Newsroom

New Poll Shows Increasing Support for Closing NC’s Coverage Gap

September 11, 2020

The results of a new poll released this week reveal growing support across party lines for closing North Carolina’s health care coverage gap.

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Advocates call for Medicaid expansion as NC unemployment increases health insurance gap

September 8, 2020

A coalition of organizations from across the state held a virtual forum Sept. 2 calling for Medicaid expansion as North Carolinians grapple with a loss of health care coverage due to unemployment amid the coronavirus pandemic.

Tens of thousands of state residents have fallen into the "coverage gap" due to COVID-19, worsening an already concerning issue, according to Care4Carolina, a group advocating for affordable health care in the state.

The gap includes those who earn too much to qualify for Medicaid but not enough to get help through the private insurance marketplace.

North Carolina is among 12 states that have not expanded Medicaid. Prior to COVID-19, the Kaiser Family Foundation estimated that if it did, more than 400,000 residents would gain health insurance. Care4Carolina says about 178,000 more North Carolinians are living in the gap since COVID-19 hit.

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2016 performance scores are now available in the Physician Compare Downloadable Database

June 4, 2018

Your 2016 performance scores are now available for download via Data.Medicare.gov. The Physician Compare Downloadable Database is a resource intended for clinicians and group representatives as well as third-party data users to provide useful information about clinicians and groups currently enrolled in Medicare.

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Retired Physician Shares Article he Wrote for Physicians for a National Health Program

April 11, 2018

Dr. Robert Kline has shared an article with the Western Carolina Medical Society that he wrote for Physicians for a National Health Program.  Dr. Kline eagerly wanted to share with his colleagues from WNC. 

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CMS Briefing on The New Medicare Card

February 23, 2018

The AMA arranged for a CMS briefing on the new Medicare card  that took place on February 21st from 3-4pm eastern time.  The new Medicare card is a result of MACRA's requirement that CMS issue Medicare cards that do not display Social Security Numbers to address the risk of beneficiary identity theft.  New Medicare cards will be issued beginning in April 2018 and physician offices must be prepared to accept the new Medicare identification number at that time. 

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The Center for Medicare & Medicaid Innovation Webinar

February 9, 2018

The Center for Medicare & Medicaid Innovation (CMMI) recently announced the administration’s first new Medicare alternative payment model, Bundled Payments for Care Improvement Advanced (BPCI Advanced).  This voluntary model includes 29 inpatient and 3 outpatient clinical episodes.  Please join AMA Board Chair Dr. Gerald Harmon on Monday evening, Feb. 26th, from 7:00 to 8:00 pm Central time, for a free webinar on the model.  The webinar, designed for physicians and focusing on the clinical aspects of the model, will be presented by CMMI’s Dr. Steven Farmer, who is a cardiologist, senior advisor and medical officer.  Dr. Farmer will also respond to questions from webinar participants.  The webinar comes at a key time, two weeks before applications to participate in the model will be due.

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CMS Proposes Medicare Advantage and Part D Payment and Policy Updates to Provide New Benefits for Enrollees, New Protections to Combat Opioid Crisis

February 2, 2018

Today, the Centers for Medicare & Medicaid Services (CMS) released proposed changes for the Medicare health and drug programs in 2019 that increase flexibility in Medicare Advantage that will allow more options and new benefits to Medicare beneficiaries, meeting their unique health needs and improving their quality of life.

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BPCI Advanced Message

February 2, 2018

The US Department of Health and Human Services is introducing the Bundled Payments for Care Improvement (BCPI Advanced) Model designed to better support healthcare providers who invest in practice innovation, care redesign, and enhanced care coordination. The CMS Innovation Center has launched the Bundled Payments for Care Improvement and this bundled payment model qualifies as an Alternative Payment Mode (Advanced APM) under the Quality Payment Program.

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Indiana Medicaid Drops 25K From Coverage For Failing To Pay Premiums

February 2, 2018

As the Trump administration moves to give states more flexibility in running Medicaid, advocates for the poor are keeping a close eye on Indiana to see whether such conservative ideas improve or harm care.

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Free technical assistance from MAHEC to help doctors with QPP/MIPS

January 18, 2018

Mountain Area Health Education Center (MAHEC) is offering FREE technical assistance to help practices in Western North Carolina understand and enroll in the Quality Payment Program (QPP). You may earn a positive Merit-based Incentive Payment System (MIPS) payment adjustment for 2019 if you submit 2017 data by March 31, 2018. MIPS-eligible clinicians opting not to participate will receive a 4% reduction in Medicare reimbursement in 2019.

QPP is a revenue neutral program meaning that penalties will be assessed to low –performing providers and redistributed to providers performing well. MAHEC can help you determine your baseline score and aid you in developing a strategy going forward to maximize your score for Payment Year 2 and beyond.

Read more here.

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CMS Announces New Policy Guidance for States to Test Community Engagement for Able-Bodied Adults

January 11, 2018

CMS today announced new guidance that will support state efforts to improve Medicaid enrollee health outcomes by incentivizing community engagement among able-bodied, working-age Medicaid beneficiaries.

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CMS Announces New Payment Model to Improve Quality, Coordination, and Cost-Effectiveness for Both Inpatient and Outpatient Care

January 10, 2018

Today, the Centers for Medicare & Medicaid Services (CMS) Center for Medicare and Medicaid Innovation (Innovation Center) announced the launch of a new voluntary bundled payment model called Bundled Payments for Care Improvement Advanced (BPCI Advanced). 

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CMS updates Medicare Advantage Value-Based Insurance Design (VBID) Model for 2019

November 22, 2017

CMS updates Medicare Advantage Value-Based Insurance Design (VBID) Model for 2019
Expansion of model to 25 total states to provide Medicare beneficiaries with more choices and lower costs

The Centers for Medicare & Medicaid Services (CMS) today announced several updates to the Medicare Advantage Value-Based Insurance Design (VBID) Model for 2019 that encourages customized benefit designs and flexibilities that meet the health needs of beneficiaries in a total of 25 states.   

“This Administration is committed to making sure that our seniors have more choices and lower premiums in their Medicare Advantage plans,” said CMS Administrator Seema Verma. “CMS expects that this demonstration will provide insights into future innovations for the Medicare Advantage program.”

CMS recently announced in the Medicare Advantage and Part D proposed rule that it is providing new flexibility for customized benefit designs that address the specific health needs of certain beneficiaries under Medicare Advantage. This allows additional plan variety and options, reduced cost sharing for customized benefits and different cost-sharing for beneficiaries that meet specific medical criteria

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Submission from NCRHLA on Proposed Design for Medicaid Managed Care

September 13, 2017

The North Carolina Rural Health Leadership Alliance (NCRHLA), a program of the Foundation for Health Leadership & Innovation, appreciates this opportunity to submit feedback ont he North Carolina Proposed Program Design for Medicaid Managed Care. 

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NC Medicaid Comments Submission by NCMS

September 12, 2017

On behalf of the more than 12,000 physician and physician assistant members of the North Carolina Medical Society (NCMS), we respectfully submit these comments on the Proposed Plan Design for NC Medicaid.

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