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CMS Requires All Permanent and Seasonal Sites to Use a Unique Medicare Billing Number

It has come to our attention through HRSA that there may be some discrepancies in the Medicare numbers that have been submitted on Form 5B in EHB. This could have reimbursement repercussions if these billing numbers are not accurately listed in EHB.

Creation of the Maryland Health Benefit Exchange Implementation Advisory Committee

The Maryland Health Benefit Exchange (the Exchange) understands that establishing a new marketplace for individuals and small businesses to purchase health insurance under the Affordable Care Act (ACA) by 2014 will involve shared technical and operational effort among all stakeholders and market participants. As such, the Exchange is pleased to announce the formation of the Exchange Implementation Advisory Committee (EIAC) to serve as the forum by which the Exchange can tap into the wealth of knowledge and experience within Maryland’s insurance market to help us make the Exchange successful for all Marylanders.

Open Door Forum (ODF) Call and Webinar for Region III Providers

The Philadelphia Regional Office of the Centers for Medicare & Medicaid Services will be hosting an Open Door Forum (ODF) call and webinar for Region III providers on Wednesday, February 08, 2012 from 12:00 noon to 2:00pm to present an overview regarding the Medicare Shared Savings Program (MSSP)/Accountable Care Organizations (ACOs), and the final rule. The presentation will conclude with a questions and answers period regarding the program and final rule.

The Commonwealth Fund's Vulnerable Populations Program

To ensure that these groups have access to health care capable of meeting their particular needs, The Commonwealth Fund has created the Vulnerable Populations Program, which includes both fellowship and grantmaking activities. The newly renamed Mongan Commonwealth Fund Fellowship Program (formerly The Commonwealth Fund/Harvard University Fellowship in Minority Health Policy) is designed for physicians interested in improving health care systems for vulnerable populations. The grantmaking program seeks to foster a health system capable of providing care that is patient-centered, population-based, comprehensive, high-quality, accountable, and integrated across the full continuum of care.

Recommendations for a Successful Maryland Health Benefit Exchange

Maryland’s Health Benefit Exchange will provide a marketplace for individuals and small businesses to purchase high quality, affordable health coverage. Because of subsidies through the Affordable Care Act, the Exchange will make health insurance newly accessible to hundreds of thousands of Marylanders.

This is a report to the Governor and Maryland General Assembly. It provides recommendations for policies on a wide range of topics to help the Exchange succeed.

Funded! Now What? - A Useful Monograph by NACHC

This monograph is the second in a series of practical guides to starting health centers produced by the National Association of Community Health Centers (NACHC). The first “So You Want to Start a Health Center” walks you through the process of determining whether or not a health center is a good fit for a community and how to pursue federal designations and funding. Assuming success in getting federal support, the next question is “What do we do now?” There will be a lot happening all at once. Putting together a clinic is not a linear process.

1 in 2 Americans are Now Poor or Low Income

Squeezed by rising living costs, a record number of Americans — nearly 1 in 2 — have fallen into poverty or are scraping by on earnings that classify them as low income. The latest census data depict a middle class that's shrinking as unemployment stays high and the government's safety net frays. The new numbers follow years of stagnating wages for the middle class that have hurt millions of workers and families.

California's Community Clinics: A Financial Analysis

The financial health of California's community clinics is crucial to the economic well-being of the state's health care system and its population. However, the budgets and stability of these clinics are under enormous pressure that is likely to increase over the next several years.

Health Care Innovation Challenge Will Improve Care, Save Money, & Focus on Health Care Jobs

On November 14, 2011, the Department of Health and Human Services released a funding opportunity announcement for the Health Care Innovation Challenge. Under this Challenge, up to $1 billion dollars will be awarded to innovative projects across the country that test creative ways to deliver high-quality health care services and lower costs. Priority will be given to projects that rapidly hire, train and deploy new types of health care workers.

The Health Care Innovation Challenge will support public and private organizations including clinicians, health systems, private and public payers, faith-based institutions, community-based organizations and local governments. Innovative approaches from these organizations that can begin within six months of award and demonstrate a model for sustainability post-award will also be given priority.

A Long and Winding Road: Federally Qualified Health Centers, Community Variation and Prospects Under Reform

The Center for Studying Health System Change’s (HSC’s) site visits to 12 nationally representative metropolitan communities since 1996 document substantial growth in FQHC capacity, based on growing numbers of Medicaid enrollees and uninsured people, increased federal support, and improved managerial acumen. At the same time, FQHC development has varied considerably across communities because of several important factors, including local health system characteristics and financial and political support at federal, state and local levels.

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