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Sweeney, Greenstein Initiative to Improve Medicaid Prescription Drug Services Wins Committee Approval

 
 

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NJ is looking to contract with a third party entity to address risks of polypharmacy.

 
 

 
 

The article below has been highlighted and summarized by our research team. It is provided here for member convenience as part of our Curator service.


 

Trenton– Legislation sponsored by Senate President Steve Sweeney and Senator Linda Greenstein designed to improve the quality of care in the Medicaid program by identifying multi-drug medication risk and reducing adverse drug effects was passed by the Senate Budget and Appropriations Committee today.

 
 

The bill, S-887, would push the state to initiate reforms that improve prescription safety and quality by requiring the Division of Medical Assistance and Health Services in the Department of Human Services to contract with a third-party entity to apply a risk reduction model to prescription drug services under the Medicaid program.

 

“We need to ensure that Medicaid funds are used appropriately and efficiently, and that the pharmaceutical services we provide are appropriate and safe,” said Senator Sweeney (D-Gloucester/Salem/Cumberland). “Putting in the proper controls will save lives and avert unnecessary hospital and doctor visits caused by adverse drug events.”

 

“People today are on multiple medications. We must do everything we can to ensure that prescribers and patients understand how these medications work together in the safest and most effective way,” said Senator Greenstein (D-Middlesex/Mercer). “By implementing various strategies that have proven successful in other markets, we can reduce the risk of adverse drug events for those in the Medicaid program.”

  

Nationwide, adverse drug events cause health problems that contribute to more than 3.5 million physician office visits, 1.3 million emergency room visits and 350,000 hospitalizations, cause extended lengths of stay and are the leading preventable cause of hospital readmissions, Dr. Calvin Knowlton, CEO of Tabula Rasa HealthCare, testified before the Senate Health Committee last September.

 
 

Clipped from: https://www.insidernj.com/press-release/sweeney-greenstein-initiative-improve-medicaid-prescription-drug-services-wins-committee-approval/

 
 

 
 

 
 

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Corrado Bill Raising Reimbursement Rates for Medicaid Private Duty Nurses Advances (NJ)

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New Jersey legislation would raise home-based nursing care rates by about 50%.

 
 

The article below has been highlighted and summarized by our research team. It is provided here for member convenience as part of our Curator service.

 
 

Bipartisan legislation sponsored by Senator Kristin Corrado that would boost minimum Medicaid reimbursement rates paid for private duty nursing services (PDN) was advanced by the Senate Health, Human Services and Senior Citizens Committee.

PDN services are individualized nursing tasks provided by licensed nurses on a continuous basis in the homes of certain qualifying patients.

“Skilled medical professionals are delivering high-quality, in-home care, but reimbursement rates have failed to keep up with the true cost of services,” said Corrado. “Thousands of residents rely on PDN nurses to improve their health and maintain their standard of living. To ensure a reliable roster of skilled nurses to meet the need, it makes sense to escalate reimbursement rates to a level that more reasonably reflects the work. Reimbursing more money to the providers will allow them to increase pay to the hard-working professionals caring for patients.”

The bill, S-2191, is also sponsored by Senator Loretta Weinberg. It would establish minimum Medicaid reimbursement rates for PDN services provided in the Medicaid fee-for-service delivery system or through a managed care delivery system. The minimum reimbursement for services rendered by a registered professional nurse would increase to not less than $60 per hour, and $48 per hour for a licensed practical nurse (LPN).

Under current State regulations, the maximum Medicaid reimbursement rate is not more than $40 per hour when a registered nurse provides the services, and not more than $28 for an LPN.

The bill will require all providers that receive reimbursement for PDN services under a Medicaid managed care contract to annually report to the State Division of Medical Assistance and Health Services (DMAHS) regarding the use of funds as reimbursement for the healthcare workers.

 

Clipped from: https://www.insidernj.com/press-release/corrado-bill-raising-reimbursement-rates-medicaid-private-duty-nurses-advances/