The Supreme Court protected Medicaid recipients’ right to sue nursing homes; wildfire smoke raises the risk of contracting COVID-19; CMS announced a new value-based primary care model.
Supreme Court Rules in Favor of Medicaid Nursing Home Residents
The Supreme Court on Thursday ruled 7-2 to guard Medicaid nursing home residents' right to sue in federal court when state officials do not reach a certain quality of care, which policy watchers are acknowledging as a civil rights victory, reported Roll Call. A 1987 federal law that determines whether nursing homes receive federal funding includes a provision that forbids nursing homes from using psychotropic drugs for nonmedical reasons. A hospital system accused of doing so sought the Supreme Court to eradicate a Medicaid patient’s ability to bring such lawsuits, and the court denied their request.
Wildfire Smoke Increases COVID-19 Contraction Risk
Health experts caution that wildfire smoke exposure throughout North America increases the risk of contracting COVID-19 and exacerbates the impacts for people who already have or are acutely susceptible to the virus, according to Bloomberg. Small particles in wildfire smoke can be inhaled and stuck in the body, affecting the immune system, and creating a propensity to lung infections, says the CDC. Therefore, millions of people in Canada and the US are presently at a higher risk of catching COVID-19.
CMS Announces New Value-Based Primary Care Model
A new value-based primary care model, the Making Care Primary (MCP) Model, will be tested for 10 years under CMS' Center for Medicare and Medicaid Innovation in 8 states, CMS announced Thursday. The new model is designed to allure providers with little or no experience in value-based care, and participants will receive support from CMS. Its goal is to improve care coordination, arm primary care clinicians with tools to form connections with health care specialists, and leverage community-based resources to address health needs and health-related social needs like housing and nutrition. However, it won’t include providers who are already in accountable care organizations.
CMS' 340B Repayment Proposal May Harm Vulnerable Hospitals, Reward Those With Higher Revenues
April 26th 2024The 340B hospitals not receiving an offsetting lump-sum payment from CMS following 2018-2022 cuts later ruled unlawful are disproportionately rural, publicly owned, and nonacademic, according to a new study.
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Examining Low-Value Cancer Care Trends Amidst the COVID-19 Pandemic
April 25th 2024On this episode of Managed Care Cast, we're talking with the authors of a study published in the April 2024 issue of The American Journal of Managed Care® about their findings on the rates of low-value cancer care services throughout the COVID-19 pandemic.
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Empowering Community Health Through Wellness and Faith
April 23rd 2024To help celebrate and recognize National Minority Health Month, we are bringing you a special month-long podcast series with our Strategic Alliance Partner, UPMC Health Plan. In the third episode, Camille Clarke-Smith, EdD, MS, CHES, CPT, discusses approaching community health holistically through spiritual and community engagement.
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Kaiser Permanente was hit by a data breach in mid-April, impacting 13.4 million health plan members; GlaxoSmithKline (GSK) sued Pfizer and BioNTech for allegedly infringing on its messenger RNA technology patents in the companies’ COVID-19 vaccines; the CDC announced the first-known HIV cases transmitted via cosmetic injections.
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