NASHP

DECEMBER 23, 2022

With more than 40 percent of births financed by Medicaid, the Centers for Medicare & Medicaid Services (CMS) has developed an action plan that corresponds with goals outlined in the White House blueprint. Implement Medicaid benefit. Monitor and evaluate quality improvement and outcomes and address barriers to care.

Medicaid 58

Medicaid Nursing Regulations Hospitals 58

HIT Consultant

APRIL 11, 2023

The RAND study published in the Journal of the American Medical Association found that in August 2022 audio-only visits still accounted for 1 in 5 primary care visits and 2 in 5 behavioral health visits among people who received care at Federally Qualified Health Centers in California.

Primary Care 96

Primary Care Medicaid Quality of Care Accountability 96

NASHP

JANUARY 12, 2024

During the pandemic and with the support of federal American Rescue Plan Act (ARPA) funds, many states increased Medicaid payment rates for these workers with one-time pay increases or bonuses. In 2024, people with Medicare and Medicaid coverage (i.e.,

Medicaid 63

Medicaid Nursing Accountability Integration 63

Home Health Care

OCTOBER 18, 2022

The taxpayer dollars that fund Medicare and Medicaid are meant to support the delivery of health care services most suitable for beneficiaries,” Mike Stapleton, acting special agent in charge at the U.S. We are determined to safeguard the integrity of our nation’s health care systems.”. Gray said in the statement.

Tricare 105

Tricare Medicaid Medicare Integration 105

p3care

FEBRUARY 10, 2021

From the next performance year (2021), Accountable Care Organizations (ACOs) expect different reporting requirements under the Medicare Shared Savings Program. CMS (Centers for Medicare and Medicaid Services) has recommended changes for ACO reporting criteria. Quality of Care by ACOs.

Medicare 246

Medicare Accountable Care Accountability Medicaid 246

Healthcare ECONOMIST

JULY 18, 2022

The Oncology Care Model (OCM) is dead. The Oncology Care Model was a voluntary, alternative payment model (APM), that “ included financial and performance accountability for episodes of care surrounding chemotherapy administration to cancer patients.

Medicaid 80

Medicaid Quality of Care Accountability Patient Experience 80

Home Health Care

SEPTEMBER 3, 2022

The study from RAND Corporation, a nonprofit research organization, looked at 15 different quality measures from patients on MA plans during 2016 and 2017 and found that the quality of care was only slightly better when compared to plans that didn’t have any monthly premiums.

Medicare 117

Medicare Quality of Care Accountability Medicaid 117

HIT Consultant

MAY 2, 2023

Andy Auerbach, Chief Revenue Officer of SafeRide Health As the healthcare industry continues to evolve, there is a growing need for innovative solutions that not only improve the quality of care but also make care more accessible. adults without access to a vehicle or public transportation skipped needed medical care last year.

Medicaid 96

Medicaid Regulations Medicare Integration 96

HIT Consultant

SEPTEMBER 14, 2023

By one estimate, healthcare improvements accounted for one-third of the economic growth of developed nations over the last century. However, actual medical care accounts for 20% or less of what affects population health. By comparing quality-of-care data with population, income, and ethnicity across the U.S.,

Health Data 115

Health Data Telemedicine Accountability Population Health 115

Healthcare It News

MARCH 30, 2022

With the temporary flexibilities from HHS and the Centers for Medicare and Medicaid Services, as well as the impact of the pandemic on telehealth use, we really wanted to kind of do a deep dive and to see, "OK, how many beneficiaries are using telehealth?

Medicare 242

Medicare Medicaid Integration Quality of Care 242

Home Health Care

JULY 5, 2022

Hospital readmissions are regularly viewed as an indicator of the quality of care patients receive. The Centers for Medicare & Medicaid Services (CMS) calculates annual readmission rates, and if those rates are higher than national averages, hospitals are financially penalized.

Hospitals 105

Hospitals Primary Care Nursing Quality of Care 105

Home Health Care

AUGUST 25, 2021

Centers for Medicare & Medicaid Services (CMS) is sure to add more fuel to the fire for the “Choose Home” initiative and other movements aiming to bring more care into the home. 31, 2020, accounting for the majority of the COVID-19 pandemic in the U.S. A recently published study by the U.S.

Nursing 109

Nursing Home Care Medicare Accountability 109

HIT Consultant

FEBRUARY 13, 2023

Tom Wriggins, Principal Industry Advisor at SAS John Maynard, CPA, CFE, AHFI Principal Solutions Architect at SAS In 2022, the Center for Medicare and Medicaid Services (CMS) established health equity as a pillar of its future work. Health outcomes and Medicaid program integrity Health outcomes are a function of the quality of care.

Patient Safety 52

Patient Safety Medicaid Integration Medicare 52

HIT Consultant

MARCH 28, 2023

It’s a question that has significant implications for quality of care as well as cost. The High Cost of Poor Behavioral Healthcare A recent study indicates 10% of patients account for 70% of the nation’s costs and that more than half of these patients have a diagnosed mental health disorder.

Quality of Care 98

Quality of Care Population Health Hospitals Medicaid 98

HIT Consultant

JULY 13, 2022

Innovaccer provides a centralized case management platform that consolidates data and provides analytics and insights to help close health equity gaps, manage community referrals, and enhance case management for the Medicaid population. .

Population Health 52

Population Health Medicaid Private Healthcare Quality of Care 52

p3care

OCTOBER 30, 2020

CMS (The Centers for Medicare and Medicaid Services) released the proposed rule for QPP MIPS 2021 via the Medicare Physician Fee Schedule (PFS) Notice of Proposed Rulemaking (NPRM). For instance, CMS asks physicians to focus on the quality of care rather than the volume of patients. ACO (Accountable Care Organization) Reporting.

Medicare 243

Medicare Measurable Quality Medicaid Accountable Care 243

HIT Consultant

OCTOBER 20, 2023

According to a study in the Journal of the American Geriatric Society , non-fatal falls cost an estimated $50 billion in medical expenses, while fatal falls account for an estimated $754 million. can be attributed to falls, including approximately six percent of Medicare and eight percent of Medicaid expenditures. Previously Dr.

Rehabilitation 105

Rehabilitation Pharmaceuticals Prevention Biotechnology 105

Briggs Healthcare

MARCH 20, 2023

and Jonathan Blum, Centers for Medicare & Medicaid Services – names you may recognize from CMS National Stakeholder Calls. As the nation’s largest payer for health care, the Centers for Medicare & Medicaid Services’ (CMS) mission in our National Quality Strategy includes ensuring everyone is safe when they receive care.

Patient Safety 40

Patient Safety Medicaid Medicare Quality of Care 40

Healthcare It News

MARCH 18, 2022

Norden is particularly passionate about funding companies focused on the Medicaid population – a traditionally tricky and often ignored area. In fact, digital health companies only account for less than $10 billion of that $4 trillion in spending. What's happening in this area of digital health?

Medicaid 346

Medicaid Telemedicine Hospitals Clinical Practice 346

Briggs Healthcare

MARCH 2, 2022

“The purpose of this primer is to provide updated information to the patient safety community about the challenges of ensuring the safe care of older adults in Medicare and Medicaid certified nursing homes (NHs) associated with the COVID-19 pandemic, and the federal and state efforts taken to mitigate these challenges.

Nursing 98

Nursing Patient Safety Quality of Care Regulations 98

Home Health Care

APRIL 30, 2024

This article is a part of your HHCN+ Membership Now that the Medicaid Access Rule has been finalized , home-based care’s company leaders have had time to digest it, and consider what it means for the future of the space. Here’s what six of them had to say.

Home Care 109

Home Care Medicaid Accountability Quality Improvement 109

Briggs Healthcare

MARCH 10, 2022

nursing homes failed to meet the total care staff threshold (4.10 Contract staff accounted for 7.1% LTCCC’s Q3 2021 report can help the public, media, and policymakers identify and assess the extent to which nursing homes in their communities provided sufficient staffing to meet basic clinical and quality of life needs.

Nursing 52

Nursing Quality of Care Accountability Regulations 52

Home Health Care

APRIL 27, 2023

Over the last decade, Putman — now CEO of Continuous — has relied heavily on building strong relationships with payers, accountable care organizations (ACOs) and care management companies. When Putman started, the revenue breakdown was about 60% Medicare and 40% managed care. That number has increased by over 30% since.

Home Care 88

Home Care Physical Therapy Medicare Accountable Care 88

NASHP

OCTOBER 20, 2022

This substandard access to quality care can lead to poor health outcomes.[6]. have a special health care need, and an estimated 44 percent of CYSHCN are enrolled in Medicaid.[7] public health, Medicaid, mental health) and other stakeholders (e.g., Training CHWs in core components of care coordination.

Medicaid 98

Medicaid Integration Quality Improvement Accountability 98

Etactics

JANUARY 26, 2024

Quality of care. These include capitation, value-based reimbursement, and episodes of care/bundled payments. Send your bills to your payer, which might include private insurance companies or government programs (Medicare or Medicaid). Patients can receive a range of primary care services by paying a monthly or annual fee.

Healthcare 52

Healthcare Primary Care Medicare Healthcare Providers 52

Bill Of Health

NOVEMBER 9, 2023

health system In considering how the Principles can contribute to a new vision for America’s health care system, we must face several harsh realities. At the end of the PHE, states began Medicaid disenrollment, and more than 7 million people have already lost health insurance this year. The dire state of the U.S. First, while the U.S.

Medicaid 62

Medicaid Pharmaceuticals Prevention Quality of Care 62

Home Health Care

JUNE 9, 2022

“We’re seeing a massive shift to value-based care versus our previous form of care, which was volume-based,” says Erika Sessions, director of compliance and policy development for online caregiver training platform CareAcademy. That will ultimately benefit the quality of care.”. This article is sponsored by CareAcademy.

Care Transition 105

Care Transition Quality of Care Accountability Medicaid 105

Briggs Healthcare

JUNE 21, 2023

The second report, prepared by the Secretary of Health and Human Services (referred to here as the Centers for Medicare & Medicaid Services/Assistant Secretary for Planning and Evaluation (CMS/ASPE) report), was issued in July 2022. The first report, completed by the Commission, was submitted to the Congress in 2016.

Medicare 52

Medicare Rehabilitation Accountability Quality of Care 52

Health Populi

JULY 13, 2020

The EIU VBHC framework addresses four aspects of how technology can underpin value-based care: Ensuring standardization. Driving efficiency and accountability. gross domestic product in 2020, the Centers for Medicare and Medicaid Services calculated. Capturing and sharing interoperable and transparent data. of the U.S.

Primary Care 106

Primary Care Medicare Accountability Hospitals 106

Home Health Care

NOVEMBER 7, 2021

Centers for Medicare & Medicaid Services (CMS) is that the model will now begin Jan. more room to breathe, Valerie Cornett, chief of strategy and innovation at MAC Legacy, told Home Health Care News. BKD is a Springfield, Missouri-based accounting services firm that provides billing and revenue cycle outsourcing services.

Medicare 105

Medicare Performance improvement Medicaid Quality of Care 105

Etactics

DECEMBER 1, 2023

These codes assist healthcare workers in reporting different medical procedures and services to health insurance programs, such as Medicare and Medicaid. HCPCS Code Structure The HCPCS exists in the public domain created by the Centers for Medicare and Medicaid Services. A9270 - Use if a service is not covered by Medicare or Medicaid.

Medicare 52

Medicare Medicaid Medical Services Prevention 52

Home Health Care

APRIL 27, 2022

On its end, MedArrive coordinates in-person care for health systems, Accountable Care Organizations (ACOs) and physician group partners via emergency medical services professionals, nurses and community health workers, among others. “There’s just a ton of money pouring into the space,” Hutson said at the HHCN event.

Accountable Care 103

Accountable Care Quality of Care Accountability Medicaid 103

NASHP

MAY 17, 2022

How State Medicaid Programs Serve Children and Youth in Foster Care May 17, 2022 / Veronnica Thompson. Children and youth in foster care (CYFC) often benefit from targeted services and supports. Yet, many receive fragmented or limited access to care, contributing to higher rates of unmet health needs. [1]

Medicaid 63

Medicaid Integration Medicare Primary Care 63

Patient Safety Movement

NOVEMBER 1, 2022

NEW FEDERAL EFFORTS TO IMPROVE NURSING HOME SAFETY The White House has just announced a plan to improve the safety and quality of care in the nation’s nursing homes, aimed to protect seniors from an industry known for its lack of accountability.

Patient Safety 52

Patient Safety Nursing Hospitals Accountability 52

Healthcare ECONOMIST

OCTOBER 4, 2021

The Government Accountability Office (GAO) last week published a report evaluating the Merit-based Incentive Payment System (MIPS). MIPS is an approach for CMS to pay physicians caring for Medicare beneficiaries based not just on volume but on value. Robustness of metrics.

Medicare 85

Medicare Quality Improvement Quality of Care Accountability 85

NASHP

AUGUST 31, 2023

State leaders play a critical role in convening key internal and external partners, implementing engagement and input processes that foster shared ownership and accountability toward goals at the state and community levels.

Medicaid 52

Medicaid Accountability Public Health services Population Health 52

NASHP

AUGUST 23, 2021

Primary care case management (PCCM) programs are one of the oldest types of Medicaid managed care, but over time most states have shifted to use managed care organizations (MCOs) to deliver services to Medicaid participants. million Medicaid participants. million Medicaid enrollees.

Primary Care 63

Primary Care Medicaid Accountability Quality Improvement 63