Members of the Tennessee United States Congressional delegation today called on the administration "to provide details on its policy of awarding Medicare contracts to businesses not licensed in Tennessee, a violation of the administration’s bid policy and a violation...
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Regulations
Blue Cross of Vermont Opens Health Exchange Education HQ
One out of every six Vermonters, about 100,000 people in a state of 630,000, must switch the way they enroll and buy for health insurance this fall with the opening of a federally mandated online marketplace called Vermont Health Connect. It’s a massive change...
CMS: Medicaid Disproportionate Share Hospital Allotment Payment Reductions
The Centers for Medicare & Medicaid Services (CMS) put on display at the Federal Register a Notice of Proposed Rulemaking titled “Medicaid Disproportionate Share Hospital Allotment Payment Reductions” (CMS-2367-P.) The Affordable Care Act requires...
MPP Bill H.R. 1717 Up to 65 Sponsors
As providers prepare to head to Washington, D.C. for next week’s American Association for Homecare annual Washington Legislative Conference (May 22-23), H.R. 1717, the bill that would replace competitive bidding with the market pricing program (MPP) continues to gain...
U.S. charges 89 People in $223 Million Medicare Fraud Schemes
Federal officials charged 89 people including doctors, nurses and other medical professionals in eight U.S. cities on Tuesday with Medicare fraud schemes that the government said totaled $223 million in false billings. In the latest big Medicare fraud crackdown, more...
EHR Meaningful Use Success Rate Reaches Nearly 50%
The Medicare and Medicaid EHR Incentive Programs provide incentive payments to eligible professionals, hospitals and critical access hospitals (CAHs) as they adpot, implement, upgrade or demonstrate "meaningful use" of certified EHR technology. Eligible professionals...
FDA Approves Highly Anticipated COPD Medication
The Food and Drug Administration has officially approved Breo Ellipta, a much-anticipated new treatment for chronic obstructive pulmonary disease. The inhaled drug was developed by GlaxoSmithKline and Theravance, and is touted as the first once-daily maintenance...
Some Competitive Bidding Suppliers may not Meet Requirements
As HME stakeholders continue to pore over the list of Round 2 contract suppliers, it’s become more and more clear that some may not meet various licensing requirements—a condition of winning a contract. “How are they granted awards if they didn’t meet state...
Deadline Approaching for Competitive Bidding Grandfathering Notification
The Centers for Medicare & Medicaid Services (CMS) states: “Non-contract suppliers must provide written notification of their decision whether to be a grandfathered supplier to all of their Medicare beneficiaries who reside in a competitive bidding area (CBA) and...
Pa. Auditor General Threatens UPMC Over Highmark Deal
In Pittsburgh Wednesday afternoon, Pa. State Auditor General Eugene DePasquale has a warning to UPMC and Highmark. “The UPMC-Highmark battle must stop, and it must stop now. The 2014 deadline is fast approaching,” said DePasquale. At the end of next year, UPMC says...
Medical Societies Start Push Back on Medicaid Reform Proposal
The North Carolina Academy of Family Physicians will be airing the first of a series of video messages this weekend aimed at pushing back at Gov. Pat McCrory’s proposal to reform Medicaid. The governor’s proposal includes privatizing North Carolina Medicaid, the state...
Highmark Credit Rating Downgrade with West Penn Debt Risk
Highmark faces a challenging future as it gets to work turning around the finances of West Penn Allegheny Health System, which it acquired this week, according to a report from Moody's Investors Service. Moody's on Thursday downgraded Highmark's debt rating and...