Archive for the CEO/CFO Category

NCHA Comments on Proposed Change to Public Charge Ground of Inadmissibility

NCHA has submitted a comment letter on proposed rule changes by the US Department of Homeland Security that, if finalized, would enable the federal government to carry out provisions of U.S. immigration law related to the public charge ground of inadmissibility. This proposed

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VA Contracts with TriWest to Support Patient-Centered Community Care and Veterans Choice Programs

TriWest has partnered with the Veterans Administration (VA) in 28 states in the western and southern parts of the country to administer VA’s Patient-Centered Community Care (PC3) and Veterans Choice (Choice) Programs. These programs provide Veterans with access to community providers when the

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BCBSNC Provides Additional Information Related To myChoice Product

Blue Cross and Blue Shield of North Carolina (BCBSNC) has provided additional information related to the new myChoice product. More details are in today’s CEO/CFO Memo. The memo also has Medicare and Medicaid updates plus information on a new Medicaid demonstration opportunity to expand mental

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State Health Plan Responds to NCHA’s Questions on New Provider Network Initiative

NCHA developed and submitted questions regarding the new State Health Plan Provider Network Initiative to the Treasurer via the e-mail process outlined on the State Health Plan Provider Network website. The State Health Plan’s written responses to our questions are in today’s CEO/CFO Memo. The

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HHS Proposing Accelerating Effective Date of 340B Ceiling Price

On June 5, 2018, the Health Resources and Services Administration (HRSA) published a final rule that delayed the effective date of the 340B ceiling price and civil monetary rule until July 1, 2019, to allow a more deliberate process of considering alternative and

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CMS Approves North Carolina’s 1115 Demonstration Waiver

The North Carolina Department of Health and Human Services’ amended 1115 Demonstration Waiver application, that was submitted in November 2017, has been approved by the Centers for Medicare and Medicaid Services (CMS). The waiver approval gives North Carolina the authority to implement the

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Reminder: Register Now for Oct. 30 NCHA Government Payors Summit

There is still time to register for NCHA’s annual Government Payors Summit Tuesday, Oct. 30 at the Embassy Suites by Hilton Raleigh-Durham/Research Triangle in Cary. This program, in partnership with the North Carolina chapter of the Healthcare Financial Management Association, was postponed due to Hurricane Florence.

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BCBSNC Will Be Offering New Referenced Based Product in the Individual Market

BCBSNC will be offering a low cost alternative reference based product (MyChoice) beginning Jan. 1, 2019.  The product will be offered to individuals who do not qualify for a subsidy as a low cost alternative to Affordable Care Act (ACA) plans. The product

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State Health Plan Launches New Provider Reimbursement Effort

State Treasurer Dale Folwell announced that the State Health Plan (Plan) will launch a new medical reimbursement strategy for North Carolina providers that care for Plan members. Starting on Jan. 1, 2020, the Plan will move away from a commercial-based payment model to

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NCHA Submits Comment Letter Addressing OPPS Proposed Rule

NCHA submitted a comment letter addressing the 2019 hospital outpatient prospective payment system (OPPS) proposed rule on Sept. 20. We focused our comments on the proposal to limit expansion of services in excepted off-campus provider-based departments (PBDs), the proposed reduction in payment for

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