Category: CMS
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Florida House rejects federal Medicaid expansion funds
The Florida House of Representatives passed its own limited health care bill that relies on state money to expand coverage to the state’s neediest residents. Also in the news, reports from Ohio, Montana, Texas, Nebraska and Arizona on the status of state decision-making regarding the expansion.
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Medicaid: Texas docs lose money; Jindal adm. official has ‘improper contact’ with contractor
The first question many doctors ask when new patients call for appointments is how they intend to pay. If the answer is Medicaid, the doctor can expect to lose money. The Texas Legislature has been balancing the state’s budget by intentionally paying doctors 40 to 75 percent less for Medicaid patients than what private insurers…
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Federal gov’t. moves against Nevada hospital for alleged patient dumping
The Centers for Medicare & Medicaid Services gave Nevada 10 days to correct problems at Rawson-Neal Psychiatric Hospital following reports it may have improperly discharged patients and bused them out of state.
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First Edition: April 29, 2013
Today’s headlines include a report that hospitals are questioning Medicare’s rules on readmissions.
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SLU study reveals that access to dermatologists limited for Medicaid-insured children with eczema
A recent Saint Louis University study revealed that Medicaid-insured children with eczema, an inflammatory skin condition that affects 20 percent children in the United States, do not have easy access to dermatologists.
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N.Y. suspends adult day care enrollment over fraud concerns; Texas lawmakers push action on Medicaid fraud
Fraud concerns in New York and Texas are sparking changes to health care programs: New York officials have suspended enrollment in an adult day care program, and lawmakers in Texas plan action on Medicaid fraud.
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Medicaid expansion challenges: Which states are facing roadblocks, running out of time?
Twenty states and the District of Columbia have agreed to expand their Medicaid programs, to cover everyone under 133 percent of the federal poverty line. That leaves 30 states that haven’t, although Avalere categorizes four states as leaning in that direction (Tennessee, Kentucky, Florida and New York). Some of these states have especially large uninsured…
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Rate change: CMS payment schedule proposal already drawing fire
While the CMS’ proposed payment schedule for 2014 includes small increases in Medicare payments for the nation’s acute- and long-term care hospitals, it would change reimbursement for facilities serving high numbers of the uninsured in a way that is…
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University of Michigan Health System Expands ACO
A partnership designed to improve care for Medicare fee-for-service beneficiaries in southeast Michigan, while making the best use of Medicare dollars, has expanded. A partnership designed to improve care for Medicare fee-for-service beneficiaries in southeast Michigan, while making the best use of Medicare dollars, has expanded. Two new medical practices have joined the 1,700 doctors…
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CMS: Databases can be used for disaster planning to aid vulnerable populations
The Centers for Medicare & Medicaid Services will allow health information from eight databases to be used to identify vulnerable people who might need help during an emergency. It will allow… read more