Two interesting articles have been recently published. One deals with the closing of the hospital in rural Milam County, Texas. This has caused residents to travel further for care and has disincentivized some to seek needed care. Days after the two hospitals in Milam County abruptly shuttered in December, Renee Mueck started feeling stomach pain so sharp she couldn’t drive herself to the nearest hospital about 40 minutes away. Mueck, 60, said her husband drove her to a hospital … [Read more...] about Rural Health Care in the News
Nursing Home Staffing Levels Lower than Reported?
Modern Healthcare magazine is reporting that the results of a study published in Health Affairs are indicating that staffing levels are "often lower than reported" and "below what CMS expects." One area of special concern is staffing of RN's: "The numbers were most stark for RNs, where 91% of the organizations met expectations less than 60% of the time. Almost all facilities are required to have at least one RN on site for at least eight hours every day. But nearly 4% of … [Read more...] about Nursing Home Staffing Levels Lower than Reported?
Calls in Texas for Medicaid Expansion
Health care advocates gathered at the Texas Capitol calling for the expansion of Medicaid citing the number of uninsured Texans. The participants called for a state-wide ballot to amend the Texas Constitution regarding the issue. There are a bill and a Senate Joint Resolution supporting such a measure: At the rally, state Sen. Nathan Johnson, D-Dallas, said Texas should follow the lead of other states in expanding Medicaid. Johnson said it’s time that Texas lawmakers looked … [Read more...] about Calls in Texas for Medicaid Expansion
Medicare and Medicaid Programs – CMS, HSS Proposed Regulatory Provisions Fact Sheet
Today the Centers for Medicare & Medicaid Services (CMS), in order to promote Medicaid and Medicare program efficiency, transparency, and burden reduction, proposed new rules that revise the applicable conditions of participation (CoPs) for providers and conditions for coverage (CfCs). The link of this rule will be republished in the Federal Register on Sept. 20. According to the fact sheet summary excerpt: This proposed rule would reform Medicare regulations that are identified as … [Read more...] about Medicare and Medicaid Programs – CMS, HSS Proposed Regulatory Provisions Fact Sheet
Multiple Bipartisan Healthcare Bills Head to Congress
The series of bipartisan healthcare bills are being considered expedited rules that require two-third votes for approval. One bill H.R. 3635, amends title XVIII (Medicare) of the Social Security Act to revise the process by which Medicare administrative contractors (MACs) issue and reconsider local coverage determinations (LCDs) that: (1) are new, (2) restrict or substantively revise existing LCDs, or (3) are otherwise specified in regulation. According to reports, it would provide … [Read more...] about Multiple Bipartisan Healthcare Bills Head to Congress
In The News: 5 Healthcare Legal Battles That Could Head To The Supreme Court
Changes to the healthcare market nationwide could manifest if these 5 lawsuits make it to the highest court in the nation. According to news reports, there are several significant pieces of healthcare legislation that could result from multiple major healthcare cases going through the federal courts. The consequential healthcare cases include: Texas vs Alex Azar - Re: ACA is unlawful and the Court should enjoin its operation. Therefore, Plaintiffs seek declaratory and injunctive relief … [Read more...] about In The News: 5 Healthcare Legal Battles That Could Head To The Supreme Court
$434 Million in Financial Payments Improperly Issued by CMS to Insurers
In a new report by The HHS Office of Inspector General, the Centers for Medicare & Medicaid Services (CMS) was found to have wrongly funded $434.4 million in financial assistance payments to qualified health plan (QHPs) issuers for 461,127 policies. The audit revealed that the improperly authorized funding occurred in 2014, the first year the ACA law’s health insurance marketplaces went online. According to the report, CMS relied on insurers to verify that their enrollees were confirmed and … [Read more...] about $434 Million in Financial Payments Improperly Issued by CMS to Insurers
CMS Proposes Improvements in Managing the Medicaid program in Partnership with States
The Medicaid Review Process and Approval times are at the forefront of CMS effort to "implement changes resulting in faster processing of state requests to make program or benefit changes to their Medicaid program through the state plan amendment (SPA) and section 1915 waiver review process. According to reports, SPAs allow states to change their Medicaid program policies or operational approaches, while 1915 waivers let states develop home and community-based services for individuals who … [Read more...] about CMS Proposes Improvements in Managing the Medicaid program in Partnership with States
Palliative Care and Hospice Education and Training Act goes to Senate For Approval, May Become Law
Palliative and hospice care can improve both the quality of care and quality of life for patients who are terminally ill and their families. Now the Senate has the decision to follow the U.S. House of Representatives, which has unanimously approved a bill that would help doctors and other healthcare professional elevate their skills in providing hospice and palliative care. The H.R.1676 - Palliative Care and Hospice Education and Training Act would also increase palliative care research and … [Read more...] about Palliative Care and Hospice Education and Training Act goes to Senate For Approval, May Become Law
Trump Signs Electronic Visit Verification (EVV) Into Law
With no opposition from the House or Senate, the U.S. Senate unanimously approved legislation of the H.R.6042 bill delay the nationwide deadline for electronic visit verification (EVV) or ( in-home health service bill) in Medicaid-reimbursed personal care services until 2020. President Donald Trump signed Rep. Brett Guthrie’s health care bill into law on July 30th. According to news reports, the 21st Century Cures Act, initially signed into law in 2016 under the Obama Administration, … [Read more...] about Trump Signs Electronic Visit Verification (EVV) Into Law
