briefCASE
Oct. 1, 2014

Judge rules against White House on ACA subsidies
Politico
A federal judge in Oklahoma has ruled that Obamacare subsidies cannot go to residents of states that are not running their own insurance exchanges, a second blow to the Obama administration on an issue that threatens a key element of the health law's coverage expansion. Judge Ronald A. White said that the administration's decision to allow subsidies to go through either a state-run health insurance exchange or the federal exchange is an improper and invalid reading of the Affordable Care Act and must be struck.More

Time is running out to purchase recognition items for National Case Management Week
ACMA
National Case Management Week 2014 is fast approaching — Oct. 12-18. Begin planning now for how you will celebrate NCMW at your organization. This year's theme is Case Management: The healthcare nexus.

Have you purchased gifts to recognize your staff and celebrate this special week?
There is still time to order — in-stock products are delivered in 5-7 business days. Click here to purchase NCMW items and browse the 2014 product catalog, which contains a variety of items featuring the NCMW 2014 logo.More

ACMA goes to Washington
ACMA
Today ACMA members began meeting with key legislators in Washington as part of the annual Advocacy on Capitol Hill event. Members will discuss critical issues such as observation services, RACs and the creation of an integrated chronic care delivery program.

Please watch your email for information from ACMA in the coming weeks on how you can help support our advocacy efforts and ensure ACMA's voice is heard in Congress.

For updates on ACMA's meetings with Congressional representatives, follow @TheACMA on Twitter.More

Last chance to sign up for the ACM certification in 2014
ACMA
Nov. 17, 2014, is the ACM Certification application deadline for the first quarter of 2015. Applications and payment must be received by the ACMA National Office by this date in order to take the exam during January, February or March.

What are you waiting for? If you are not yet ACM certified, apply now at www.acmaweb.org/ACM and put the ACM credential after your name.More

Recognize those who make a difference
ACMA
The ACMA Fundraising Committee's recognition initiative has returned for 2014. Coinciding with National Case Management Week, this program provides case management professionals an opportunity to donate a gift in honor of, or in memory of, an individual, department, chapter or organization. This is a great opportunity to honor or remember those who have not only impacted you personally in your career in health care, but those who daily make a difference in the lives of patients and all of those they touch.

By recognizing an individual or group, their name will be listed: in ACMA's Collaborative Case Management journal, in ACMA's briefCASE e-newsletter and an email announcement during National Case Management Week and on the ACMA website.

Donations and dedications will be accepted through Oct. 12, 2014.

All proceeds support ACMA's fundraising efforts, and as ACMA is a 501(c)3 non-profit organization, your donation is tax deductible. Click here to purchase your listing recognizing those who mean the most.More

CMS responds to hospitals' concerns about new QIO contractors
AHA News Now
Responding to concerns raised last month by AHA and Federation of American Hospitals about the transition to two new contractors for Quality Improvement Organization Beneficiary and Family Centered Care, the Centers for Medicare & Medicaid Services said it is "actively working with the BFCC-QIOs to resolve" several challenges as quickly as possible. In a letter to the AHA, Patrick Conway, M.D., CMS chief medical officer and deputy administrator for innovation and quality, outlined a number of steps BFCC QIOs have taken to address challenges that patients and hospitals have faced with the BFCC QIOs processing appeals of hospital discharges.More

CMS launches Open Payments website
Centers for Medicare & Medicaid Services
The Centers for Medicare & Medicaid Services recently launched Open Payments, a new website that discloses financial payments made by drug and device manufacturers to physicians and teaching hospitals. "CMS is committed to transparency and this is an opportunity for the public to learn about the relationships among health care providers, and pharmaceutical and device companies," said CMS Administrator Marilyn Tavenner. "This initial public posting of data is only the first phase of the Open Payments program. In coming weeks, we will be adding additional data and tools that will give consumers, researchers, and others a detailed look into this industry and its financial arrangements." For more information, see the CMS website.More

Pioneer ACO program loses 3 more participants

Despite early successes for the Medicare Pioneer Accountable Care Organization program, four more hospital systems recently dropped out, leaving just 19 of the original 32 organizations, according to an article (registration required) in the Wall Street Journal.More