Medicare and medicaid

Expanding access to telehealth is a lifeline for vulnerable patients

Sally C. Pipes Sally C. Pipes is President, CEO and Thomas W. Smith Fellow in Health Care Policy at the Pacific Research Institute. His latest book is “False Premise, False Promise: The Disastrous Reality of Medicare for All” (Encounter 2020). Follow her on Twitter @sallypipes. It’s hard to find a …

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5 legal issues for home medical equipment suppliers in 2022

Well the last couple of years have been strange. COVID-19 has been a game-changer. In a silver lining, the home medical equipment (MCH) industry has seen vibrant colors during the pandemic. The industry has been urged to take care of patients at home and prevent patients from going to hospitals …

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Traffic Accident Involving Florida Girl Leads to Medicaid Reimbursement Dispute

CASE OVERVIEW By Ronald Mann January 9, 2022 at 13:13 Monday’s argument in Gallardo vs. Marstiller presents a simple question of statutory interpretation, examining whether a state Medicaid program can take funds that a Medicaid beneficiary receives as part of a third party tort settlement that injured the beneficiary. More …

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Legal Experts Look at CMS Vaccination Mandate, SCOTUS Case, Implications for Nursing Homes

Nursing home operators remain in limbo as the Supreme Court is due to hear arguments on Friday over the constitutionality of the Centers for Medicare & Medicaid Services (CMS) vaccine mandate. Healthcare litigators and other legal experts expect it will be much easier to repeal previously ordered lower court injunctions, …

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Q&A: Andrew Behrman, CEO of FACHC, on Omicron’s impact on community health centers – State of Reform

Andrew Behrman, MBA, is the president and CEO of the Florida Association of Community Health Centers (FACHC), which provides resources such as COVID-19 testing and vaccinations at hundreds of primary and skilled health care centers in federal level (FQHC) across Florida. Across the various clinics, FACHC provides a vital safety …

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$ 1.1 billion available next year to support hospitals, according to Beshear – The Advocate-Messenger

FRANKFORT, Ky. (KT) – Kentucky hospitals that meet federal quality measures can receive up to $ 1.1 billion in additional payments for Medicaid services next year, Governor Andy Beshear said Wednesday. The funding, available through a federally approved and state-led payment model, helps provide and expand quality health care to …

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Florida urges appeals court to block Biden rule requiring COVID-19 vaccine for healthcare workers

TALLAHASSEE – By saying it’s among ‘unprotected’ states, Florida is pushing full federal appeals court to at least temporarily block a Biden administration rule that would require healthcare workers to be vaccinated against COVID -19. David Costello, deputy state attorney general, filed a document Wednesday afternoon with the 11th U.S. …

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Medi-Cal’s Landmark Transformation in California to Improve and Expand Services Gets Federal Approval – State of Reform

The California Department of Health Care Services (DHCS) announced today that it has the green light to launch its long-term commitment to transform and strengthen Medi-Cal. The federal Centers for Medicare & Medicaid Services (CMS) have approved the California Advancing and Innovating Medi-Cal (CalAIM) proposal which will launch on January …

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State Attorneys General Tackle National Health Crises, One Person at a Time (Podcast) – Food, Medicines, Health Care, Life Sciences

United States: State Attorneys General Tackle National Health Crises, One Person at a Time (podcast) December 28, 2021 Kelley Drye & Warren LLP To print this article, simply register or connect to Mondaq.com. self Kelley Drye Ad Law Access Podcast State Attorneys General Speak to National Health Crises, One Person …

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Stimulus Control Live Fourth Update: $ 8,000, COLA 2022 Benefits, Medicare, Child Tax Credit …

More Americans go hungry as child tax credit ends Democrats in Congress have made major changes to the child tax credit for fiscal 2021. The credit increased from $ 2,000, of which $ 1,400 was reimbursable, to $ 3,600 per child under six and $ 3,000 for each child from …

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Exceptional Community Hospital accepting all insurances

The Exceptional Community Hospital-Maricopa is open [Stock] The city’s first hospital opened on Wednesday, bringing 24-hour emergency care and inpatient services to Maricopa for the first time. With this opening came questions about the insurance plans taken out by the hospital. According to Exceptional Healthcare CEO Saeed Mahboubi, the new …

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Nursing homes ask for visitation flexibility as Omicron rages

Seniors’ service organizations are now urging the Biden administration to provide flexibility to limit nursing home visits, citing expected increases in COVID-19 cases linked to the omicron variant. The Centers for Medicare & Medicaid Services (CMS) issued guidelines in November allowing visits for “all residents at any time.” While visitors …

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How to protect healthcare from government intrusion

People often complain that American health care is broken because we have a “free market” system. But, in fact, much of what is broken in health care in the United States is due to government intervention. The involvement of third-party payers, who are either funded or heavily regulated by the …

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Americans should soon be able to get free home Covid tests

JaruekChairak | iStock | Getty Images Who can get the free tests? The White House says the 150 million Americans with private health insurance will be eligible for full reimbursement after purchasing a home Covid test. This includes people insured by their employer, as well as those who have purchased …

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New remote monitoring billing codes extend reimbursement at the start of the new year

Christina debusk December 14, 2021 New remote patient monitoring codes are temporary and time will tell if they become permanent coding options The outbreak of COVID-19 has caused an increase in telehealth visits, with the last week of March 2020 seeing a 154% increase in computerized health care appointments compared …

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After the pandemic, what is a phone call from your doctor worth?

Through Julie appleby December 8, 2021 Maybe this happened to you recently: your doctor called to see you, chatted for 11-20 minutes, maybe answering a question you contacted their office with or asking how you are reacting to a change in medication. For this, your doctor was paid around $ …

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Congress Takes Medicare Physician Salary Crag

What are the news: After months of fierce advocacy by the AMA and other physician organizations, Congress acted this week to address the combined 9.75% reductions in physician payments for Medicare, which amounted to a cliff payment for physicians. doctors and were due to go into effect Jan. 1, 2022. …

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How the worst nursing home offenses are hidden from the public

The public never found out that inspectors cited another New Jersey nursing home, Rehab at River’s Edge, for failing to protect a fragile resident who fell seven times, breaking her foot at one point given. And the public never found out that a resident of the Golden Living Center retirement …

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Federal bill would delay cuts to medicare for health care providers and prevent “income tampering”

After healthcare providers suffered dramatic cuts to Medicare reimbursement this year, congressional lawmakers are taking action to limit the cuts in 2022. A bill introduced on Tuesday would prevent 2% of Medicare sequestration – or at least curb the deep cuts associated with the calendar year (CY) 2022 Physician Honor …

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COLUMN OF JOEL MEKLER: Find out more about the LI-NET program | Lifestyles

Social Security and Medicare are separate programs serving older and disabled Americans, but they have one important thing in common. The Social Security Administration (SSA) manages registrations for Medicare Part A (hospital insurance) and Part B (medical insurance). In addition, the SSA has a specific role in the Medicare Prescription …

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Legislation would pave the way for better care for people with dementia

Caring for someone with dementia is very difficult. My father was my mother’s primary caregiver as she battled Alzheimer’s disease. Thanks to her dedication, she was able to live at home until her last breath. However, the course of Alzheimer’s disease is devastating. Each person’s struggle is unique, and caregivers …

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SRHD Board of Health Unanimously Approves Balanced Budget 2022

Kelli Hawkins, SRHD | [email protected] | 509.324.1539, c.509.994.8968 SPOKANE, Wash. – During today’s Spokane County Health Council (BOH) meeting, the BOH voted unanimously to approve the 2022 Spokane Regional Health District (SRHD) balanced budget of 47.8 millions of dollars. The budget is contingent upon final confirmation from Spokane County of …

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Advocacy blitz targets Medicare coverage of obesity treatment

In June, a consortium of industrial and medical groups forming the Obesity Care Advocacy Network, or OCAN, launched the Obesity Care Now campaign. The group has published press releases, sponsored newsletters, and recently participated in webinars featuring lawmakers. High-profile groups like the NAACP and the National Urban League have endorsed …

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Religious Exemptions to COVID-19 Vaccination Mandates Do Not Include Political, Social and Economic Beliefs, EEOC Says | Hinshaw & Culbertson – Labor Law Observer

On November 5, 2021, the Occupational Safety and Health Administration (OSHA) released a Temporary Emergency Standard (ETS). It required employers with 100 or more employees to institute mandates requiring employees to be fully vaccinated against COVID-19 – or requiring weekly testing of their employees. On the same day, the Centers …

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The arguments in favor of a non-police response to crises

My uncle, who suffers from schizophrenia, was shot dead by police in the summer of 2000. After decades of living on the streets, in prison cells and in hospital beds across the country, he had finally found accommodation. and lived alone in an apartment. He was also disconnected from any …

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Large numbers of hospital staff still not vaccinated against COVID-19

Despite its proven benefits, a large portion of the healthcare workforce is still not vaccinated against COVID-19. According to a study published in the American Journal of Infection Control, 30% of healthcare workers in hospitals had not been vaccinated against COVID-19 as of September 15. The study looked at staff …

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Humana VP provides payers’ perspective on MA Hospice Carve-In, Year One

Hospice News recently sat down with Kirk Allen, senior vice president of the home care segment at Humana Inc. (NYSE: HUM) to discuss the payor’s perspective on the first year of the hospice component of the demonstration of value-based assurance design (VBID). Some hospices have reported discrepancies between the design …

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Senior informed: Does Medicare cover scooters or wheelchairs?

Dear wise elder,I have arthritis in my hips and knees and have difficulty moving around. How do I get a scooter or electric wheelchair covered by Medicare?Need a ride Dear need, If you are registered with the original Medicare, obtaining a scooter or electric wheelchair covered by Medicare begins with …

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How can we improve health care for the homeless?

Building trust, ensuring continuity of care and doing no harm are key principles for improving health care for homeless or “homeless” people, experts said at an online briefing hosted by the Alliance for Health Policy Wednesday. “Trust is a big issue” among the homeless, said David Peery, JD, co-chair of …

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Fourth direct update of the dunning check: COLA 2022 benefits, health insurance, child tax credit …

At least 750,000 California paper stimulus checks were mailed last Monday, announced the California Franchise Tax Board (CFTB). On Friday, the state released approximately 34,000 direct deposits of Golden State Stimulus II payments, added the Council. Most of the direct deposits were sent at the end of October. “We expect …

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How an honest mistake can lead to fraud

Dr Doc has been running an honest, reputable and successful dermatology practice since15 years old. She is respected by her colleagues and loved by her patients. His usual Medicare office visit fee of $ 125 is considered reasonable and customary by all managed care providers in his service area. Unfortunately, …

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Cost vs Need; Weigh several options

The median annual income for Americans 65 or older in 2019 was $ 27,938. One of the biggest expenses in retirement is health care for most Americans. Even if you are comfortable with your [Medicare] coverage, it’s always a good idea to participate in open enrollment to make sure you …

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National Kidney Foundation Statement on Centers for Medicare and Medicaid Services Rule Requiring Immunizations for Staff at Dialysis Centers | State

NEW YORK, November 4, 2021 / PRNewswire / – Today, the National Kidney Foundation (NKF), the leading organization for kidney patients in the United States, commends the Centers for Medicare and Medicaid Services (CMS) for protecting dialysis patients. A new rule released today will require COVID-19 vaccination of all staff, …

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Repeal of sunset rule, workforce strategies and other updates

A framework of reconciliation is finally emerging. The Biden administration is proposing the repeal of a Trump-era regulatory review rule. Congress Publication of the framework Rebuilding Better Reconciliation with the Reduced Health Program On Thursday morning, Democrats released a framework and backgrounder for President’s Build Back Better bill outlining $ …

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Intersect Healthcare Issues Public comment on proposed rule from Centers for Medicare & Medicaid Services

WASHINGTON, October 19 – Intersection Santé Inc., Towson, Maryland, posted a public comment on the Medicare and Medicaid Service Centers proposal for a rule entitled “Health insurance program: health insurance coverage of innovative technologies and definition of what is reasonable and necessary”. The comment was posted on October 15, 2021: …

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Commonwealth Care Alliance® Begins Nationwide Expansion with Acquisitions in California and Michigan and Entry in Rhode Island | Business

BOSTON – (BUSINESS WIRE) – October 18, 2021– The Boston-based Commonwealth Care Alliance® (CCA) will introduce one of the country’s most innovative models of care to hundreds of thousands of eligible people in the Midwest and Western United States, through several transactions, the acquisition of California’s Vitality Health Plan and …

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The effect of Lake Wobegon in Medicare Advantage

Data: Centers for Medicare & Medicaid Services; Graphic: Axios Visuals Nine in 10 Medicare Advantage members are enrolled in plans that have achieved the government’s highest quality marks for 2022, according to new federal data. Between the lines: Health insurers were quick to tout the quality scores in press releases. …

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Which States Offer the Best Medicaid Benefits?

Medicaid provides health coverage for approximately 82 million people across the United States and was extended to most states by President Biden. The huge insurance program is jointly funded by state and federal governments, and was introduced to provide coverage for those who could not otherwise afford health insurance. All …

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Does Medicare Cover Covid-19 Tests?

When the pandemic began, many Medicare members feared the costs associated with the virus would not be covered by their plans. However, the federal government acted quickly to ensure that recipients would be able to access care without paying extra money out of pocket. The Kaiser Family Foundation reported that, …

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Safe Harbor Insurance Inc DBA Bobby Brock Insurance and Medicare Gurus Partner with Shared Health, a BCBS of TN Company

Medicare Gurus at Bobby Brock Insurance Health Insurance Supplements Comparison Table Double plan expansion for special needs fuels partnership between Safe Harbor Insurance Inc and Bobby Brock Insurance John Cole, president of Shared Health, said “he’s thrilled with the partnership between Bobby Brock Insurance’s Medicare Gurus and TN’s BCBS subsidiary.” …

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CareSource Announces Intention to Bid to Serve Iowa’s Medicaid Population

Mission-driven nonprofit would bring innovation, expertise in complex populations and peak operations to Iowa Erhardt Preitauer President and CEO, CareSource President and CEO, CareSource Des Moines, IA, September 29, 2021 (GLOBE NEWSWIRE) – CareSource, a nationally recognized nonprofit managed care organization, announces its intention to submit a proposal to serve …

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St. Vincent Healthcare Transfers Ownership of Worden Clinic to RiverStone Health | Local News

St. Vincent Healthcare recently donated the Worden Clinic to RiverStone Health, which has managed the rural clinic since 2007. Worden’s Main Street Clinic was built in 1962. St. Vincent Healthcare took over operations in 1987. “Michael Skehan, Interim President of St. Vincent Healthcare, demonstrated excellent leadership and facilitated this transfer,” …

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Medicare Monday is virtual again

By Eileen Doherty, MS ~ Prescription drug benefit changes, increases in deductibles, co-payments and coinsurance, changes to Medicare Advantage members and new benefits will again be the subject of the annual Colorado Gerontological Society Medicare Virtual Events. Monday. Open enrollment for Medicare Prescription Drugs and Medicare Advantage runs from October …

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Medicaid waiting list, shortage of nurses among Florida budget requests – State of Reform

The Florida House Healthcare Appropriations Subcommittee kicked off its first interim meeting on Tuesday before the 2022 legislative session, reviewing budget requests from the Agency for the Disabled (APD), Department of Seniors Affairs (DOEA) and the Florida Department of Veterans’ Affairs (FDVA). Get the latest information on state-specific policies for …

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