Monday, June 27, 2016

Payment Reform and Quality Reporting under the MACRA Wednesday, June 29 11:00 a.m. – 12:00 p.m. The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) permanently repealed the old Medicare SGR formula and set in motion entirely new programs for quality reporting and new payment models. What will this mean for your practice? On Wednesday, June 29, from 11:00 a.m. to 12:00 p.m., APA will host a live, free webinar to educate you about several key features […]


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Effective July 1, 2016 the Alabama Medicaid Agency will:   1. Include the Disease-Modifying Antirheumatic Drugs (DMARDs) in the Preferred Drug List (PDL).   2. Implement a “Preferred with Clinical Criteria” program. For select drug classes, Alabama Medicaid will require clinical criteria be submitted for preferred products on the PDL. Preferred products will require a prior authorization request be submitted. Clinical criteria must be met in order to be approved. Non-preferred products will continue to […]


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APA Headlines, June 16, 2016 The Hill (6/15, Sullivan) reported that on June 14 by a vote of 53-0, the House Energy and Commerce Committee voted to advance HR 2646, “The Helping Families in Mental Health Crisis Act.” The measure now advances to the full House floor. A related article in The Hill (6/15, Sullivan) reports that “House leadership is tentatively planning to bring a mental health reform bill to the House floor in September, […]


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General Fund/Medicaid Cuts Lawmakers approved a general fund budget $85 million short of the $785 million the Alabama Medicaid Agency said was needed to adequately fund the agency. Republican legislative leaders said they could no longer cut other agencies to support Medicaid. Commissioner Stephanie Azar said the agency will be cutting services without additional funding. In response, the Medical Association of the State of Alabama is urging state lawmakers and Gov. Bentley to start now […]


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