Hospitals Now Must Tell Medicare Patients When Care Is ‘Observation’ Only

 

Under a new federal law, hospitals across the country must now alert Medicare patients when they are getting observation care and why they were not admitted — even if they stay in the hospital a few nights. For years, seniors often found out only when they got surprise bills for the services Medicare doesn’t cover for observation patients, including some drugs and expensive nursing home care.

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Texas Medicaid Health Plans Joined by TMA in Taking Major Step To Make Medicaid Simpler, More Efficient for Texas Physicians

AUSTIN—The Texas Association of Health Plans (TAHP) in collaboration with the Texas Medical Association (TMA) has announced a joint effort to reduce red tape and administrative burdens for physicians and health care providers seeking to participate in the Texas Medicaid program. TAHP and TMA have selected Aperture, LLC, for a statewide Credentialing Verification Organization (CVO) contract used by all 20 Medicaid health plans in Texas to streamline the provider credentialing process.
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Connected Care: New Educational Initiative to Raise Awareness of Chronic Care Management

The Centers for Medicare & Medicaid Services Office of Minority Health (CMS OMH) and the Federal Office of Rural Health Policy at the Health Resources and Service Administration (HRSA) has introduced Connected Care, an educational initiative to raise awareness of the benefits of chronic care management (CCM) services for Medicare beneficiaries with multiple chronic conditions and to provide health care professionals with support to implement CCM programs. Connected Care is a nationwide effort within fee-for-service Medicare that includes a focus on racial and ethnic minorities as well as rural populations, who tend to have higher rates of chronic disease.

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2016-2025 Projections of National Health Expenditures Data Released

National health expenditure growth is expected to average 5.6 percent annually over 2016-2025, according to a report published as a ‘Web First’ by Health Affairs and authored by the Centers for Medicare & Medicaid Services’ (CMS) Office of the Actuary (OACT). These projections are constructed using a current-law framework and do not assume potential legislative changes over the projection period.

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