WASHINGTON, D.C. (October 6, 2022)—As part of the Centers for Medicare & Medicaid Services’ (CMS) ongoing work to improve access to care, reduce clinician burden, and support interoperability throughout the health sector, CMS has released a Request for Information (RFI) seeking public input on the concept of CMS creating a directory with information on health care providers and services or a “National Directory of Health Care Providers and Services” (NDH).

FRANKLIN, Tenn. (October 6, 2022)—Emcara Health, PopHealthCare’s national value-based medical group that delivers advanced in-home primary care for seniors and under-resourced populations, announced today that it is collaborating with Aetna Better Health of Florida, a CVS Health company. The relationship extends Emcara Heath’s comprehensive primary care model, which includes behavioral health and social determinants of health assessments, to adult Aetna Medicaid members.

WASHINGTON, D.C. (October 4, 2022)—On Sept. 29, 2022, the Centers for Medicare & Medicaid Services (CMS) released the list of Medicare Advantage (MA) plans that will participate in the Medicare Advantage (MA) Value-Based Insurance Design (VBID) Model during Calendar Year (CY) 2023, including those that will participate in the MA VBID Hospice Benefit Component (an offshoot of the larger VBID model which began operation in January 2021).

ST. LOUIS (September 30, 2022)—United States District Judge Stephen R. Clark sentenced a woman from St. Charles, Missouri to four years and nine months in prison for her role in a $2.5 million fraud involving Missouri’s Medicaid program and a nearly $60,000 fraudulent Paycheck Protection Program loan.

Judge Clark also ordered Barbara Martin, 63, to repay $2,566,989 to Missouri’s Medicaid program and $58,295 to the U.S. Small Business Administration.