Medicaid/Medicare
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The Move to Value is Showing Savings in NC
Six North Carolina Accountable Care Organizations (ACO) achieved savings and earned a check back as part of the Medicare Shared Savings Program (MSSP) in 2017, according to recently released data […]
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Be Prepared for Medicaid Managed Care in NC – Learn About AMH
The North Carolina Department of Health and Human Services (DHHS) has developed the Advanced Medical Home (AMH) program as the primary vehicle for delivering care management as the state transitions […]
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Organized Medicine Strenuously Objects to E&M Coding Proposal
Many health care organizations recently sent strongly worded letters to the Centers for Medicare and Medicaid Services (CMS) calling on the administrator Seema Verma to reconsider the proposal to collapse […]
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NC DHHS Takes Next Step in NC Medicaid Transformation
Last week the NC Department of Health and Human Services (NCDHHS) issued its much anticipated request for proposal (RFP) outlining the requirements for managed care organizations seeking a state contract […]
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New Medicare Cards On the Way To NC; Beware of Scams
North Carolina Medicare recipients will soon be receiving their new Medicare cards, which include a new unique Medicare number to replace the current Health Insurance Claim Number (HICN). The Centers […]
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Overview of the NC Medicaid Transformation Process Thus Far
Conor Brockett, the North Carolina Medical Society’s Vice President of Legal & Regulatory Affairs and Associate General Counsel, offers this quick overview of Medicaid transformation in North Carolina thus far. […]
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CMS’ Proposed Physician Fee Schedule Rule for 2019
Last week, the Centers for Medicare and Medicaid Services (CMS) published its proposed Physician Fee Schedule Rule for 2019 and provisions for the Quality Payment Program (QPP). North Carolina Medical […]
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NC Pop Health Collaborative Addresses Medicaid Reform and Poverty
Mark your calendar for Thursday, Sept. 20, when the NC Population Health Collaborative will meet to consider population health with a focus on Medicaid transformation and poverty. The meeting will […]
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Bowtie Briefing for June 15, 2018: Long Days and a Legislative Win for Patients and Providers
After a week of long days and intense debate at the General Assembly, Chip Baggett shares news of a big legislative victory and his gratitude to you for helping with […]
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GAO Report: Prior Authorization Likely Saves Money
The US General Accounting Office (GAO) last month released its report to the US Senate Finance Committee on Medicare’s use of prior authorization. Read the report. Overall, the GAO’s analyses […]
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