Our Healthcare Hot Topics of the Week

Life is hectic, we know, so here’s a recap of the Healthcare Weekly Hot Topics you can’t afford to miss:

  1. Blue Cross of Michigan Sued for $40 Million for Unpaid Behavioral Health Claims. Crains Detroit. July 31, 2019.

Substance-abuse treatment centers in Michigan sued Blue Cross Blue Shield of Michigan for more than $40 million in unpaid claims involving more than 4,000 patients.

2) Medicare Initiative Aims to Connect Health Data from Multiple Providers Directly to a Patient’s Doctor. Roll Call. July 30, 2019.

The Data at the Point of Care (“DPC”) aims to connect Medicare’s Blue Button — a tool that allows Medicare patients to download their health records and save them in computer files or apps — directly to a patient’s doctor, allowing a doctor to see claims data from a patient’s other providers that may not be otherwise accessible.

3) Several States Struggle to Check Providers to Avoid Medicaid Fraud. Rev Cycle Intelligence. July 30, 2019.

States are struggling to implement effective provider enrollment screening processes to prevent Medicaid fraud, including fingerprint-based criminal background checks, according to a recent HHS OIG investigation.

4) Senate Democrats to Force Vote on Trump Health Care Decisions. The Hill. July 31, 2019.

Senate Democrats will force a vote to block the Trump administration from allowing states to make changes to their Affordable Care Act markets.

5) Trump Administration Took a Step Toward Allowing Importation of Medicines from Canada. Reuters. July 31, 2019.

The president has advocated importation of medicines from Canada as a way to bring cheaper prescription drugs to Americans, but the pharmaceutical industry was quick to resist the move.

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