CHICAGO PSYCHIATRIC HOSPITAL MAY LOSE LICENSE: Chicago Lakeshore Hospital faces the revocation of its license by the Illinois Department of Public Health on the heels of losing its Medicare funding. After more than a year of lawsuits and government extensions, the U.S. Centers for Medicare & Medicaid Services informed the hospital that its Medicare funding agreement would be terminated, The termination came after a federal judge lifted a previous injunction against CMS’ action and after seven inspections since July 2018 found deficiencies that threatened patient health and safety, according to the ProPublica article.
"Maligning providers who are a safety net for the most difficult to treat patients in the state will only further eliminate access to care and diminish the number of willing providers who are equipped to handle these services," Chicago Lakeshore said in a statement. "We will continue to provide the best mental health and substance use disorder care for the residents of Chicago and Illinois while we examine our options. In the meantime, we will work with the Illinois Department of Public Health and the Centers for Medicare & Medicaid services to safely transition all Medicare and Medicaid patients out of our hospital over the next month."
ACA RISK-ADJUSTMENT RULING GOOD FOR LARGER INSURERS, MAY HURT SMALL ONES:79彩票注册网址 A federal appeals court upheld the U.S. Department of Health & Human Services’ methodology for running the Affordable Care Act risk-adjustment program, which will hurt small insurers that have argued that the program is flawed and favors larger companies with more claims experience,
79彩票注册网址The three-judge panel of the 10th U.S. Circuit Court of Appeals on Dec. 31 reversed a lower court decision that . The decision ensures risk-adjustment payments based on the current methodology will continue, which is good news for well-established companies, including many Blue Cross & Blue Shield affiliates. The Blue Cross Blue Shield Association said the decision would ensure stable health insurance coverage for Americans.
"Risk-adjustment balances the cost of care between healthy Americans and those with significant medical needs and is working as intended. Its smooth operation is vital to ensure access to a broad range of coverage options for millions of individuals and small businesses," Kris Haltmeyer, the Blues association's vice president of legislative and regulatory policy, wrote in an emailed comment.
NEW YORK 79彩票注册网址 PLAN CUTS WALGREENS, OTHERS FROM NEW YORK NETWORK: 79彩票注册网址New York-based Oscar Health removed Walgreens and some Duane Reade and Rite Aid locations from its New York pharmacy network as of Jan. 1. Instead it is directing New York members to CVS as its preferred retail pharmacy and also to startup pharmacy Capsule,
LOYOLA NEUROLOGIST COAUTHORS REWRITTEN AHA STROKE GUIDELINES: Dr. Jose Biller, chairman of neurology at Loyola University Medical Center, was one of the authors of new American Heart Association treatment guidelines for early management of acute ischemic stroke. were rewritten by a multidisciplinary group of experts from neuroscience, critical care and emergency care following review of randomized trials in ischemic stroke care, according to a statement from Loyola.
“The expectation is that the modern practice of medicine should be based on best evidence,” Biller said in the statement. “The guidelines followed a meticulous methodology and are largely based on rigorous randomized trials.”
PROVIDERS SUPPORT STARK LAW RULE CHANGES: 79彩票注册网址Doctor and hospital groups, including the Chicago-based American Hospital Association, have voiced support for the Trump administration's efforts to encourage value-based care by , but they oppose including any sort of price transparency requirements, The U.S. Centers for Medicare & Medicaid Services wants to change Stark law regulations to make it easier for providers to enter into value-based arrangements . It proposed lowering barriers to care coordination and management.
EMAIL BREACH AT SINAI 79彩票注册网址:79彩票注册网址 Patient information could be at risk after an unknown party gained unauthorized access to two Sinai Health System employees’ email accounts, the Chicago system said in a statement. The system said that on Oct. 16, forensic technology experts determined the email accounts had been breached but could not find evidence that patient information was removed from the accounts or other Sinai systems. Sinai is not aware of any misuse of any patient’s information, the statement said. It said Sinai has identified the patients whose personal and health information were stored in those email accounts and has alerted those patients by letter. Information that could have been accessed includes patients’ names, addresses, dates of birth, Social Security numbers, health information or health insurance information.
79彩票注册网址The system has reset employee email passwords, conducted training, enhanced email filtering protocols and is increasing security of its email and network systems to attempt to prevent a similar incident from occurring in the future, the statement said.
IN CASE YOU MISSED IT:
• Alyssa Rapp, CEO of Surgical Solutions, is the author of "Leadership & Life Hacks," which she wrote with the help of artificial intellingence. READ MORE.
PEOPLE ON THE MOVE:
• Dr. Ryan Unger has joined Fox Valley Orthopedics in Geneva. Unger is a board-certified pain management specialist.
• Ginna Evans has been elected president and chair of the American Health Information Management Association board. Evans, a coding educator at Emory Healthcare in Atlanta, began her one-year term Jan. 1.
In addition to Evans, AHIMA members selected Katherine G. Lusk, chief health information management and exchange officer for Children’s Health, Dallas, as president/chair-elect. Christine Williams, document integrity manager at UW Health in Madison, Wis., was named AHIMA speaker of the house. Association members also elected three directors: Brenda K. Beckham, executive director of HIM at Baptist Health in Louisville, Terri Eichelmann, currently a director at BJC HealthCare in St. Louis, and Jami Woebkenberg, senior director of HIM operations at Banner Health in Phoenix.
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