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EDPMA Membership Newsletter
November 2019
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November 2019 Articles:
- We're Moving, Please Update Your Records
- Register Today for EDPMA's RCM Workshop in Las Vegas, December 4-5
- EDPMA Webinar on December 13th on the Medicare Fee Schedule Final Rule
- EDPMA Solutions Summit 2020 Sponsorship Prospectus is Now Available!
- Sponsorship Opportunities Still Available for EDPMA's December Workshop
- Would You Like to Serve on the EDPMA Board of Directors?
- Thank You for Joining Us at the EDPMA Reception!
- Remember All of the Fun at EDPMA's Solutions Summit 2019
- Would You Help Us Grow Our Membership?
- New Member Spotlight: Georgia Emergency Department Services
- Join an EDPMA Committee!
- Urgent Matters Blog and More
- CMS News:
- Federal Health Insurance Exchange Weekly Enrollment Snapshot: Week 3
- Modernizing CMS: Organizational Changes Announced
- Save the Date: 2020 Solutions Summit
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We're Moving, Please Update Your Records
EDPMA is excited to announce that we will be moving to new offices that will allow staff to serve you better. Effective December 2nd, EDPMA's new address will be
7918 Jones Branch Drive, Suite 300, McLean, VA 22102.
EDPMA's New Contact Information:
Phone Number: (
703) 506-7675
Email: all
staff emails will remain the same
EDPMA encourages you to update your records with our new address.
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Register Today for EDPMA's RCM
Workshop in Las Vegas, December 4-5
Register TODAY for the Emergency Department Practice Management Association's "RCM Updates: New Models, New Revenue, New Tools Workshop" in Las Vegas, Nevada, on December 4-5, 2019!
Here is a taste of what will be discussed:
Surprise Medical Billing
:
Dr. Amy Mecozi Cho
,
will share her perspective on the economic aspects of surprise billing in emergency medicine; and
Dr. Damian Caraballo
,
who recently received an advocacy award from FCEP, will share "lessons learned" from the messaging used by health plans.
Opiates and Behavioral Health:
* how to utilize data in your in-hospital opiate reduction programs
* Medication-Assisted Therapy is coming to an ED near you!
* the RCM implications of The Support Act
Alternative Payment Models that Provide Care in Place:
* $550 million in savings
* Increased use of Telehealth
Medicare Physician Fee Schedule:
Bob Jasak
of Hart Health will discuss:
* how to fight the cuts expected in 2021 that will result from changes to the office/outpatient E/M codes
* changes to MIPS, "review and verification," and more.
Registration Rate: $595
We Look Forward To Seeing You in Las Vegas!
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EDPMA Webinar on December 13th on
the Medicare Fee Schedule
Final Rule
Don't miss out, register today! The Emergency Department Practice Management Association (EDPMA) is offering a webinar on Wednesday, December 13, 2019, from 1-2pm Eastern, on the final rule issued earlier this month on the 2020 Medicare Physician Fee Schedule Final Rule.
This webinar is free to members of EDPMA and only $99 for nonmembers. The webinar will focus on provisions of the 2020 Medicare Physician Fee Schedule Final Rule released on November 1st. Key areas of focus will be on the changing reporting requirements beginning January 1, 2020, for the Merit-based Incentive Payment System (MIPS) as well as potential future Advanced Alternative Payment Model (Advanced APM) opportunities. The MIPS discussion will include changes to category weighting, the availability of certain reporting options, changes to quality measures, and the heightened thresholds for avoiding a 2022 payment year penalty.
The webinar will be led by EDPMA's consultant, Bob Jasak. Mr. Jasak is the VP for Coverage and Payment Policy with Hart Health Strategies. Prior to this role, Mr. Jasak served as the Deputy Director for Regulatory & Quality Affairs in the American College of Surgeons' Division of Advocacy and Health Policy. In his position, he led ACS efforts to analyze and influence federal regulations and help shape the value-based purchasing and quality programs being incorporated in federal reimbursement formulas. For several years, he also served as the Senior Regulatory Adviser at the American Association of Orthopedic Surgeons where he worked on similar issues.
Prior to joining the ACS and AAOS, Mr. Jasak was a Director with the Advisory Board Company, a research firm serving America's leading hospitals and health systems. He has also worked in various positions in the federal government. He served as a policy and strategy analyst in the U.S. Department of Health and Human Services Office of Public Affairs, with an emphasis on Medicare payment and budget issues. He has also provided services to the U.S. Centers for Disease Control and Prevention (CDC) Office of the General Counsel.
Pricing:
EDPMA Members -
Free
How To Register for the Webinar:
- You must create an account with CommPartners before you can register for the event. To begin the registration process, please click here.
- If you have registration issues or questions, please contact Paul Gerard at (202) 868-6766 (after December 1: (703) 506-7675) or [email protected].
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The 2020 EDPMA Solutions Summit Sponsorship Prospectus is Now Available!
Raise your corporate profile with a powerful audience of emergency medicine physician group executives and their business partners at the
Emergency Department Practice Management Association's Solutions Summit,
May 3-6,
2020, at the
Renaissance Nashville, Nashville, TN. The EDPMA's Solutions Summit is the premier conference for those in the business of emergency medicine. It offers in-depth educational sessions on the issues facing those managing an Emergency Department, billing company, or other business supporting emergency medicine. Learn solutions to the issues you face every day and network with both new and familiar business partners. For exhibiting and sponsorship opportunities, please review our
2020 Sponsorship Prospectus to see what is available.
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Sponsorship Opportunities Still Available for
EDPMA's December Workshop
Enhance your presence at EDPMA's upcoming workshop in Las Vegas, NV, December 4-5, 2019, by sponsoring of one of the available items below.
Lunch
- $2,000 (Two Available) Includes One Registration; Napkins and Company Sign with your logo; and
Either
One Ad in EDPMA's Membership Newsletter and
One 8.5 x 11" Ad at Registration or, if available, one exhibit table.
Breaks
- $1,500 (Two Available) Includes Napkins and Company Sign with your logo; and
Either
One Ad in EDPMA's Membership Newsletter and
One 8.5 x 11" Ad at Registration or, if available, one exhibit table. (If both breaks are purchased for $2500, the sponsorship will also include One Registration.)
Door Prize Sponsorship #1 - $1000 includes sponsorship and announcement of door prize of Solution Summit Registration (value over $1000).
Door Prize Sponsorship #2 - $1000 includes sponsorship and announcement of winners of door prizes worth $500.
In order to sponsor, please complete and return the sponsorship form available
here
.
Thank you to our current sponsors!
Evening Reception
:
Breakfast:
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Would You Like to Serve on the EDPMA
Board of Directors?
In early 2020, the Designated Company Contact for each member organization will have the opportunity to vote for the EDPMA Board Members who will serve on the Board from 2020-2022. The EDPMA Board has a staggered membership with two-year terms. In 2019, 13 of the 19 Board Seats will be open. The organizations that currently hold these seats may run for reelection.
Soon, you will receive nominating materials. In the meantime, please think about nominating your organization or others who would make a great addition to the EDPMA Board of Directors. Please note, the organization - not the individual - holds the seat on the Board. However, nominating materials also ask for information on the individual who will represent the organization on the Board.
Calendar for EDPMA Board Elections:
- In December, nomination materials will be sent electronically.
- In January, nominations will be accepted for a specified time period.
- In February, the election will take place. Only the Designated Company Contact will be able to vote.
- Voting results will be announced prior to the 2020 Solutions Summit.
The current Board is listed below. Board seats that will be open in the 2020 election are marked with an asterisk.
Executive Committee:
Vituity: Bing Pao, MD, FACEP, Chair
*BSA Healthcare: Jeffrey Bettinger, MD, FACEP, Vice Chair
*Brault: Andrea Brault, MD, MMM, FACEP, Immediate Past-Chair
Emergency Care Specialists: Don Powell, DO, FACEP, Chair-Elect
*R1: Jackie Willett, CHBME, Treasurer
*TeamHealth: Aron Goldfeld, JD, MBA, At Large
EPOWERdoc, Inc.: David Ernst, MD, FACEP, At Large
St. Vincent Emergency Physicians: William Freudenthal, MD, FACEP, At Large
Zotec Partners: Ed Gaines, JD, At Large
Other Board Members:
*Acute Care, Inc.: Paul Hudson, MBA, MHA, FACHE
*CIPROMS Medical Billing, Inc.: Andrea Halpern Bryan
*Edelberg & Associates: Caral Edelberg, CPC, CPMA, CCS-P, CHC, CAC
*Envision Healthcare: Bob Kneeley
*Gottlieb: Shanna Howe
*Medical Coding Solutions: Mark E. Owen
*Reimbursement Technologies, Inc.: Gary Gelbart, MBA
Rev4ward, LLC.: Juli Forde
*SCP Health: Randy Pilgrim, MD, FACEP
*US Acute Care Solutions: L. Anthony Cirillo, MD, FACEP
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Thank You for Joining Us at the EDPMA Reception!
Thank you to all of our members who attended the EDPMA Cocktail Reception in Denver, CO, during the ACEP Scientific Assembly. The reception was great fun and well attended! We hope all of you were able to make new friends, catch up with old ones, and discuss the issues facing the business of emergency medicine. EDPMA looks forward to holding this reception next year during the 2020 ACEP Scientific Assembly in Dallas, TX.
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Remember All of the Fun at EDPMA's Solutions Summit
Enjoy the video below! Don't forget to join us next year with the leaders in the business of emeegency medicine. About 80% of EDPMA attendees are C-Suite or managers. This is THE event for high-level networking:
Registration for EDPMA's 2020 Solutions Summit opens in January. |
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Would You Help Us Grow Our Membership?
We appreciate your membership in EDPMA. We have a request --> would you help us grow our membership? More members would mean more financial resources for more federal and state advocacy, help with problematic commercial payers, networking events, and education. We represent the business of emergency medicine, so please send the names of your business partners, clients, and friends, including emergency physician groups, RCM/billing and coding companies, scribes, lawyers, management companies, companies providing data analytics or financial software, and more.
Please send your referrals to Joanne Tanner, Membership Coordinator, at
([email protected]), and include the company/group name, contact name (including email and telephone, if possible), city and state information. And, if it's a personal connection, let us know if we can use your name. Of course, let us know if you have any questions!
PLUS, if one of your referrals ultimately joins, you may qualify for a discount on your 2020 dues!
Thank you very much for your help!
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New Member Spotlight:
Georgia Emergency
Department Services
Georgia Emergency Dept. Services (GEDS) has been serving patients for almost 20 years in northeastern Georgia. GEDS is the result of a combination of two independent, democratic, physician owned-and-operated emergency medicine physician groups. The practice has grown to include over 60 physicians and 40 advanced practice providers. It is the largest independent emergency physician group in the state of Georgia. For more information about Georgia Emergency Dept. Services, please contact Dr. Mohak Dave' at [email protected].
Excerpts from a conversation with Mohak Dave' MD, President and CEO
Dr. Mohak Dave' has been President and CEO of GEDS for over five years and a practicing emergency medicine physician for over 15 years. Dr. Dave' and his team are continually focusing on providing the highest quality of patient care. Also, as GEDS has grown from a small physician group to one now serving six Emergency Dept's and growing, Mohak has been working to improve their effectiveness and efficiency. Dr. Dave' has been improving scheduling (particularly in night-shift management), creating an excellent recruitment package and expanding internal leadership development. Dr. Dave' is also focusing on developing the roles of Medical Directors and Assistant Medical Directors to deepen and broaden the management team and provide new opportunities for team members.
Dr. Dave' became aware of EDPMA through a long-time member and Mohak quickly recognized the EDPMA's value. From his viewpoint, the legislative focus at the state and Federal levels, knowledge of the regulatory environment, diversity of types of physician groups, and the attention to smart business practices and principles are all important to Dr. Dave' and his group. He values the independent practice model and appreciates EDPMA's efforts and focus on supporting these types of groups.
Dr. Dave' has always been interested in legislative issues and, in particular, sees EDPMA's two Committees - State Regulatory and Insurance Committee (SRIC) and Federal Health Policy Committee (FHPC) - as important components of their membership benefits. Dr. Dave' values the deep-dive approach in the Committees on key legislative issues. And, at the state level, Dr. Dave' finds EDPMA's efforts to help independent practices understand the direction of the state legislatures, how to get involved and provide talking points, and other resources is another great membership benefit. Dr. Dave' also mentioned that EDPMA's monthly Advocacy newsletter is a useful resource providing a lot of information on ED issues.
Mohak sees the challenges in emergency medicine encompassing legislative issues on reimbursement such as balance billing and surprise billing. EDPMA has been proactive, and knowledgeable in these areas. Other challenges stem from the business side. As a member of EDPMA, the networking opportunities help create connections among the many small- and medium-sized physician groups that lead to useful business information exchanges.
Dr. Dave' attended the 2019 Solutions Summit and plans to attend the 2020 Solutions Summit in Nashville, TN (May 3-6) and will bring several members of his management team. Dr. Dave' has found the Solutions Summit to be an important venue for networking and is a one-stop shop for getting the latest information in emergency medicine-related legislative and regulatory issues.
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We encourage you to join an EDPMA committee. The real work at EDPMA is done at the committee level. Committee members work together in a variety of ways including:
- discussing the impact of the ACA, its possible repeal, and changes to Medicaid that impact ED practice groups,
- organizing meetings with CMS officials on provider enrollment,
- drafting letters to state-level policymakers on balance billing,
- identifying speakers on ED best practices,
- meeting with commercial payers about problematic down-coding policies,
- developing a toolbox to help survive an audit,
- preparing for Medicare reimbursement under the Merit-Based Incentive Payment System, and
- building strong business relationships.
Experts work side-by-side with newcomers, new leaders shine, and everyone's contribution is greatly appreciated. Many members report that insight shared on committee conference calls is one of the most important and unique benefits of their EDPMA membership. We invite you to join one of EDPMA's committees. Information about each committee is available here. (Don't be shy: if you want, you can just listen in.)
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Urgent Matters Blog and More
EDPMA is a member of the Urgent Matters Editorial Board and contributes webinars and other educational material to this important collaborative group. As a member of EDPMA, you can access these resources for free. You can access the blog, podcasts and more through the links below:
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FOR IMMEDIATE RELEASE
November 20, 2019
Federal Health Insurance Exchange Weekly
Enrollment Snapshot: Week 3
Week 3, Nov 10-16, 2019
In week three of the 2020 Open Enrollment, 737,352 people selected plans using the HealthCare.gov platform. As in past years, enrollment weeks are measured Sunday through Saturday. Consequently, the cumulative totals reported in this snapshot reflect one fewer day than last year.
Every week during Open Enrollment, the Centers for Medicare & Medicaid Services (CMS) will release enrollment snapshots for the HealthCare.gov platform, which is used by the Federally-facilitated Exchange and some State-based Exchanges. These snapshots provide point-in-time estimates of weekly plan selections, call center activity, and visits to HealthCare.gov or CuidadoDeSalud.gov.
The final number of plan selections associated with enrollment activity during a reporting period may change due to plan modifications or cancellations. In addition, the weekly snapshot only reports new plan selections and active plan renewals and does not report the number of consumers who have paid premiums to effectuate their enrollment.
Definitions and details on the data are included in the glossary.
HealthCare.gov Platform Snapshot
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HealthCare.gov Platform Snapshot
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Week 3: Nov 10 - 16
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Cumulative: Nov 1-16
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Plan Selections
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737,352
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1,669,401
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New Consumers
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186,646
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431,574
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Consumers Renewing Coverage
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550,706
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1,237,827
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Consumers on Applications Submitted
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1,139,403
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2,886,661
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Call Center Volume
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508,085
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1,130,724
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Calls with Spanish Speaking Representative
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39,033
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86,849
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HealthCare.gov Users
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2,476,832
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5,457,089
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CuidadoDeSalud.gov Users
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92,810
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209,470
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Window Shopping HealthCare.gov Users
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186,237
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550,938
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Window Shopping CuidadoDeSalud.gov Users
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7,379
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16,189
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HealthCare.gov State-by-State Snapshot
The state-by-state Snapshot provides cumulative individual market plan selections for the 38 states using the HealthCare.gov platform for the 2020 benefit year. Cumulative individual plan selections for the states using the HealthCare.gov platform include:
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State
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Cumulative Plan Selections Nov 1 - 16
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Alaska
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3,640
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Alabama
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33,115
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Arkansas
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10,091
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Arizona
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24,055
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Delaware
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4,093
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Florida
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463,066
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Georgia
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105,653
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Hawaii
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3,818
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Iowa
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10,279
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Illinois
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45,560
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Indiana
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22,878
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Kansas
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16,569
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Kentucky
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16,483
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Louisiana
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17,000
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Maine
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9,362
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Michigan
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43,767
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Missouri
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38,802
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Mississippi
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22,734
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Montana
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7,166
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North Carolina
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95,913
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North Dakota
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3,260
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Nebraska
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17,041
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New Hampshire
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7,851
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New Jersey
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44,879
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New Mexico
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7,825
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Ohio
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31,285
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Oklahoma
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25,240
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Oregon
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27,571
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Pennsylvania
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57,331
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South Carolina
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42,164
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South Dakota
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5,684
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Tennessee
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37,166
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Texas
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229,167
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Utah
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42,750
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Virginia
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47,477
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Wisconsin
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39,931
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West Virginia
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3,505
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Wyoming
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5,230
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Modernizing CMS: Organizational Changes Announced
A year ago, CMS Administrator Seema Verma asked a group of CMS leaders to evaluate CMS's functions and structure to identify opportunities to leverage the expertise and experience of regional office staff across the breadth of our work particularly as it relates to program policy development and implementation. This work took place under the
Modernizing CMS strategic initiative.
As a result of that work, today CMS announced a reorganization that:
- Improves integration of regional office staff into policy development and implementation;
- Puts similar activities together to make the work easier and more efficient;
- Helps ensure we are consistent in how we handle issues across the country;
- Brings together all staff, regardless of location, who work on quality improvement and who survey facility quality and safety. This will ensure consistency across the country on quality and safety;
- Combines the regionally-based Medicare operations work, the local oversight of Federally-facilitated Exchange plans, and external affairs into a single office that reports directly into OA through the creation of the Office of Program Operations and Local Engagement (OPOLE); and
- Positions our Medicaid program to better serve our stakeholders by creating centers of excellence.
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Save the Date: 2020 Solutions Summit
Don't miss Solutions Summit next year! EDPMA looks forward to seeing all of you in Nashville, TN, May 3-6, 2020.
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