Cleveland Clinic, Amazon One Medical Partner to Open Amazon Health Office in NE Oh

Marion General Hospital will provide weekly lung cancer screenings through 2025. Special screenings will also be held on Nov. 9. Early detection remains crucial in treating lung cancer. Read more

A pilot program that aims to encourage area Mercy Health employees to buy houses in Clark and Champaign counties by providing direct funding toward home loans saw its first participant this summer. The program provides $10,000 to employees to help them purchase a house in the area, in partnership with Fifth Third Bank. Read more

Since the Ohio Department of Medicaid's Feb. 1 go-live of the Next Generation managed care plans, new Electronic Data Interchange and Fiscal Intermediary, OHA has been working closely with member hospitals, ODM and the Medicaid MCOs to identify and help resolve issues. This Finance News item contains an OHA-developed issues log that will be updated to inform members of outstanding issues and resolutions. Note that this is not an all-inclusive list of issues and was created to help members track known issues as ODM does not publish an issues list (i.e., this issues log has no affiliation to ODM and was…

CMS on  April 5, 2023 issued the “Medicare Program; Contract Year 2024 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly” final rule which included requirements and clarifications relating to Medicare Advantage coverage criteria for basic benefits, use of prior authorization, and the annual review of utilization management tools. The new regulatory provisions are applicable to coverage beginning Jan. 1, 2024.Since the issuance of this rule, CMS has received questions about the application of these rules once they are effective. In this memo,…