CHC was developed for Pennsylvanians who are eligible for Medicare and Medicaid, or eligible for Medicaid-funded LTSS. This new initiative is a managed care program by the departments of Human Services (DHS) and Aging (PDA) to: (1) enhance access to and improve...


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Stay informed with Medbill’s blog, where we share expert guidance, practical tips, and industry updates to help DME providers navigate the industry’s complexities.
Government
CMS Proposes Six-Month Delay for Home Health CoPs
The Centers for Medicare & Medicaid Services (CMS) has proposed delaying the implementation date for the new home health Conditions of Participation (CoPs) until January 2018. The proposal comes after home health industry associations and providers pushed back...
Survey: Mail-order program reduces access
Medicare’s national mail-order program for diabetes testing supplies has sharply reduced beneficiary access, says a new survey from the America Association of Diabetes Educators. The “secret shopper” survey found that: The number of manufacturers making diabetes...
NC Medicaid remake hits benchmark
The effort to privatize North Carolina's Medicaid program made its first substantive deadline last week, but Department of Health and Human Services officials warned lawmakers that putting the plan in place will face at least one big obstacle: presidential politics....
Medicaid reform in NC has health care systems juggling best path for services
The state’s largest health care systems have been caught in a logistical tug-of-war after legislators proposed a hybrid strategy for handling the biggest piece of Medicaid reform. Do the systems pursue a statewide Medicaid coverage role, whether individually or...
Telehealth Expansion Proposed in Bipartisan Senate Bill
Earlier this month, a bipartisan group, led by U.S. Senator Brian Schatz (D-Hawaii), introduced a bill in the Senate focused on promoting cost savings and quality care under the Medicare program through the use of telehealth and remote patient monitoring (RPM)...
Colorado lawmakers advance bill to spread telehealth across state
A bill that would boost telemedicine in Colorado by preventing health insurance plans from requiring in-person care to patients when it can be appropriately provided remotely progressed to the House floor on a unanimous committee vote Thursday. The House Health,...
HME News: CMS holds steady on Medicare Advantage
CMS has proposed a very small decrease in payments to Medicare Advantage plans for 2016, the agency announced Feb. 20. CMS says it wants to pay private insurers 0.95% less next year. When more intensive services are factored in, however, the agency says it expects...
Wyoming House rejects Medicaid expansion amendment
The Wyoming House of Representatives on Thursday rejected a proposal to expand the federal Medicaid program. Sponsor Rep. Dan Zwonitzer, R-Cheyenne, floated the proposed budget amendment to commit Wyoming to a two-year expansion of Medicaid. Zwonitzer said going into...
Covered California touts 90% renewal rate
California officials say more than 90% of Obamacare customers renewed their policy for 2015, but the state still faces an uphill climb to reach its goal of 1.7 million enrolled before next month's sign-up deadline. The state's insurance exchange reported renewal...
Medicare to transform how it pays doctors and hospitals
The Obama administration outlined ambitious new goals Monday to transform over the next four years the way that the gargantuan Medicare program pays doctors and hospitals, rewarding providers that achieve better outcomes for patients rather than those that just do...
NC Bill would make Medicaid Management Changes
The Department of Health and Human Services would no longer supervise day-to-day operations of North Carolina's Medicaid program under a bill that received key support Thursday. A General Assembly subcommittee endorsed a measure to shift the state Medicaid office from...












