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DHS Announces Changes to PA’s HealthChoices Contracting to Advance Value-Based Care

April 28, 2016

In an effort to improve the health outcomes for the 2.1 million Pennsylvanians covered under the state’s Medicaid program, the Pennsylvania Department of Human Services (DHS) announced yesterday that it will negotiate contracts with eight managed care organizations to deliver physical health services to Pennsylvanians in the HealthChoices Medicaid program.

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HHS Releases Proposed Rule for Medicare Payments

April 28, 2016

Yesterday, the U.S. Department of Health and Human Services (HHS) issued a proposed rule implementing key provisions of a new Quality Payment Program required by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).

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President and CEO of Aria Health Appointed as HAP Board Chair

April 27, 2016

Kathleen A. Kinslow, CRNA, EdD, MBA, President and Chief Executive Officer of Aria Health in Philadelphia was elected as HAP board chair during the April 26 HAP board of directors meeting.

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CMS Releases Medicaid Managed Care Final Rule

April 27, 2016

Earlier this week, the Centers for Medicare & Medicaid Services (CMS) released its long-awaited Medicaid managed care final rule in an effort to modernize the regulations to reflect changes in the usage of Medicaid managed care organizations as well as to better align with rules governing Medicare Advantage and private insurance. 

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Interim Guidance Issued On Preventing Occupational Exposure to Zika

April 26, 2016

The U.S. Centers for Disease Control and Prevention (CDC) and the Occupational Safety and Health Administration (OSHA) released new interim guidance to help protect workers from occupational exposure to the Zika virus. This guidance is especially important to health care employers and their staff.

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Pennsylvania Hospital Employment Increased by 300 Jobs in March

April 25, 2016

Pennsylvania hospital employment increased by 300 jobs from February 2016 to March 2016, for total direct employment of 271,300. This is 2,600 more hospital jobs than one year ago, March 2015, when the total number was 268,700.  

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National Stakeholder Group Issues Proposals to Change RX Transparency, Competition, and Value

April 25, 2016

Today, the Campaign for Sustainable Rx Pricing, released a series of policy suggestions aimed at creating a more transparent drug marketplace, promoting competition and innovation, and rewarding value.

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Supreme Court Decision on Fraud Under False Claims Law Will Have Major Implications for Hospitals

April 22, 2016

A case before the U.S. Supreme Court will have significant implications for how often health care providers are charged with fraud under the False Claims Act (FCA). 

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CMS Releases Data on Health Disparities; HAP Encourages Hospitals to Engage on Issue

April 21, 2016

The Centers for Medicare & Medicaid Services (CMS) recently released a report identifying the quality of care received under Medicare Advantage by racial or ethnic group. 

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CMS Delays Posting of Hospital Star Ratings until at Least July

April 20, 2016

The Centers for Medicare & Medicaid Services (CMS) announced today a new timeline for the first public posting of overall hospital star ratings at the Hospital Compare website. Scheduled to be released tomorrow, April 21, 2016, the public posting of star ratings will now be delayed until at least July 2016.

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HAP and Einstein Healthcare Network Part of Legal Challenge That Led CMS to Reverse Hospital Inpatient Payment Cut

April 19, 2016

As a result of a legal challenge by the American Hospital Association (AHA), which HAP and the Einstein Healthcare Network joined, the Centers for Medicare & Medicaid Services (CMS) reversed its 0.2 percent payment cut for inpatient services. 

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Proposed Payment Rules for Inpatient and Long-Term Care Hospitals Issued; New CMS Observation Notice Required

April 19, 2016

The Centers for Medicare & Medicaid Services (CMS) released the proposed fiscal year 2017 Medicare payment policies and rates under the Inpatient Prospective Payment System  and the Long-Term Care Hospital Prospective Payment System.

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Bundled Payment Initiative Extended: Participating PA Hospitals May Continue Efforts

April 18, 2016

The Centers for Medicare & Medicaid Services (CMS) will be offering the awardees in the Bundled Paymentsfor Care Improvement (BPCI) initiative the opportunity to continue their work to better coordinate and integrate care.

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CMS Request for Information Follows Growing Interest in Regional Budget Payments

April 15, 2016

The Centers for Medicare & Medicaid Services (CMS) has issued a Request for Information (RFI) on its Regional Budget Payment Concept, which seeks to build upon its experience with a Maryland pilot program and follows growing interest in regional budget payments.

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HAP Encourages Conversations about End-of-Life Care Today and Every Day

April 15, 2016

April 16 is National Healthcare Decisions Day. HAP and Pennsylvania hospitals encourage individuals to use this day as an opportunity to discuss end-of-life care preferences.

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