Medicaid/Medicare
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CMS Releases Final Rule for the 2019 Quality Payment Program
The Centers for Medicare and Medicaid Services (CMS) recently issued its policies for Year 3 (2019) of the Quality Payment Program via the Medicare Physician Fee Schedule (PFS) Final Rule. […]
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NC DHHS Sec. Mandy Cohen Explains Medicaid Transformation Waiver
NC Department of Health and Human Services Sec. Mandy Cohen, MD, MPH, offered a webinar Friday for stakeholders involved in the state’s Medicaid transformation to explain and answer questions about […]
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Bowtie Briefing for Oct. 26, 2018: Updates on NC Medicaid Transformation, State Health Plan and Judicial Races
NCMS advocacy experts Chip Baggett and Sue Ann Forrest give you this week’s health care highlights including an update regarding Medicaid transformation, developments with the State Health Plan and some […]
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CMS Approves North Carolina’s Medicaid Waiver Request
The Centers for Medicare and Medicaid Services (CMS) today approved North Carolina’s request to implement the transition to Medicaid managed care and integrate physical health, behavioral health and pharmacy benefits. […]
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Checks Finally Coming Through for Vaccine Underpayments
The $10-$12 million in underpayments for vaccine administration in 2013 and 2014 are beginning to arrive in mailboxes of pediatric practices. The underpayment affected approximately 2.5 million vaccinations administered to […]
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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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