GAO reports $36.7 billion worth of payment errors
In a report released by the Government Accountability Office, the National Repository of Medicaid created an estimated $36.7 billion worth of payment errors in 2017.
Congress punts CHIP to 2018; Provides Temporary Funding.
In order to avoid a government shutdown, both houses of congress reached a budget deal; however, it won’t be enough to help states that are running out of money for their Children’s Health Insurance Program.
House Panel Urges Changes to Stop Decline of Rural Health Care
Georgia House members have approved a set of bold proposals to strengthen rural health care in the state. According to Georgia Health News, “The recommendations from the House Rural Development Council include expanding insurance coverage through a Medicaid “waiver’’ project and…
Georgia Open Enrollment Likely To Fall Short of Previous Year
Georgia’s ACA exchange enrollment for 2018 may fall short of the current year totals. The final number of Georgians who actually started exchange coverage in 2017 was 404,000. This year 246,270 have signed up for coverage in the state’s exchange.…
Ascension and Providence Health Talk Merger
St. Louis-based Ascension Health are in talks to merge with Renton, Washington’s Providence St. Joseph Health, which would create the largest hospital chain in America. The companies are the top two Catholic health systems in the nation. If the two…
CVS to Buy Aetna for $69 Billion
CVS Health announced Sunday that it agreed to buy Aetna for a whopping $69 billion. The deal would be considered one of the largest transactions of the year, combining the drugstore giant and one of the biggest health insurers in…
Quality Payment Program Timeline
January 1, 2017-December 31, 2017 | Performance period for 2019 payment (can report data for any 90-day period this year) March 31, 2017 | First APM snapshot; (also June 30 and Aug. 31) April 1–June 30, 2017 | Registration period for submitting data…
Blue Cross Blue Shield announces departure from 85 GA Counties
Blue Cross Blue Shield just announced that they’re pulling out of 85 counties, over half of the counties in Georgia including Chatham county. This provider is the largest health insurer in the state of Georgia. The decision stems from…
Thriving in the Quality Payment Program
If there is one universal given in healthcare today, it’s the complexity and fear of the unknown of the Quality Payment Program (QPP), or MACRA, whichever title you prefer. From provider feedback, we have crafted an actionable approach to allow…
How to Bill: Transitional Care Management
Transitional Care Management (TCM) bolsters the involvement of primary care physicians in the coordination of post-discharge care to reduce readmission. Patients with moderately complex diagnoses are eligible to receive TCM services during a 30-day window after their discharge from an…