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Connecticut woman gets prison time for defrauding Medicaid

A Connecticut woman who defrauded the federal Medicaid program out of $1.6 million for bogus psychiatric services has been sentenced to nearly two years in prison. Patricia Lafayette was sentenced … Click to Continue »

Arkansas seeks cuts to expanded Medicaid program

Arkansas Department of Human Services officials say a plan to move more than 60,000 residents off of Arkansas' expanded Medicaid program, Arkansas Works, will save the state at least $66 … Click to Continue »

GOP Congressman: Service Workers Don't Deserve Insurance

Rep. Warren Davidson (R-Ohio) told a woman at his recent town hall event that her Medicaid expansion-eligible son's "skills" were the reason he is at risk for losing his health care under the Republican repeal plan, and that health care is something to be earned. Show More Summary

GOP Rep Tells Mom Her Son On Medicaid Should Just Get A Better Job If He Wants Health Care

6 days agoNews : Huffington Post

Rep. Warren Davidson (R-Ohio) told the mother of a service industry worker who has benefitted from the Affordable Care Act’s Medicaid expansion that her son should get a better job if he wants decent insurance when Obamacare is repealed. The...Show More Summary

The CMS buzz on proposed reimbursement rules and regulatory simplification

Proposed Reimbursement Rules and Regulatory Simplification Healthcare Informatics Journal announced that the "Centers for Medicare & Medicaid Services (CMS) has issued a proposed rule that would update 2018 Medicare payment and polices when patients are admitted into hospitals. Show More Summary

Academy of Nutrition and Dietetics, Senior Advocates and Patient Groups Commend CMS for Taking Action Against Hidden Epidemic of Older Adult Malnutrition

As malnutrition costs rise for older Americans, the Academy of Nutrition and Dietetics and a coalition of senior advocate and patient organizations commend the Centers for Medicare and Medicaid Services for proposing adoption of quality measures that will take action against the hidden epidemic of older adult malnutrition.

Under Trump, states may demand work for Medicaid

In a break from past policy, the federal Health and Human Services department has notified governors it stands ready to permit new state programs encouraging work. Continue reading ? The post Under Trump, states may demand work for Medicaid appeared first on PBS NewsHour.

Theranos will be able to operate a blood testing lab again in 2019

Theranos will have to wait until 2019 before it can operate a blood testing lab again. On Tuesday, Theranos said that it had settled up with Centers for Medicare and Medicaid Services,  the government agency responsible for regulating...Show More Summary

The CMS rule and states impacted

As part of the Center for Medicare and Medicaid Services (CMS) rule that was released yesterday, the actuarial value bands increased from a de minimas actuarial value (AV) variation of +/-2 to an allowed variation of +2 or -4.  A Silver plan can now range from 66% AV to 72% AV instead of formerly having […]

The Trump administration just rolled out big changes to Obamacare

The Centers for Medicare and Medicaid Services rolled out its final rule for the 2018 Obamacare exchanges on Thursday. The final rule, an update of changes proposed on February 15, would make a variety of changes, including cutting down...Show More Summary

NewYork-Presbyterian/Columbia Receives $4.5 Million CMS Grant to Link Clinical and Community Services in New York

NewYork-Presbyterian, in collaboration with Columbia University Medical Center, has received a grant of $4.5 million over five years from the Centers for Medicare & Medicaid Services (CMS) to participate in the newly launched Accountable Health Communities (AHC) Model, an innovative program designed to test various approaches to integrating medical care and community services.

CMS report finds Emory's eICU program reduced hospital stays, saved millions of dollars

(Emory Health Sciences) An evaluation and report by the Centers for Medicare and Medicaid Services on results of a $10 million Health Care Innovation Award found that Emory's electronic ICU (eICU) innovation program reduced length of patient stays in the ICU, resulted in fewer readmissions, reduced costs by millions of dollars and helped solve the shortage of intensivists.

Media Advisory: Future of Healthcare Under Trump Administration to Be Addressed by Keynote Speaker Thomas Scully at Assembly of Nurse Anesthetists

Thomas Scully, former administrator of the Centers for Medicare & Medicaid Services (CMS), will be the keynote speaker during the American Association of Nurse Anesthetists' (AANA) Mid-Year Assembly.

Missouri Auditor: State struggles to handle federal money

Missouri Auditor Nicole Galloway says that state agencies receiving federal money for Medicaid and childcare services need to do a better job handling their money. In an audit of $8.4 … Click to Continue »

Auditor finds $1.4M in improper, duplicate Medicaid payments

A new audit says Louisiana's Medicaid program paid what appears to be $1.4 million in improper, duplicate payments for services over a five-year period. The report released Monday by Legislative … Click to Continue »

State audit questions $193M in Medicaid payments to doctors

A state audit has identified $193 million in "improper or questionable" payments made by the state's Medicaid program directly to doctors for mental health services. Auditor Suzanne Bump said Monday … Click to Continue »

Missouri says no to federal money so it can say yes to restricting abortion

For women seeking abortions in Missouri, things just got even harder. For years, the state assisted low-income women in paying for family planning through a Medicaid program called Extended Women’s Health Services—a program funded by both the federal and state government. Show More Summary

Via Trump’s HHS, states will revamp their Medicaid expansions with conservative twist

The future of Medicaid under Health and Human Services Secretary Tom Price will soon become clear when the department decides whether Kentucky and Arizona can dramatically revamp their Medicaid expansion … Click to Continue »

CareCloud EHR Offers Merit-based Incentive Payment System (MIPS) Success Guarantee for Medical Groups

  Cloud-based practice management EHR provider CareCloud announced today it has integrated Merit-based Incentive Payment System (MIPS) regulations from the Centers for Medicare and Medicaid Services (CMS) into their clinical qualityShow More Summary

Cooper choice to run health agency getting Senate questions

Democratic Gov. Roy Cooper's pick to lead a massive North Carolina department overseeing Medicaid, mental health services and other programs is likely to get some tough questions from Senate Republicans … Click to Continue »

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