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Medscape
New research gives hard numbers to show the challenges physicians in the United States face in billing, particularly to Medicaid. The study, which is published in Health Affairs, examined the rates of claim denials for private insurers, Medicare, and Medicaid. Compared with Medicare or private insurance, Medicaid appeared to be about two to three times as difficult for doctors to bill in terms of claims denials, the authors found. But an insurer-run Medicaid managed care program had somewhat better results than the traditional fee-for-service form of the program.
Jeff M. Myers, president and chief executive of the trade group Medicaid Health Plans of America, which represents commercial and nonprofit insurers, also reviewed the findings of Gottlieb and colleagues. In a statement to Medscape Medical News, he said the "real story" is that the insurer-managed approach cuts the challenge rate and the denial rate. "That's a big difference, but there's still more work to do," Myers told Medscape Medical News. "The program could benefit from standardizing claims forms at the state level, which is something Medicaid plans are working on with the states."
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The Hill
The Trump administration has extended its opioid public health emergency, according to a Department of Health and Human Services spokesperson, as lawmakers and White House officials grapple with how to combat a crisis killing more people per year than car accidents.
This is the second extension of the national public health emergency, which President Trump first announced in a declaration in late October. The initial order lasted 90 days, as does each extension by the Health and Human Services secretary.
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Stat News
The U.S. may be gripped by an opioid crisis, but a new report suggests the various measures undertaken to fight the scourge is having an effect — fewer prescriptions were written for the addictive painkillers.
To wit, opioid prescriptions declined by 10.2 percent in 2017 and prescriptions for the highest doses fell by 16.1 percent last year, and 33.1 percent since January 2016.
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The Hill
The opioid crisis is hitting families across the nation regardless of income, race or gender. Lawmakers are no exception. In the past few months, The Hill has talked to a number of House and Senate members who have a personal connection to addiction and the opioid epidemic. This is the last in a five-part series presented by Partnership for Safe Medicines.
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Health News Florida
Florida will get another $27 million dollars this year from the federal government to combat the opioid crisis.
The money is part of a two-year $54 million grant, which the state began spending last year after Gov. Rick Scott declared a state of emergency for the opioid epidemic. The money pays for treatments, such as methadone, medication to reverse drug overdoses and counseling services.
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Veyo is a full-service transportation brokerage designed specifically for healthcare. By integrating consumer technology with rideshare fleets, we have decreased costs and increased efficiencies. Operating in eight states with over 6 million completed trips and a 97.1% on-time rate, we're changing NEMT - one trip at a time. Learn More
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AZ Central
Arizona's largest public health insurance program, Medicaid, pays for only one type of buprenorphine drug designed to wean people from opioid addiction.
Despite calls from doctors to authorize competing versions of the drug, a state Medicaid committee this week decided to stick with Suboxone as a preferred medication for opioid dependence.
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Boston Globe
MassHealth, the state Medicaid program, overpaid up to $4.4 million over nearly four years to laboratories that improperly billed for drug testing, according to a report Thursday by state Auditor Suzanne M. Bump. The erroneous payments represent a tiny fraction of MassHealth’s $15.3 billion annual costs, but suggest a failure to catch mistakes and overbilling at a time when spending on urine screening is exploding nationally as addiction treatment providers monitor their patients’ drug use.
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U.S. News & World Report
Virginia's Republican-controlled legislature appears poised to drop years of opposition and expand the criteria for Medicaid eligibility, one of a number of seemingly intractable states where GOP lawmakers are reconsidering the issue after the Trump administration's decision to permit them to institute work requirements for recipients.
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Detroit Free Press
The debate ranged from experiencing the “joys of work” to a more spiritual take about helping the “least of these,” but in the end, work prevailed and the full Senate passed legislation Thursday that would require many recipients of Medicaid to be gainfully employed for at least 29 hours a week.
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A KLAS Leader in PHM and Clinical Data Integration, i2i partners with health plans, providing bi-directional connectivity to over 2,500 Provider Sites (20+ million lives). i2i has the largest share of CHCs connected to a clinical data integration platform providing transparency to Payer and Providers, bringing claims and EHRs together.
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The Tennessean
The Senate on Thursday passed a measure that proposes work requirements for recipients of TennCare, the state's Medicaid program.
The bill, which calls for work requirements for "able-bodied" TennCare recipients without young children, passed 23-2 after it was overwhelmingly approved by the House earlier this year.
The passage of the measure marks the completion of one of the more controversial debates during this legislative session.
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Politico
Maine residents voted decisively last fall to expand the state’s Medicaid program. But almost six months later, Gov. Paul LePage, a tea party Republican, still refuses to take action as the state’s legislative session winds down, putting the Obamacare coverage program in doubt.
LePage, a tea party Republican who’s derided Medicaid expansion as a “boondoggle,” for years vetoed bills to join the program.
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HFI’s mission is to partner with healthcare clients to improve their fiscal health by advocating for their most vulnerable members. HFI helps members get necessary benefits and income affording them access to important social determinants of health.
We effectively identify and reclassify eligible super-utilizers from TANF/ACA to ABD.
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