Medicaid
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'Get the Insurance Companies the Hell Out' of Healthcare System
Right-wingers like Charles Krauthammer don't "think anybody should buy it"—and too many Democrats actually don't want to talk about it—but that doesn't mean advocates for a single-payer or 'Medicare for All' healthcare system aren't responding to news about rising insurance premiums for the Affordable Care Act (ACA) with renewed demands. Just weeks away from national elections, the U.S. Department of Health and Human Services (HHS) made financial and political news late Monday by announcing the average premiums for plans under the ACA (aka Obamacare) will rise significantly for many consumers in 2017...
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18 Hospitals That Closed In 2013
Throughout 2013, 18 acute-care hospitals closed their doors, and there are many others — such as Interfaith Medical Center in Brooklyn, N.Y., Vidant Pungo Hospital in Belhaven, N.C., Lake Shore Health Care Center in Irving, N.Y., and Williamson (W.Va.) Memorial Hospital, to name a few — that could follow suit this year. Read More »
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2013: The Tipping Point In Health Care
In the health care industry, 2013 will be a huge year: the perfect storm of the Affordable Care Act (ACA), the fiscal cliff and long-term deficit reduction, consumer dissatisfaction, and higher costs mean it’s a year when results matter.
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2014 MU Incentive Program Off To A Relatively Slow Start
As of the end of February, there were 458,137 total participants – up from 448,750 in January – from all versions of the EHR incentive program, according to Elizabeth Myers, head of policy and outreach at the Office of eHealth Standards and Services, Centers for Medicare & Medicaid Services at the Tuesday HIT Policy Committee meeting.
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2015: End Of The Road For Meaningful Use?
You can lead doctors to EHR systems — but you can't make them attest. A poll of nearly 2,000 physicians, in fact, reveals that 55 percent do not plan to attest for meaningful use Stage 2 in 2015...
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27,000 providers expected for CMS electronic documentation pilot by year’s end
Providers who opt to send their medical documentation electronically to Centers for Medicare and Medicaid Services contractors will need to do some shopping. Read More »
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4 Strategies to Combat Healthcare Fraud
The healthcare industry continues to face fraud, and much of it goes unexamined every year. The GAO estimates that in 2010 more than $70 billion in improper payments were made by the federal government within the Medicare and Medicaid programs alone. Read More »
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5 Government Health Challenges To Watch
The Obama Administration brought a new public policy strategy to the federal government in 2009: challenges, with prize money for private organizations that design solutions (typically software or apps) for policy problems. Read More »
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5 Healthcare Data Governance Best Practices
Information governance is the formulation of policy to optimize, secure, and leverage information as an enterprise asset by aligning the objectives of multiple functions. In our experience, information governance practitioners face critical challenges in explaining the value to the business.
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5 Not-So-Merry Tales Of Healthcare Fraud Dark Side
It’s December, the time of holiday cheer, but for victims of healthcare fraud and medical identity theft, the season is not a happy one. The news is full of dishonest people making patients sicker and healthcare costlier. Read More »
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5 Telehealth Bills To Watch
Federal and state legislation on the use of telehealth has been a hot topic for lawmakers over the past year.
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6 Things You Need To Know About Meaningful Use And EHR Certification In 2014
With the 2014 EHR reporting period for meaningful use right around the corner, here are 6 key pieces of information you need to know... Read More »
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A Call To Action For A Nationwide Interoperable Health IT Infrastructure
Today we are pleased to release Connecting Health and Care for the Nation: A 10-Year Vision to Achieve an Interoperable Health IT Infrastructure. This paper describes ONC’s broad vision and framework for interoperability and is an invitation to health IT stakeholders – clinicians, consumers, hospitals, public health, technology developers, payers, researchers, policymakers and many others – to join ONC in developing a defined, shared roadmap that will allow us to collectively achieve health IT interoperability as a core foundational element of better care, at a lower cost and better health for all...
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A Discussion of Medicaid’s $5 Billion/Year IT Infrastructure Transformation
CMS provides funding to the tune of 5 billion dollars per year to support the Medicaid information technology platforms run by the states. In December 2015, CMS issued a final rule, Mechanized Claims Processing and Information Retrieval Systems (90% Federal/10% State), to assist states to update Medicaid Management Information Systems (MMIS) in over 20 states. These changes will allow states to improve customer service and support the dynamic nature of Medicaid eligibility, enrollment, and delivery systems. Also within this rule was language directing the Medicaid Enterprise towards an open, modular architecture.
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A Legal Challenge to CMS' Reliance on the RUC
This week in a Maryland federal court, six physicians based at the Center for Primary Care in Augusta, GA filed suit against HHS Secretary Kathleen Sebelius and CMS Administrator Donald Berwick. Read More »
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