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Opioid-related Hospitalizations for Expectant Moms Up 510%, Forum Explores Possible Solutions

September 27, 2016

An analysis of maternal and neonatal hospital stays and a recent policy forum highlight the impact of substance abuse and opioid misuse on Pennsylvania mothers and infants.

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HAP Addresses Glitch Affecting Provider Enrollment / Revalidation Compliance for Ordering, Referring, and Prescribing Providers

September 26, 2016

The state Department of Human Services (DHS) issued a Provider Quick Tip, which addresses how it is handling the Affordable Care Act (ACA)-mandated provider enrollment / revalidation for ordering, referring, or prescribing providers. Federal law requires providers who order, refer, or prescribe a service or item submitted for payment to the Medical Assistance (MA) program to be enrolled in the MA program.

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U.S. House Offers Regulatory Relief to Help Hospitals Meet Patient Needs

September 23, 2016

The U.S. House of Representatives overwhelmingly approved two bills offering important regulatory relief for small and rural hospitals and long-term care hospitals.

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PA Receives $1.4M in Federal Funds to Expand Behavioral Health Workforce

September 23, 2016

Pennsylvania received $1,464,455 of the $44.5 million in grant funding awarded by the U.S. Department of Health and Human Services (HHS) to programs designed to increase the number of mental health providers and substance abuse counselors across the country.

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Employed Group Coverage Enrollment Stable, Premiums Higher than Marketplace

September 22, 2016

Recent analyses show no significant changes in the overall percentage of private sector employees who have health coverage through their employers. In most states, including Pennsylvania, the average premium for employer-sponsored coverage is higher than the premiums for many silver plans in the Health Insurance Marketplace.

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Losing Insurers Protest PA’s Contract Awards for Managed Long-Term Care

September 21, 2016

At least four insurers who lost bids to manage Medicaid beneficiaries’ long-term care services are protesting the Pennsylvania Department of Human Services’ (DHS) Community HealthChoices contract awards. The protests could delay the initial rollout of the program, which is scheduled to start July 1, 2017, in Pittsburgh and surrounding southwestern Pennsylvania counties.

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Bill to Streamline Physician Credentialing Passes State House Committee

September 21, 2016

After a lengthy debate and questions, Pennsylvania’s House Health Committee voted to advance House Bill 1663, the Health Care Practitioner Credentialing Act. The legislation establishes a streamlined process for insurance credentialing for health care practitioners.

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CMS Releases Early Results of Bundled Payments Initiative

September 20, 2016

The Centers for Medicare & Medicaid Services (CMS) released the second evaluation report for Models 2-4 of the Bundled Payments for Care Improvement (BPCI) Initiative. 

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State House Insurance Committee Passes Retroactive Review Legislation

September 20, 2016

Yesterday, members of Pennsylvania’s House Insurance Committee voted unanimously to pass House Bill 2241 sponsored by Representative Karen Boback (R-Lackawanna/Luzerne/Wyoming). The legislation seeks to prevent insurance companies from retroactively denying reimbursements to providers at any time.

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HHS Requires More Information About Clinical Trials

September 19, 2016

To make information about clinical trials more widely available, the U.S. Department of Health and Human Services (HHS) has issued a final rule specifying additional information to be submitted by researchers conducting clinical trials. 

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HAP on Comcast Newsmakers: Healthy Me PA Engages Consumers in Health Care, Healthy Living

September 16, 2016

Recently, HAP’s Chief Strategy Officer, Paula Bussard, talked about HAP’s digital community to improve the health of Pennsylvanians on Comcast Newsmakers, a statewide news outlet that reports about current issues and features community leaders and elected officials.

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Philadelphia Area Hospitals Promote Healthy Food Initiatives

September 15, 2016

Hospitals in southeastern Pennsylvania have been working to ensure there are healthier food options for patients from admission to discharge, further enhancing their patients' care and encouraging better health.

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New Gallop Poll Results: Americans’ Health and Well-Being Changes During the Obama Administration

September 15, 2016

A recently published analysis of survey data collected since 2008 by polling organization Gallup and health care company Healthways, provides a picture of how the well-being of Americans has changed under the Affordable Care Act.

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Hospitals Ask for Fair Payment for Outpatient Services in Community Settings

September 14, 2016

During an advocacy day in Washington, D.C., hospital leaders urged federal lawmakers to ensure appropriate payment for outpatient services provided in community settings.

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Congressman Cartwright Named to U.S. House Appropriations Committee

September 14, 2016

Congressman Matt Cartwright (D, PA-17) was elected by the Democratic Caucus to serve as a member of the powerful U.S. House Appropriations Committee which exercises the “power of the purse” in crafting 12 annual appropriations bills that fund all discretionary programs and federal agencies.

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