DOJ And HHS Jointly Attempt To Improve Child Welfare Systems

The Department of Justice (DOJ) and the Department of Health and Human Services (HHS) recently issued a joint guidance letter to the local and state child welfare systems, highlighting the requirement of Title VI of the Civil Rights Act of 1964 and demanding them to implement the regulations as mentioned in the act. The guidance…

Continue Reading →

MACRA Data Reporting Requirements Might Nag Small Vendors

The final MACRA rule aims to reform Medicare payment model and offer more flexibility to physicians by simplifying some difficult data reporting requirements. However, some experts argue that the same rule might be nagging for small heath IT vendors, who are experiencing issues with upgrading their existing technology to be more relevant, patient-friendly, and specialty-specific.…

Continue Reading →

Atlantic County Health Insurance Programs Coordinator Asks Residents To Take Advantage Of Open Enrollment Period

It is the time of the year when Medicare beneficiaries in the US are allowed to make changes to their existing health insurance plans. They are also allowed to enroll as new clients in the open enrollment period. However, experts say that not enough people are taking advantage of the opportunity offered to them. Medicare…

Continue Reading →

The Failure Of CO-OP Program Raises Concerns For CMS

A recent report released by the House Energy and Commerce Committee stresses on the failures of Consumer Operated and Oriented Plan (CO-OP) program from CMS. The non-profit startup insurers, CO-OPs were introduced by the CMS in order to compete with established insurance companies in insurance exchanges. This program was authorized under the Affordable Care Act,…

Continue Reading →

ACA Risk Adjustment Program Strongly Opposed By Republicans

The Republicans have been focusing on the way Obama Administration is repaying the insurers who are participating in Federal health insurance exchange under risk adjustment programs established by ACA. The Affordable Care Act has included three risk adjustment programs aimed at stabilizing exchanges for the first years as insurers learned on pricing their products. The…

Continue Reading →

House Committee Wants CMS To Focus On Fraud Prevention In Medicaid Program

The House Oversight and Government Reform Committee’s Subcommittee on Government Operations recently held a hearing to examine the program integrity efforts of different Federal Agencies, who were vulnerable to fraud and abuse. The committee held discussions with the witnesses from Social Security Administration (SSA), Department of Treasury (DOT), Department of Health and Human Services (HHS),…

Continue Reading →

Civil Monetary Penalties Updated By HHS

The Department of Health and Human Services (HHS) has now released a interim final rule that increases the maximum Civil Monetary Penalty (CMP) amounts for those agencies that are within the HHS. This was an action that was required by the Federal Civil Penalties Inflation Adjustment Act Improvements Act of 2015, and apart from the…

Continue Reading →

ACA Faces Mixed Results Prior To Fourth Open Enrollment

The fourth open enrollment period is to start in November, and the Affordable Care Act (ACA) is at a crossroads, when its success is taken into consideration. It seems that the ACA is falling short of many of the original projections, even though the rule has been successful at expanding access to health insurance for…

Continue Reading →

The Chambers Of Congress Passes A Short-Term Continuing Resolution

The Chambers of Congress has found a way to fund the government through early December by passing a short-term Continuing Resolution (CR). This decision from the congress came just a few days before the deadline to avoid the government shutdown. The bill was later signed by the President Obama to turn it into law. The…

Continue Reading →

CMS Launches New Initiative To Improve Clinician Experience

In a recent announcement, CMS declared their plans to launch a provider engagement initiative to improve the clinician experience in the Medicaid program. Reports indicate that the development of value-based care models under the MACRA and Affordable Care Act might be the main reason behind this initiative. CMS pointed out that the patient experience has…

Continue Reading →