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FCC and other awards helped enable permanent telehealth policy changes in Virginia

Healthcare IT News - Telehealth

"We already had developed a virtual personal protective equipment model in our special pathogen unit of our Medical ICU, or iSOCOMS," said Dr. Karen Rheuban, cofounder and director of the Center for Telehealth and medical director of telemedicine at the University of Virginia Health System. MEETING THE CHALLENGE.

COVID-19 196
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OIG-LEIE, GSA-SAM, and State Medicaid Exclusion Lists: What’s the Difference?

Provider Trust

Exclusions are administrative actions that are placed upon an individual or entity by HHS OIG, a state agency or Medicaid Fraud Control Unit (MFCU), or by one of the many agencies associated with SAM.gov. Additionally, there are varying, disparate State Medicaid exclusions sources that require periodic screening.

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CMS Pushes Publication of Final FFS Adjuster for RADV Audits Rule to February 1, 2023

Healthcare Law Blog

The proposed rule back tracked CMS’s 2012 decision to apply a FFS Adjuster to extrapolated contract-level RADV audits. Under the 2012 announcement, the FFS adjuster was intended to account for any effect of erroneous diagnosis codes in the data from Medicare Parts A and B that are used to calibrate the MA risk adjustment model.

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As Nonprofit Hospitals Reap Big Tax Breaks, States Scrutinize Their Required Charity Spending

Kaiser Health News

But it can also include underpayments from public health plans, as well as the costs of training medical professionals and doing research. Hospitals also claim as community benefits the difference between what it costs to provide a service and what Medicaid pays them, known as the Medicaid shortfall.

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Is a Federal Medical License Constitutional?

Bill of Health

Sebelius (2012) , which upheld the Affordable Care Act while declaring the individual mandate a violation of the Commerce Clause. They elevate these cases as proof of general liberalism in the Court’s interpretations of federal power to regulate health and the obsoleteness of Dent and Hawker. Oregon , and NFIB v.

Licensing 130
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California Handed Its Medicaid Drug Program to One Company. Then Came a Corporate Takeover.

Kaiser Health News

Prescription drug costs for California’s massive Medicaid program were draining the state budget, so in 2019 Gov. The new Medicaid drug program debuted this January, with a private company in charge. Centene was already a big player in state Medicaid drug programs — but one with a questionable record. SACRAMENTO, Calif.

Medicaid 102
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Why Family Caregivers Need Help from the Healthcare Establishment

HIT Consultant

It doesn’t take you to a health plan website. It doesn’t even take you to the Centers for Medicare & Medicaid Services (CMS) website. She served as an Executive Vice President of SeniorBridge Family Companies and subsequently Chief of Professional Services at Human At Home after Humana’s acquisition of SeniorBridge in 2012.