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News by Topic: Medicaid

CMS Office of the Actuary Releases 2016 National Health Expenditures
Dec 6, 2017 - The Centers for Medicare and Medicaid Services (CMS) Office of the Actuary has released a study on overall national health spending. The study includes spending growth trends for private health insurance, Medicare, Medicaid, prescription drugs, and out-of-pocket consumer costs.
Source: Centers for Medicare and Medicaid Services
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North Carolina Seeks to Widen Medicaid Network by Paying Docs' Debt
Nov 27, 2017 - North Carolina has amended their pending Medicaid waiver request which would shift the program from fee-for-service to managed care by 2019. The amendment would allow the state to offer loan repayment to physicians who accept Medicaid patients, a move expected to improve access for Medicaid beneficiaries by increasing the number of physicians they can see. It would also require Medicaid enrollees to be employed or actively searching for work and would impose premiums of 2% of a beneficiary's income for those with incomes at or above 51% of the federal poverty level. (May require registration for full article.)
Source: Modern Healthcare
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Massachusetts Grabs Spotlight By Proposing New Twist On Medicaid Drug Coverage
Nov 21, 2017 - Highlights the Massachusetts state Medicaid program's demonstration proposal, submitted to the Centers for Medicare and Medicaid Services (CMS). The proposal would allow the state to negotiate discounts for prescription drugs and to exclude drugs with limited treatment value. Discusses possible ramifications if this proposal were approved and implemented.
Source: Kaiser Health News
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One in Five US Adults Still Using Tobacco Products in 2015
Nov 9, 2017 - The Centers for Disease Control and Prevention (CDC) released a new Morbidity and Mortality Weekly Report (MMWR) that found that 1 in 5 U.S. adults used some form of tobacco product in 2015. The report also includes data on tobacco use by race/ethnicity and gender. Higher tobacco use was found for adults living in the Midwest, people with a General Equivalency Diploma (GED), people with annual household incomes under $35,000, those with a disability, uninsured adults or adults insured through Medicaid, adults with serious psychological distress, and those who are lesbian, gay, or bisexual.
Source: Centers for Disease Control and Prevention
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Speech: Remarks by Administrator Seema Verma at the National Association of Medicaid Directors (NAMD) 2017 Fall Conference
Nov 7, 2017 - Speech given by the Centers for Medicare and Medicaid Services (CMS) Administrator Seem Verma at the National Association of Medicaid Directors (NAMD) 2017 Fall Conference. Discusses intentions to increase flexibility for state Medicaid plans, including allowing states to require physically capable individuals to be working, volunteering, or attending school or job training in order to qualify for Medicaid, among other things.
Source: Centers for Medicare and Medicaid Services
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CMS: Medicaid Program; Final FY 2015 and Preliminary FY 2017 Disproportionate Share Hospital Allotments, and Final FY 2015 and Preliminary FY 2017 Institutions for Mental Diseases Disproportionate Share Hospital Limits Federal Register
Nov 3, 2017 - Announces the final federal share Disproportionate Share Hospital (DSH) allotments for fiscal year (FY) 2015 and the preliminary federal share DSH allotments for FY 2017. This notice also describes the methodology used to determine amounts of states' FY DSH allotments.
Source: Federal Register
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CMS: Medicare, Medicaid, and Children's Health Insurance Programs: Announcement of Decision To Lift the Temporary Moratorium on Enrollment of Non-Emergency Ground Ambulance Suppliers in Texas Federal Register
Nov 3, 2017 - Notice from the Centers for Medicare and Medicaid Services (CMS) announcing the lifting of a temporary enrollment moratorium on non-emergency ground ambulance suppliers in Texas. This notice also applies to non-emergency ground ambulance suppliers in Medicaid and the Children's Health Insurance Program (CHIP) in Texas. Suspension of the temporary moratorium took effect September 1, 2017, as part of an overall effort to improve Hurricane Harvey disaster response efforts.
Source: Federal Register
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CMS Announces New Medicaid Policy to Combat the Opioid Crisis by Increasing Access to Treatment Options
Nov 1, 2017 - The Centers for Medicare and Medicaid Services (CMS) announced a new policy allowing states to design demonstration projects to increase access to treatment for opioid use disorder (OUD) and other substance use disorders (SUD). This announcement also includes the immediate approval of demonstration waivers for New Jersey and Utah under this new policy.
Source: Centers for Medicare & Medicaid Services
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CMS OKs Iowa Medicaid Waiver That Worried Hospitals
Oct 30, 2017 - The Centers for Medicare and Medicaid Services (CMS) approved a waiver that will allow Iowa to end retroactive coverage for Medicaid beneficiaries. Providers had been able to bill Medicaid for services provided in the three months before the patient applied for Medicaid as long as the patient was eligible in that time. Hospitals have expressed concern at the change, which may increase the amount of bad debt they carry, while proponents argue that this will encourage people to maintain coverage even when healthy. (May require registration for full article.)
Source: Modern Healthcare
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CMS: Medicare and Medicaid Programs: Approval of an Application From the Joint Commission (TJC) for Continued CMS Approval of Its Critical Access Hospital (CAH) Accreditation Program Federal Register
Oct 27, 2017 - Announces the Centers for Medicare and Medicaid Services' (CMS) decision to approve the Joint Commission's application for continued recognition as a national accrediting organization for Critical Access Hospitals (CAHs) that wish to participate in the Medicare and/or Medicaid programs. The Joint Commission's new term takes effect November 21, 2017, and runs through November 21, 2023.
Source: Federal Register
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