Posts Tagged Medicaid

CMS: Total Medicaid, CHIP Enrollment Down 3.7 Percent Since 2017 Peak

Nearly 72.4 million people were enrolled in Medicaid or the Children’s Health Insurance Program in January, the Centers for Medicare & Medicaid Services reported last week. That’s 3.7 percent fewer than the peak in March 2017, CMS Administrator Seema Verma said, adding that the agency is

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Study: Readmissions Penalties Shift When Adjusted for Social Risk Factor

Readmissions penalties for hospitals with the greatest share of dually eligible beneficiaries could fall by an estimated $22.4 million in fiscal year 2019, while penalties for hospitals with the least share of dually eligible patients could rise by $12.3 million, according to a study reported

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Study: Medicaid Work Requirements Could Weaken Hospitals’ Finances

Hospitals in states that impose Medicaid work requirements could see reduced Medicaid revenues and operating margins and increased uncompensated care costs, according to a recent study by the Commonwealth Fund. The analysis extrapolates and applies to a hospital finance simulation model early results from Arkansas’

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White House Releases FY 2020 Budget Proposal

President Trump recently submitted to Congress his budget request for fiscal year 2020. The budget request, which is not binding, proposes hundreds of billions of dollars in reductions to Medicare and Medicaid over 10 years.The budget request also contains a number of provisions related to drug pricing, opioids

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CMS Updates Medicare, Medicaid Drug Spending Dashboards

The Centers for Medicare & Medicaid Services have updated its Medicare and Medicaid drug spending dashboards with 2017 data. The dashboards show trends in average spending per dosage unit for prescription drugs paid under Medicare Parts B and D and Medicaid, drugs with limited to

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Medicaid Managed Care Contracting April 3

NCHA is having a members only Medicaid Managed Care Contracting meeting on Wednesday, April 3, from 1-4 pm at NCHA headquarters in Cary. K&L Gates and Navigant will provide an overview of issues for hospitals to consider as they move forward with contracting and

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Feedback Sought on Healthy Opportunities Pilots

The North Carolina Department of Health and Human Services released a policy paper and a Request for Information (RFI) to invite feedback on the Healthy Opportunities Pilots — a groundbreaking program that will test and evaluate the impact of integrating evidence-based, non-medical services into the

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General Assembly Returns for 2019 Long Session

The NC General Assembly officially convened the 2019 legislative long session on Jan. 30.House Bill 5 and Senate Bill 3, “Close the Medicaid Coverage Gap,” were filed on the first day in the respective chambers by members of the Democratic Party. Both are considered “clean” expansion bills

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Medicaid Managed Care Overview

Join NHCA on Wednesday, January 23, 2019 at the Sheraton Imperial Hotel in Research Triangle Park for a briefing from Secretary Mandy Cohen and members of her Medicaid transformation team at DHHS on the State’s transition to Medicaid managed care. The briefing willRead more

NCHA Comments on CMS Proposed Rule on Medicaid and CHIP Managed Care

NCHA submitted a comment letter on the Centers for Medicare & Medicaid Services’ (CMS) Medicaid and Children’s Health Insurance Plan (CHIP) Managed Care proposed rule. NCHA is pleased with CMS’s recognition of the critical nature of the use of pass-through payments as a mechanism

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