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Open Enrollment Ends; Nearly 440,000 Pennsylvanians Covered in Marketplace

February 05, 2016

The U.S. Department of Health and Human Services (HHS) recently released overall enrollment information for the federal health insurance marketplace.

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Hospital Community Presses for Relief from Unlawful Two-Midnight Payment Reduction

February 02, 2016

Hospital stakeholders, including HAP, have again made the case to the Centers for Medicare & Medicaid Services (CMS) that the 0.2 percent hospital payment reduction imposed in conjunction with the two-midnight policy is unlawful and should be reversed in full.

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Proposed Rule Would Advance Sharing or Selling Analyses of Claims Data to Improve Health Care

February 01, 2016

CMS has announced a proposed rule that would allow organizations approved as qualified entities to confidentially share or sell analyses of Medicare and private claims data to health care providers, employers, and others to support improved care.

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Integration of Care, Technology, and Patient-Centered Care are Key to Tackling Chronic Conditions

January 27, 2016

The Hospital & Healthsystem Association of Pennsylvania recently reinforced the importance of identifying avenues to improve care for individuals with chronic conditions. The association issued a response to policy options suggested by the U.S. Senate Finance Committee Chronic Care Working Group.

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Special Enrollment Periods for Insurance Marketplaces Discontinued

January 22, 2016

The Centers for Medicare & Medicaid Services (CMS) announced that it will discontinue seven special enrollment periods for insurance marketplaces, as of January 1, 2016.

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PA Behavioral Health Providers Express Strong Interest in Innovative Behavioral Health Grant

January 20, 2016

The state Department of Human Services (DHS) announced that 74 providers submitted letters of interest for participation in the recently received Certified Community Behavioral HealthClinic (CCBHC) federal planning grant.

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New Alternative Payment Model Framework Advances Value-Based Payment Goals

January 19, 2016

A new white paper has laid out the terms and concepts that will serve as a foundation to increase the adoption of value-based health care payments and alternative payment models.

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Kaiser Family Foundation Releases Updated National and State Data on Hospitals and Health Care Practitioners

January 14, 2016

The Henry J. Kaiser Family Foundation recently released updated national and state data that includes facts about hospitals and nursing homes, including utilization by race and ethnicity; health care practitioners, including physicians, nurses, nurse practitioners, dentists; health centers and health shortage areas; and health care employment.

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    National Group Issues First Report on Socioeconomic Status in Medicare Payment Programs

    January 13, 2016

    The National Academy of Sciences released the first in a series of five reports about whether to factor socioeconomic status or other social risk elements into Medicare payment and quality programs.

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    Health Care Providers Join New Accountable Care Organizations to Drive Patient-Centric Care

    January 12, 2016

    The Centers for Medicare & Medicaid Services (CMS) announced 121 new Accountable Care Organization (ACO) participants. This announcement signals that this patient-centric model of care, which stresses the delivery of high-quality care, while maintaining or lowering costs, is proving to be successful.

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    PA’s Uninsured Population Continues to Decrease; National Studies Show Employment Not Hurt by ACA

    January 08, 2016

    As of January 2, 2016, the Centers for Medicare & Medicaid Services (CMS) is reporting that 412,914 Pennsylvanians have selected health coverage through the federal marketplace.

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    Report Sheds Light on the Challenge of Paying Medical Bills

    January 07, 2016

    A Kaiser Family Foundation report, “The Burden of Medical Debt,” reveals that about one in four adults under age 65 say they or someone in their household had problems paying medical bills during the past year.

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    CMS Seeks Input About Streamlining Technology Use to Improve Quality Tracking and Reporting

    January 06, 2016

    Recently, the Centers for Medicare & Medicaid Services (CMS) called for stakeholder input about ways to improve and streamline how hospitals and physicians use technology to track and report quality measures.

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    CMS Announces Accountable Health Communities Model; Hospitals May Be Eligible for Funding

    January 05, 2016

    The U.S. Department of Health and Human Services announced that it will fund up to $157 million for a new, five-year program aimed at closing the gap between clinical care and community services.

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    CMS Medicare Drug Dashboard Sheds Light on Cost and Spending Trends

    December 31, 2015

    The Centers for Medicare & Medicaid Services (CMS) issued an online dashboard showing that 40 drugs accounted for 71 percent of Medicare spending for drugs administered in physician and hospital outpatient settings last year.

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