the US Department of Health and Human Services Aashima Gupta : Director of Global Healthcare …

University of Washington Medical Center

Statewide Report Introduces Quality Composite Score To Compare Performance Of Medical Groups And Clinics | PR Newswire | 9/16/2020

… Medicaid-insured). Commercially-insured Medicaid-insured The Polyclinic Yakima Valley Farm Workers Clinic Virginia Mason Medical Center Northwest Physicians Network Kaiser Permanente Washington Swedish Medical Group Association of University Physicians, DBA UW Physicians Kadlec Clinic University of Washington Medical Center Kaiser Permanente Washington “The many medical groups whose performance on these measures is at or above the state average deserve recognition,” says Executive Director Nancy Giunto , “but it’s important to …

Harvard Medical School

Reassuring Findings on SSRIs and Diabetes Risk in Kids | Medscape | 9/15/2020

… is not as substantial as initially reported,” said Sun, a postdoctoral research fellow in the Department of Population Medicine at Harvard Medical School’s Harvard Pilgrim Health Care Institute. The study was published online September 2 … disorder , posttraumatic stress disorder , panic disorder , or bulimia nervosa . The Medicaid Analytic eXtract (MAX) database consisted of 316,178 patients insured through Medicaid or the Children’s Health Insurance Program (CHIP). The IBM MarketScan database consisted of …

Hahnemann University Hospital

Community Hospitals In Cities Face Escalating Financial Pressures : Shots - Health News : NPR | 9/15/2020

… they treat a large share of patients who are uninsured — and can’t pay bills — or have their care paid by Medicaid, which doesn’t cover costs. But metropolitan hospitals confront additional threats beyond what rural hospitals … with largely lower-income patient bases that shuttered last year: Hahnemann University Hospital in Philadelphia and Providence Hospital in Washington, D.C., which ended its inpatient services. Washington’s only public hospital, United Medical Center — in the …

Jackson Health System

Florida health care providers get reprieve from ‘devastating’ proposed rule | The Business Journals | 9/15/2020

… withdrawn a proposed rule that Florida health-care providers were dreading and that was once described by a top state Medicaid official as crippling. The move Monday was greeted warmly by hospital and nursing-home … which includes public, teaching and children’s hospitals. Those hospitals include Jackson Health System in Miami, Orlando Health, UF Health Jacksonville, and UF Health Shands Hospital in Gainesville. Additionally, Senior previously estimated that medical faculty teaching …

Orlando Health, Orlando FL

Florida health care providers get reprieve from ‘devastating’ proposed rule | The Business Journals | 9/15/2020

… withdrawn a proposed rule that Florida health-care providers were dreading and that was once described by a top state Medicaid official as crippling. The move Monday was greeted warmly by hospital and nursing-home … children’s hospitals. Those hospitals include Jackson Health System in Miami, Orlando Health, UF Health Jacksonville, and UF Health Shands Hospital in Gainesville. Additionally, Senior previously estimated that medical faculty teaching programs at the University of …

MediSys Health Network

Exclusive: LiveOnNY, MediSys kick off new organ-procurement process | Crain’s New York Business | 9/15/2020

MediSys Health Network to implement an automated organ-donation referral system. The new system, from Santa Monica, Calif., medical software company Transplant Connect, went live locally at the end of July. Called iReferral, its use at Jamaica Hospital Medical Center, part of MediSys, marks its first use in New York and third nationwide. Hospitals are mandated by the Centers for Medicare and Medicaid Services to refer all deaths to their …

Centene Corp

Centene Corporation Announces Offering of Senior Notes | PR Newswire | 9/23/2020

Centene Corporation Announces Offering of Senior Notes News provided by Sep 23, 2020, 08:26 ET Share this article ST. LOUIS , Sept. 23, 2020 /PRNewswire/ – Centene Corporation (NYSE: CNC ) (“Centene” or the “Company”) announced today that … to nearly 1 in 15 individuals across the nation, including Medicaid and Medicare members (including Medicare Prescription Drug Plans) as well as individuals and families served by the Health Insurance Marketplace, the TRICARE program, and …

WellCare Health

Centene Corporation Announces Offering of Senior Notes | PR Newswire | 9/23/2020

… Senior Notes due 2022 (the “ 2022 Notes Redemption “), all of its outstanding 5.25% Senior Notes due 2025 and all of WellCare Health Plans, Inc.’s, a Delaware corporation and a wholly-owned subsidiary of the … to nearly 1 in 15 individuals across the nation, including Medicaid and Medicare members (including Medicare Prescription Drug Plans) as well as individuals and families served by the Health Insurance Marketplace, the TRICARE program, and …

AmeriHealth

Independence Health Group CEO Dan Hilferty Announces Retirement, CFO and Treasurer Greg Deavens Named Successor | Business Wire | 9/22/2020

Medicaid managed care subsidiary, AmeriHealth Caritas, for 13 years prior. Hilferty has held leadership positions within the organization for almost a quarter of a century. Key achievements during his tenure include: Establishing the path for AmeriHealth Caritas to become a national leader in Medicaid managed care by expanding coverage to markets outside Pennsylvania, creating a pharmacy benefit management company, incorporating a behavioral health company and structuring a deal with Blue …

Anthem Blue Cross

California hospital may end Medicaid agreement with Anthem | Becker’s Hospital Review | 9/21/2020

Enloe Medical Center in Chico, Calif., may no longer be in network with Anthem Blue Cross’ managed Medicaid plan if an agreement on reimbursement rates isn’t reached, according to the Enterprise-Record . Without an agreement, the organization’s current contract is set to expire Oct. 31. Mike Wiltermood, president and CEO of Enloe Medical Center, told the Enterprise-Record that Anthem’s current reimbursement rates don’t cover the cost of care, and …

Humana

‘We feel bullish’: Payers look ahead to 2021 | Healthcare Dive | 9/18/2020

… into the third quarter, payer executives said. But the pace has differed by segment. At the start of the pandemic, Humana saw beneficiary use drop to about 30% of pre-COVID-19 levels until mid … rates and federal lobbying for friendly policies like an increased Medicaid match rate, Neidorff said. Attractive markets The COVID-19 recession booted millions of Americans off employer-sponsored insurance, though the full scope of the …

Aetna

‘We feel bullish’: Payers look ahead to 2021 | Healthcare Dive | 9/18/2020

… a little below par,” but well above that depression and meeting internal expectations, CEO Bruce Broussard said. CVS Health-owned Aetna has seen its commercial business come back faster than Medicare, CFO Eva Boratto said … rates and federal lobbying for friendly policies like an increased Medicaid match rate, Neidorff said. Attractive markets The COVID-19 recession booted millions of Americans off employer-sponsored insurance, though the full scope of the …

Cigna

‘We feel bullish’: Payers look ahead to 2021 | Healthcare Dive | 9/18/2020

… there’s significant uncertainty around the future of the insurance industry, many remarks can be summed up in a line from Cigna CEO David Cordani: “We feel bullish on 2021.” And despite the major role of … rates and federal lobbying for friendly policies like an increased Medicaid match rate, Neidorff said. Attractive markets The COVID-19 recession booted millions of Americans off employer-sponsored insurance, though the full scope of the …

Inland Empire Health Plan

Health Plan Employees Distribute 800 Handmade Cards to Local Residents in Nursing Facilities | PR Newswire | 9/17/2020

… to be said for handwritten greetings on paper, especially during this extended period of social isolation due to COVID-19. Inland Empire Health Plan (IEHP) understands the impact of the personal connection that this gesture … IEHP, Inland Empire Health Plan, is a top 10 largest Medicaid health plan and the largest not-for-profit Medicare-Medicaid plan in the country. With a network of more than 6,400 Providers and more …

UnitedHealthcare

WEDI Announces Agenda for Virtual Event - WEDI National Conference | PRWeb | 9/17/2020

Medicaid Services (CMS); Stephen Konya, Senior Innovation Strategist, Office of the National Coordinator for Health IT (ONC); Sheila Shapiro, Senior Vice President, National Strategic Partnerships, UnitedHealthcare Care Modernization & Innovation; Dr. Lina Walker, Vice President, Health Security, AARP; Mari Savickis, Vice President, Public Policy, CHIME; Grant Wood, Senior IT Strategist, Intermountain Healthcare Precision Genomics; Alison Armstrong, Health Policy Director, Anthem; Denise St Clair, Senior Policy Expert, Centers for Medicare & Medicaid Services …

Tufts Health Plan

Back-to-School Season Gets a Boost from Tufts Health Plan | PR Newswire | 9/17/2020

… and families facing new learning environments, there is an exceptional need for new kinds of school supplies. Because of this, Tufts Health Plan has teamed with area nonprofits to provide children with essential back-to … Island , New Hampshire and Connecticut through employer-sponsored plans; Medicare; Medicaid and Marketplace plans, offering health insurance coverage across the life span regardless of age or circumstance. We are continually among the top health plans …

CDPHP

How Medicare Successes Inform Medicaid Value-Based Care Progress | HealthPayer Intelligence | 9/17/2020

How Medicare Successes Inform Medicaid Value-Based Care Progress There is no single solution that all states can use to expand Medicaid value-based care, but Medicare payment models may help guide state efforts in … and chief executive officer of Capital District Physicians’ Health Plan (CDPHP), recommended that payers look into establishing global payment models in order to advance value-based care during the COVID-19 pandemic. “The level of …

UCare

UCare: Systems Analyst - Scrum Team | Star Tribune | 9/16/2020

Apply Health Care that Starts with You! Join a truly mission-driven organization! Independent, nonprofit UCare is recognized as one of the Minnesota’s leading health plans. We provide more than 225,000 members across Minnesota and … we serve.www.ucare.org/careers/EOE/AA ABOUT UCARE UCare offers Medicare, Medicaid, Individual and Family health plans - powered by the hardest working people in the industry. Our people powered teams de-complicate, advocate and always go …

Health Net

Exclusive: LiveOnNY, MediSys kick off new organ-procurement process | Crain’s New York Business | 9/15/2020

… Health Network to implement an automated organ-donation referral system. The new system, from Santa Monica, Calif., medical software company Transplant Connect, went live locally at the end of July. Called iReferral, its use at Jamaica Hospital Medical Center, part of MediSys, marks its first use in New York and third nationwide. Hospitals are mandated by the Centers for Medicare and Medicaid Services to refer all deaths to their local …

Harvard Pilgrim Health Care

Reassuring Findings on SSRIs and Diabetes Risk in Kids | Medscape | 9/15/2020

… substantial as initially reported,” said Sun, a postdoctoral research fellow in the Department of Population Medicine at Harvard Medical School’s Harvard Pilgrim Health Care Institute. The study was published online September 2 in JAMA Psychiatry … disorder , posttraumatic stress disorder , panic disorder , or bulimia nervosa . The Medicaid Analytic eXtract (MAX) database consisted of 316,178 patients insured through Medicaid or the Children’s Health Insurance Program (CHIP). The IBM MarketScan database consisted of …

The Health Plan

Health Plan Alliance Announces Return of Medicare Advantage Supplemental Benefit Consortium | Business Wire | 9/14/2020

IRVING, Texas–(BUSINESS WIRE)–Sep 14, 2020– The Health Plan Alliance (Alliance), in collaboration with Faegre Drinker Consulting and the Wakely Consulting Group, is re-implementing its Medicare Advantage Supplemental Benefits Consortium . As before, the … competitive MA market.” According to the Centers for Medicare and Medicaid Services, the MA program is rapidly growing – enrollment now tops 24 million and is projected to reach 30 million enrollees by 2025. In an …

Amerigroup

DC Council Votes to Extend Telehealth Coverage for Postpartum Care | mHealth Intelligence | 9/9/2020

… Expansion Act Amendment of 2020 , which was passed unanimously by the DC Council, extends postpartum inpatient and outpatient benefits through Medicaid from up to 60 days after childbirth to at least a year, and instructs … program capital earlier this year in the nation’s capital with Amerigroup. “DC (has) some of the highest rates of maternal mortality in the country and there’s no excuse for it,” company co-founder and president …

Amerihealth Caritas

AmeriHealth Caritas Awarded Contract to Continue Serving District of Columbia’s Medicaid Population | Business Wire | 9/8/2020

PHILADELPHIA–(BUSINESS WIRE)–Sep 8, 2020– AmeriHealth Caritas announced that its Washington, D.C., Medicaid plan, AmeriHealth Caritas District of Columbia , has been awarded a contract by the Department of Health Care Finance to continue helping the District’s Medicaid enrollees access quality health care. “We look forward to continue advancing our mission with innovative, whole person health care solutions for our members in the District and to further strengthening our relationships …

MassHealth

Local nursing homes brace for new wave of virus - News - telegram.com - Worcester, MA | Star Telegram | 9/6/2020

… novel coronavirus was known to be in the country, the state established a nursing facility task force to look at MassHealth rates, staffing and occupancy challenges and other opportunities for reform. During the state of … designated “special focus facilities” by the Centers for Medicare and Medicaid Services, which meant they were “among the worst of the worst.” Weingartner’s group complained when Beaumont in Worcester was designated a COVID-19 recovery …

Indian Health Service

HHS focuses on telehealth and tech innovations in Rural Action Plan | Healthcare IT News | 9/4/2020

… Started The HHS plan notes that President Donald Trump’s fiscal year 2021 budget would require the Centers for Medicare and Medicaid Services to value telehealth services separately from similar services provided face-to-face for … services and to expand access to Medicare telehealth services for Indian Health Service and Tribal facilities – making permanent a temporary flexibility furnished in response to the pandemic. “The Rural Action Plan identifies key, tangible areas …

Home State Health

Centene Corporation Announces Executive Leadership Appointments | PR Newswire | 9/2/2020

… Vice President, Human Resources, leading the company’s Human Resources department. She previously served as President and Chief Executive Officer for Home State Health, Vice President of Internal Audit and Risk Management and Health Plan Controller … to nearly 1 in 15 individuals across the nation, including Medicaid and Medicare members (including Medicare Prescription Drug Plans) as well as individuals and families served by the Health Insurance Marketplace, the TRICARE program, and …

Anthem

Nelson Hardiman LLP Partner Lee Arian Appointed To Judgeship | PR Newswire | 9/2/2020

… he served as vice president of advisory services at Optum Inc. from 2015 to 2017 and staff vice president at Anthem Inc., where he oversaw compliance from 2004 to 2015. He also served as an … counsel to United Healthcare, as well as several small, primarily Medicaid plans, on fraud and abuse issues. As Staff Vice President at Anthem, he oversaw the enterprise fraud and abuse audit efforts, implementing cutting edge …

Superior HealthPlan

Superior HealthPlan Provides Early Support for Newborns through Screenings, Start Smart for Your Baby Program® | PR Newswire | 9/1/2020

Superior HealthPlan Provides Early Support for Newborns through Screenings, Start Smart for Your Baby Program® News provided by Sep 01, 2020, 07:24 AUSTIN, Texas In Texas , there are more than 800,000 newborn screenings performed each … Program® provides the kind of early support that helps new Medicaid and CHIP members get off to a healthy start. “Since 2014, Superior has supported nearly 300,000 deliveries and our goal with each one is …

Blue Shield of California

Blue Shield of California’s BlueSky Initiative and DoSomething.org Launch First-Ever Mental Health Tips Guide for Students by Students | PR Newswire | 9/1/2020

OAKLAND, Calif. , Sept. 1, 2020 /PRNewswire/ – Blue Shield of California’s BlueSky Initiative, in partnership with DoSomething.org – the largest organization for young people and social change – launched a first-of-its-kind digital mental-health guide … Shield of California and its affiliates provide health, dental, vision, Medicaid and Medicare healthcare service plans in California . The company has contributed more than $500 million to Blue Shield of California Foundation since 2002 to …

Sunshine Health

Staywell Launches “HAPPY” for Members Experiencing Loneliness and Social Isolation during the COVID-19 Pandemic | PR Newswire | 8/31/2020

… heart disease, dementia, stroke, depression, and increased hospitalizations. In response, Staywell Health Plan (Staywell), which serves more than 1 million Medicaid members across Florida , is providing its members with access to a new 24/7 support … the state. Staywell and WellCare of Florida are affiliated with Sunshine Health Plan, a wholly owned subsidiary of Centene Corporation, a leading multi-national healthcare enterprise committed to helping people live healthier lives. For more …

Clover Health

Clover Health Joins FDA’s Early Payor Feedback Program to Encourage Innovation Among Medical Device Makers | PR Newswire | 8/25/2020

SAN FRANCISCO , Aug. 25, Today, Clover Health , an innovative technology company improving health outcomes for America’s seniors, announced it joined a group of the largest insurers in the United States as a part of the … task force include public payors such as Centers for Medicare & Medicaid Services (CMS), private health plans, health technology assessment groups, and others who provide input into coverage, procurement, and reimbursement decisions. Clover was a good …

Donald Trump

First Edition: Sept. 23, 2020 - Kaiser Health News | 9/23/2020

… along with county infection rates. (McAuliff, 9/23) Politico: ‘It Affects Virtually Nobody’: Trump Downplays Virus Threat To Young People President Donald Trump claimed Monday at an Ohio campaign rally that the coronavirus poses little threat … Mass.) that would allow seniors to purchase medical wigs using Medicaid funds. (Bowden, 9/22) NBC 5 Dallas-Fort Worth: Thousands Of Hurricane Laura Evacuees Still Sheltering At North Texas Hotels, Many Say Resources Are Not …

Seema Verma

CMS taking prior authorization model for ambulance transport nationwide | FierceHealthcare | 9/23/2020

The Trump administration is taking a prior authorization program for ambulance services nationwide. The Centers for Medicare & Medicaid Services said in an announcement on Tuesday that the edicare Prior Authorization Model for Repetitive, Scheduled Non … beneficiaries from harm and safeguard taxpayer dollars.” said CMS Administrator Seema Verma in a statement. “When deployed appropriately, prior authorization can help ensure Medicare requirements are met before a service is provided and the claim …

Farzad Mostashari

By Helping Nearly a Million Patients Get Better Care, Aledade ACOs Have Saved More Than $400 Million in Wasteful Health Care Spending | PR Newswire | 9/23/2020

BETHESDA, Md. , Sept. 23, 2020 /PRNewswire/ – Today, Aledade, Inc. announced that its accountable care organizations (ACOs) with commercial payers, Medicaid, Medicare Advantage, and the Medicare Shared Savings Program (MSSP) have saved more than $400 million … practices you could change the face of health care,” said Farzad Mostashari , MD, CEO and co-founder of Aledade. “Those primary care practices are delivering on that promise. Thanks to years of hard work and …

Tom Nickels

AHA Contests Study on High Hospital Prices for Privately Insured | RevCycle Intelligence | 9/22/2020

… is unfortunate that RAND continues to make broad claims about pricing based on a cherry-picked and limited data set,” Tom Nickels, executive vice president of the hospital group said in a statement . “For example … patients treated by that hospital who are covered by either Medicaid or Medicare.” The hospital-level portion of private prices explained by the share of Medicare and Medicaid patients was 0.3 percent, the data showed …

John Roberts

Replacing Ruth Bader Ginsburg quickly could determine Affordable Care Act’s fate - SFChronicle.com | SF Chronicle | 9/22/2020

… purchases on state-regulated marketplaces known as insurance exchanges. Funding was also made available to states to expand coverage under Medicaid, known as Medi-Cal in California, to 138% of the federal poverty level, raising … mandate exceeded Congress’ power to regulate interstate commerce. Chief Justice John Roberts, in the majority opinion, said the individual mandate could be considered a tax, part of Congress’ well-established authority. But the legal challenge …

Sarah Jane Tribble

Rural Hospitals Teeter on Financial Cliff as COVID Medicare Loans Come Due | Kaiser Health News | 9/22/2020

… Copy And Paste To Republish This Story Rural Hospitals Teeter on Financial Cliff as COVID Medicare Loans Come Due By Sarah Jane Tribble September 22, 2020 h1 Rural Hospitals Teeter on Financial Cliff as COVID … repaid in full. /p p The federal Centers for Medicare & Medicaid Services has not yet begun trying to recoup its investment, with the coronavirus still affecting communities nationwide, but hospital leaders fear it may come …

Ruth Bader Ginsburg

RBG’s death means Obamacare may be doomed — even if Trump doesn’t get another Supreme Court pick | Yahoo News | 9/22/2020

… may be doomed — even if Trump doesn’t get another Supreme Court pick Igor Derysh September 22, 2020 Supreme Court Justice Ruth Bader Ginsburg Supreme Court Justice Ruth Bader Ginsburg, celebrating her 20th anniversary on the … seeking to strike down the entire Obamacare law , including the Medicaid expansion and protections for individuals with pre-existing conditions. Though congressional Republicans voted to repeal the law’s individual mandate penalty in 2017, they failed …

Andrew Taylor

Democrats unveil temporary funding bill to avert shutdown - News - telegram.com - Worcester, MA | Star Telegram | 9/22/2020

Democrats unveil temporary funding bill to avert shutdown Andrew Taylor, 4:53 53 PM WASHINGTON (AP) “ Democrats controlling the House unveiled a government-wide temporary funding bill on Monday that would keep federal agencies fully up … of various health programs such as a provision to prevent Medicaid cuts to hospitals that serve many poor people. It also finances the possible transition to a new administration if Joe Biden wins the White …

Sonny Perdue

Democrats unveil temporary funding bill to avert shutdown - News - telegram.com - Worcester, MA | Star Telegram | 9/22/2020

… that the Trump administration has favored southern states such as Georgia “ a key swing state and home of Agriculture Secretary Sonny Perdue “ and larger producers in distributing bailout funds. Farmers are suffering from low commodity … of various health programs such as a provision to prevent Medicaid cuts to hospitals that serve many poor people. It also finances the possible transition to a new administration if Joe Biden wins the White …

Katherine Hempstead

AHA Contests Study on High Hospital Prices for Privately Insured | RevCycle Intelligence | 9/22/2020

… and private hospital prices is a cause for concern and raises questions about the efficiency of the employer market,” said Katherine Hempstead, senior policy adviser at the Robert Wood Johnson Foundation, which sponsored the project … patients treated by that hospital who are covered by either Medicaid or Medicare.” The hospital-level portion of private prices explained by the share of Medicare and Medicaid patients was 0.3 percent, the data showed …

Maia Anderson

Medicare won’t cover coronavirus vaccines approved under emergency use authorization | Becker’s Hospital Review | 9/22/2020

Medicare won’t cover coronavirus vaccines approved under emergency use authorization Maia Anderson - Print Email Medicare won’t cover the cost of a COVID-19 vaccine if it is approved under an emergency use authorization, according to … in August that government health insurance programs, including Medicare and Medicaid, would cover the costs of administering a COVID-19 vaccine. Read the full article here . More articles on pharmacy …

Joe Biden

Different Takes: ACA Is Endangered Again If Trump Gets His Supreme Court Pick; Medicare, Social Security Head Up Ballot Concerns | Kaiser Health News | 9/21/2020

… focusing instead on congressional races. Until now. For the first time in 38 years, we are throwing our weight behind Joe Biden for President of the United States. As an organization rooted in the social … universal, affordable, high-quality health coverage. Based on Medicare and Medicaid, it expands the benefits and services covered to include prescription drugs, dental, vision, hearing services, and long-term services and supports. (Rosa DeLauro, 9/19 …

Nancy Pelosi

Without Ginsburg, Judicial Threats to the ACA, Reproductive Rights Heighten | Kaiser Health News | 9/21/2020

… down the law in its entirety. Democrats are raising alarms about the future of the law without Ginsburg. House Speaker Nancy Pelosi, speaking on ABC’s “This Week” Sunday morning, said that part of the strategy … pandemic — who buy insurance through the ACA marketplaces or have Medicaid through the law’s expansion could lose coverage right away. Many millions more would lose the law’s popular protections guaranteeing coverage for people with preexisting …

Julie Rovner

Without Ginsburg, Judicial Threats to the ACA, Reproductive Rights Heighten | Kaiser Health News | 9/21/2020

Without Ginsburg, Judicial Threats to the ACA, Reproductive Rights Heighten Julie Rovner, Kaiser Health News Sep 21, 2020 Please subscribe to keep reading. You can cancel at any time. Already a subscriber? Thanks for reading … pandemic — who buy insurance through the ACA marketplaces or have Medicaid through the law’s expansion could lose coverage right away. Many millions more would lose the law’s popular protections guaranteeing coverage for people with preexisting …

Robert King

Moody’s: Hospital financial outlook worse as COVID-19 relief funds start to dwindle | FierceHealthcare | 9/21/2020

by Robert King Sep 21, 2020 4:41pm A recent analysis finds a negative financial outlook for hospitals over the next 12 to 18 months as government COVID-19 relief funds start to dwindle. (AshDesign/Shutterstock … plans and go to lower-paying government programs such as Medicaid. “The number of surgical procedures done outside of the hospital setting will continue to increase, which will weaken hospital earnings, particularly for companies that …

Raul Ruiz

Viewpoints: Lessons On Hiding Health Care Costs During The Pandemic; Put Teachers Alongside Health Care Workers For Vaccine Priorities | Kaiser Health News | 9/21/2020

… how to prioritize distribution. That is why the Trump administration must develop a national COVID-19 vaccine distribution plan now. (Raul Ruiz, 9/19) The Wall Street Journal: You Can Trust The FDA’s Vaccine Process If … for one. You can expect state Democrats to focus on Medicaid expansion in the final 40 days left in this election season, especially as they reach for votes in COVID-battered rural Georgia. Then there …

Debbie Stabenow

Democrats unveil temporary funding bill to avert shutdown - News - The Columbus Dispatch - Columbus, OH | PR Newswire | 9/21/2020

… higher tariffs imposed by Trump. ‘The Trump Administration has proven they cannot be trusted to distribute payments fairly,’ said Sen. Debbie Stabenow of Michigan, top Democrat on the Agriculture Committee. The stopgap funding bill comes … of various health programs such as a provision to prevent Medicaid cuts to hospitals that serve many poor people. It also finances the possible transition to a new administration if Joe Biden wins the White …

Peter Welch

Lawmakers seek to ease increase in threshold for quality bonus payments due to COVID-19 | FierceHealthcare | 9/21/2020

… to the letter led by Rep. Suzan Delbene, D-Washington. It pointed to new data from the Centers for Medicare & Medicaid Services that found it was hard for providers to even meet the 50% threshold … signers on the letter are Reps. Roger Marshall, R-Kansas; Peter Welch, D-Vermont; and Darin LaHood, R-Illinois. Lawmakers call for House leadership to include a fix for the qualification cliff in the next …

Chris Murphy

Different Takes: ACA Is Endangered Again If Trump Gets His Supreme Court Pick; Medicare, Social Security Head Up Ballot Concerns | Kaiser Health News | 9/21/2020

… This assault on the healthcare of millions, at this moment of crisis, is as inexplicable as it is unforgivable. (Sen. Chris Murphy, 9/20) CNN: Obamacare Could Be Doomed If Trump Fills Another Court Seat On … universal, affordable, high-quality health coverage. Based on Medicare and Medicaid, it expands the benefits and services covered to include prescription drugs, dental, vision, hearing services, and long-term services and supports. (Rosa DeLauro, 9/19 …

Joe Caruncho

Genuine Health Group Saves Medicare $4 Million And Keeps Half To Share With Its Doctors | PRWeb | 9/21/2020

… Health Group Saves Medicare $4 Million And Keeps Half To Share With Its Doctors Share Article Centers For Medicare And Medicaid Services Rewards Genuine Health ACO For Delivering High Quality Care And Lowering Costs MIAMI … built an innovative approach to advance value-based care,” said Joe Caruncho, CEO of Genuine Health Group. “We have built a network of likeminded, high-performing doctors who are improving overall care and moving our …

Roger Marshall

Lawmakers seek to ease increase in threshold for quality bonus payments due to COVID-19 | FierceHealthcare | 9/21/2020

… to the letter led by Rep. Suzan Delbene, D-Washington. It pointed to new data from the Centers for Medicare & Medicaid Services that found it was hard for providers to even meet the 50% threshold … dialysis, kidney transplants Other signers on the letter are Reps. Roger Marshall, R-Kansas; Peter Welch, D-Vermont; and Darin LaHood, R-Illinois. Lawmakers call for House leadership to include a fix for the qualification …

Lamar Alexander

House bill would cement Medicare telehealth changes | MedCity News | 9/20/2020

… home, or other approved site for telehealth to be covered. The bill would also allow the Centers for Medicare and Medicaid Services to continue reimbursing for telehealth for three months after the public health emergency … discussed telehealth policy changes they would like to keep . Sen. Lamar Alexander (R-Tenn.) suggested keeping two: Allowing Medicare patients to have telehealth appointments at home and reimbursing for more types of specialty visits. But …

Doris Matsui

House bill would cement Medicare telehealth changes | MedCity News | 9/20/2020

… home, or other approved site for telehealth to be covered. The bill would also allow the Centers for Medicare and Medicaid Services to continue reimbursing for telehealth for three months after the public health emergency … Vt.), Bill Johnson (R-OH), David Schweikert (R- Ariz.) and Doris Matsui (D- Calif). Last month, a group of senators discussed telehealth policy changes they would like to keep . Sen. Lamar Alexander (R-Tenn.) suggested …

Bill Johnson

House bill would cement Medicare telehealth changes | MedCity News | 9/20/2020

… home, or other approved site for telehealth to be covered. The bill would also allow the Centers for Medicare and Medicaid Services to continue reimbursing for telehealth for three months after the public health emergency … including representatives Mike Thompson (D- Calif.), Peter Welch (D, Vt.), Bill Johnson (R-OH), David Schweikert (R- Ariz.) and Doris Matsui (D- Calif). Last month, a group of senators discussed telehealth policy changes they would …

Ann Mond Johnson

House bill would cement Medicare telehealth changes | MedCity News | 9/20/2020

… home, or other approved site for telehealth to be covered. The bill would also allow the Centers for Medicare and Medicaid Services to continue reimbursing for telehealth for three months after the public health emergency … simply ‘switch off’ when the COVID-19 pandemic ends,” CEO Ann Mond Johnson said in a news release. “This legislation is an important step towards breaking down discriminatory geographic restrictions and modernizing our healthcare delivery …

State of New York

COVID-19 coverage safety net has plenty of holes in US - WHYY | 10/12/2020

… New York’s Medicaid coverage program. She said it picked up all the costs. “I couldn’t believe it,” she said. “Even when I couldn’t breathe, that was in the back of my mind the whole time I was there. I was thinking about the hospital bills.” Separately, the federal government has said it will reimburse hospitals that treat uninsured patients for COVID-19. And 78 insurers have waived expenses like deductibles …

State of Washington

Google Alert - Health | 10/11/2020

Health As-it-happens update ⋅ October 11, 2020 NEWS Washington Times Rep. Hayes tests negative for virus, 3 weeks after diagnosis Washington Times WATERBURY, Conn. (AP) - U.S. Rep. Jahana Hayes said a test Saturday showed … be eligible for health care coverage that is similar to Medicaid despite their immigration status. Ananias Ocampo, who is at high risk of contracting the virus because of his age and health, … Flag as irrelevant …

New York, New York

COVID-19 coverage safety net has plenty of holes in US - WHYY | 10/12/2020

… New York’s Medicaid coverage program. She said it picked up all the costs. “I couldn’t believe it,” she said. “Even when I couldn’t breathe, that was in the back of my mind the whole time I was there. I was thinking about the hospital bills.” Separately, the federal government has said it will reimburse hospitals that treat uninsured patients for COVID-19. And 78 insurers have waived expenses like deductibles …

York, Pennsylvania

Refuge in the storm? ACA’s role as safety net is tested by COVID-19 recession | News & Features | ArcaMax Publishing | 10/12/2020

… who lost health benefits along with their job immediately sought alternatives, such as coverage through a spouse’s or parent’s job, Medicaid or plans offered on the state-based ACA marketplaces. From June to September, however … care coverage and access at the Commonwealth Fund, a New York-based health research group. “The ACA provides an important cushion, but we don’t know how much of one yet, since this is first real …

State of California

Next gen remote therapy has Bluetooth, pulse monitors, more | 10/11/2020

… California-based tech company Meru Health. The Mental Health Center of Denver refers patients, but the virtual therapy comes from one of Meru ’s 45 therapists working across the country, including in Colorado. The first 40 participants are funded through a $58,000 grant from Gov. Jared Polis’ Office of eHealth Innovation, but mental health leaders are hopeful that, if it’s successful, the state Medicaid department might someday fund smartphone therapy …

State of Texas

¿Aumentará el COVID-19 la cantidad ya de por sí alta de niños de Nevada sin seguro? | 10/12/2020

Texas Forfeits $5.4 Billion without Medicaid Expansion Report: Offshoring Cost CA More Jobs Than Any Other State In Past 3 Years WA School Bus Drivers’ Aid Plan for Students Stalled Navigating Grizzly Safety This Hunting Season Speaking Out on Electrosensitivity as 5G Expands Ohio Opens Door for Indoor Nursing Home Visits Cost-Share Bill Could Benefit PA Farmers, Water Quality Time’s Almost Up to Register to Vote in Virginia NM’s …

State of Florida

Senator Susan Collins Joins Other Lawmakers, Asks CMS to Ditch PDGM’s 4.36% Behavioral Adjustment | Home Health Care News | 10/12/2020

Senator Susan Collins (R-Maine) has sent a letter to the U.S. Centers for Medicare & Medicaid Services (CMS) on behalf of home health providers, urging the agency to reconsider the 4.36% behavioral adjustment baked into the Patient-Driven Groupings Model (PDGM) this year and in 2021. Collins isn’t alone. U.S. Representative Vern Buchanan, a Republican from Florida, recently did the same . “I write to request that you revisit the calculation …

State of Georgia

At ICE detention center, red flag raised about gynecologist | 10/11/2020

… Atlanta Journal-Constitution Published: October 11, 2020, 12:30pm Share: 3 Photos Demonstrators gather outside of Irwin County Detention Center. Four Georgia immigration support agencies filed a complaint against Irwin County Detention Center. Around 100 protesters … other doctors of systematically filing inflated or false bills to Medicaid and Medicare. Amin now faces a more existential threat to his medical practice. Members of Congress have called for an FBI investigation into Amin’s …

State of Ohio

Ohio Plans First Major Overhaul to Medicaid in 15 Years | 10/9/2020

90.3 WCPN ideastream By Lisa Ryan Published October 8, 2020 at 11:52 PM EDT Listen • 0:00 Mark Butler The Ohio Medicaid overhaul could help people like Mark Butler. His son Andrew has developmental disabilities and needs specialized care. Andrew is pictured here on a banner when he graduated from high school. Last week, Ohio Gov. Mike DeWine proposed changes to the state’s Medicaid program , the first major overhaul in 15 …

State of Arizona

The Providence Service (NASDAQ:PRSC) Downgraded by Zacks Investment Research | 10/10/2020

Medicaid or corrections. Providence Service Corporation is based in Tucson, Arizona. “ Get The Providence Service alerts: PRSC has been the subject of several other research reports. Lake Street Capital assumed coverage on shares of The Providence Service in a research report on Thursday, July 16th. They set a buy rating for the company. TheStreet cut shares of The Providence Service from a b rating to a c+ rating in a …

State of North Carolina

How will the election change the future of Medicaid in North Carolina? | 10/12/2020

Last Updated 23 minutes ago How will the election change the future of Medicaid in North Carolina? BY Jacob Meredith-Andrews As the 2020 election nears, the nearly 1.1 million North Carolinians who are uninsured and the large volume of rural hospitals facing closures have become central issues in the state’s General Assembly race. 12.7 percent of residents under the age of 65 in North Carolina in 2018 did not …

State of Pennsylvania

Registered Nurse Per Diem Case Manager Field Based Home Care Greater Pittsburgh PA - UnitedHealth Group - Pittsburgh, PA | 10/10/2020

Apply Now Description Serving millions of Medicare and Medicaid patients, Optum is the nation’s largest health and wellness business and a vibrant, growing member of the UnitedHealth Group family. We’re also the career home for … record and patient care team. This position is serving throughout Pennsylvania - Greater Pittsburgh and Altoona The Optum Dual Special Needs Plan (DSNP) at Home program is a longitudinal, integrated care delivery program that coordinates the …

State of New Jersey

Medicaid benefits | 10/12/2020

Order Paper Medicaid benefits It need a Introduction , body and conclusion Last paper for reference The two states are New Jersey and Florida Research two different state’s Medicaid benefits and compare the two. Medicaid is a joint Federal- state program and each state may have different benefits. This is a great example of learning ways in which our government “work”. Be sure to provide the two states in which you …

State of Virginia

Harrisonburg’s Free Clinic Will Close, But Is An Alternative On The Horizon? | 10/12/2020

Virginia expanded Medicaid eligibility last year, and then restrictions on volunteer staffing due to the coronavirus also disrupted operations. The clinic also lost funding from the City of Harrisonburg this year, and the board of directors decided its operation was no longer sustainable. Josh Hale is the Board’s president. Josh Hale is president of the board of directors for the Harrisonburg-Rockingham Free Clinic. Credit Josh Hale JOSH HALE: There …

State of Michigan

UPDATED Coronavirus tracker: Trump halts talks for stimulus, including potential hospital relief | FierceHealthcare | 10/7/2020

… D-N.J., and Terri Sewell, D-Ala., are the other co-sponsors. Updated Wednesday, Sept. 30 at 3:20 p.m. CMS: Medicaid, CHIP added 4M between February and June New data from the Trump administration show … in 11 states including Alabama, Arizona, California, Florida, Georgia, Louisiana, Michigan, Mississippi, North Carolina, Tennessee and Texas. Established as part of the NIH Community Engagement Alliance (CEAL) Against COVID-19 Disparities, the teams in the …

State of Kentucky

10-9-2020 Snippets | 10/9/2020

… to mock disabled people? Calling soldiers losers and suckers? Trying so hard to take social security, food stamps, WIC, Medicare/Medicaid, and others away from the people who need them to survive? If you are … am always improving anything. Cold temperature arrived early In eastern Kentucky, where I reside, it seems that the cold or at least chill temperature have arrived a bit earlier than usual because usually, it would …

State of Massachusetts

Business Briefs: ‘Suicide: Culture & Community’ conference; Fierro joins CHP; Holmes leaves 18 Degrees | 10/12/2020

Medicaid members of Fallon Health . She was also vice president of behavioral health services at the Edward M. Kennedy Community Health Center in Worcester. Earlier, she was program administrator for a child protective services center at Saint Peter’s University Hospital in New Jersey. Fierro has worked as a faculty and adjunct faculty member at several colleges and universities, including University of Massachusetts Medical School and the Rutgers School of Social …

State of Louisiana

Medicaid open enrollment Oct 15-Nov 30 | 10/10/2020

Medicaid open enrollment Oct 15-Nov 30 Medicaid open enrollment through Healthy Louisiana is available October 15-November 30, 2020. For those who are currently enrolled, this is your only opportunity to make changes to your plan. If you do nothing, your plan will remain the same. For the first time, Healthy Louisiana is offering two different dental plans. If you do not choose one, one will be assigned to …

State of Illinois

Non-U.S. Citizens To Begin Receiving Medicaid-Like Healthcare From IL in December | 10/12/2020

Non-U.S. Citizens To Begin Receiving Medicaid-Like Healthcare From IL in December By Benjamin Cox on October 11, 2020 at 6:07pm Low-income immigrants ages 65 and older in Illinois will be eligible for health care coverage that is similar to Medicaid despite their immigration status. The expanded health care coverage was a part of the state budget that passed this year. According to the Chicago Tribune , between 400 …

State of Iowa

Broadlawns board endorsement: Emily Webb and Dave Miglin | 10/10/2020

Iowa Care Program in 2005, the Affordable Care Act in 2010, and the expansion of Medicaid in 2014, Broadlawns is positioned to meet our county’s health care needs. As current members of the Broadlawns Board of Trustees, we recognize that our ability to deliver accessible, cost-effective, and high-quality patient care is due largely to our dedicated staff of over 1,200 employees, including a team of 100 physicians. To …

Columbia, Missouri

Parson and Galloway blast each other repeatedly during Missouri gubernatorial debate | 10/10/2020

Missouri’s two major gubernatorial candidates clashed during a Friday afternoon debate in Columbia on numerous issues, including Clean Missouri, COVID, Medicaid expansion and valet parking at the Capitol. The debate, which took place at the Missouri Theatre in Columbia, was sponsored by the Missouri Press Association. Missouri voters approved Clean Missouri in November 2018. It had several provisions, including one requiring a nonpartisan demographer to draw state legislative districts. Governor …

State of Oklahoma

Overhaul of constitutionally protected tobacco settlement on the Oklahoma ballot | 10/11/2020

OKLAHOMA CITY — As lawmakers grapple with how to fund Medicaid expansion, voters must decide whether they want to overhaul the state’s constitutionally protected tobacco settlement. State Question 814 proposes reducing the amount of annual payment that flows into the Tobacco Settlement Endowment Trust (TSET) by 50%. Proponents say this would cover some of the expense of the upcoming Medicaid expansion approved by voters earlier this year. Last budget year, Oklahoma’s …

State of New Mexico

Next gen remote therapy has Bluetooth, pulse monitors, more | 10/11/2020

… techniques to decrease anxiety. “You could be there with a housewife from Maine, a salesman in Seattle, a teenager in New Mexico,” Almon said. “You don’t even know their names.” More than 30 people have … health leaders are hopeful that, if it’s successful, the state Medicaid department might someday fund smartphone therapy the same way the government insurance program pays for in-person and virtual behavioral health visits. The program …

State of Oregon

Audit Finds Oregon’s Mental Health System in Disarray, Lacks Leadership | 10/10/2020

READ – Chronic and Systemic Issues in Oregon’s Mental Health Treatment System Leave Children and Their Families in Crisis (PDF) A 9-year-old boy waited in a hotel room for more than 100 days while … than 250 behavioral health contracts so low-income Oregonians on Medicaid have access to mental health care. “It’s really helpful to have an outside entity with fresh eyes take a look at what we’ve got …

State of Missouri

Parson and Galloway blast each other repeatedly during Missouri gubernatorial debate | 10/10/2020

Missouri’s two major gubernatorial candidates clashed during a Friday afternoon debate in Columbia on numerous issues, including Clean Missouri, COVID, Medicaid expansion and valet parking at the Capitol. The debate, which took place at the Missouri Theatre in Columbia, was sponsored by the Missouri Press Association. Missouri voters approved Clean Missouri in November 2018. It had several provisions, including one requiring a nonpartisan demographer to draw state legislative districts. Governor …