Accountability, Medicare and Performance improvement

Accountable Care Organizations Are Diving Head First Into Home-Based Care

Home Health Care

MAY 15, 2022

Accountable care organizations (ACOs) have considerably increased their home-based care arsenals over recent years. That’s according to the Institute for Accountable Care (IAC), which conducted a wide-ranging study on ACOs and home-based care that was released Thursday. Source: Institute for Accountable Care.

Accountable Care

Accountable Care Accountability Primary Care Medicare

Final Rule Gives Home Health Agencies Breathing Room for HHVBP, Medicare Sequestration

Home Health Care

NOVEMBER 7, 2021

Centers for Medicare & Medicaid Services (CMS) is that the model will now begin Jan. BKD is a Springfield, Missouri-based accounting services firm that provides billing and revenue cycle outsourcing services. HHVBP is a Medicare demonstration that links reimbursement to quality of care. bump amends a 1.7%

Medicare

Medicare Performance improvement Medicaid Quality of Care

State Oversight and Innovations in Medicaid-Managed Long-Term Services and Supports (MLTSS) Serving Older Adults and People with Disabilities

NASHP

MARCH 22, 2024

In fall 2023, NASHP partnered with Arnold Ventures to design a two-year cross-state learning and technical assistance collaborative to support states in strengthening accountability and oversight in their MLTSS programs. The following table provides a snapshot of the states and MLTSS programs selected for this project.

Medicaid

Medicaid Nursing Medicare Integration

First Do No Harm

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

Patient Safety Medicaid Medicare Quality of Care

CMS Action to Expand Access to Emergency Care Services in Rural Communities

Briggs Healthcare

JULY 1, 2022

CMS has proposed standards for REHs that closely align with the current CAH CoPs in most cases, while taking into account the uniqueness of REHs and statutory requirements. The final rule for the REH CoPs is expected to be included in the CY 2023 OPPS/ASC final rule, anticipated this fall. Critical Access Hospitals.

Performance improvement

Performance improvement Hospitals Nursing Prevention

Voices: Beth Ann Longo, Associate Director, Department of Research, The Joint Commission

Home Health Care

OCTOBER 28, 2022

Longo : There are nearly 11,000 home health agencies that report data to the Centers for Medicare and Medicaid Services. Longo : Focus on the structures, systems and processes that support quality and patient safety, performance improvement and link to health outcomes.

Patient Safety

Patient Safety Performance improvement Quality Improvement Accountability

States Advancing Equitable Maternal Health Policy Highlighted at #NASHPCONF22

NASHP

OCTOBER 27, 2022

Disparities in maternal mortality also did not improve, with Black individuals more likely to die from pregnancy-related causes. These new data, coupled with recent federal action including a Maternity Care Action Plan by the Centers for Medicare & Medicaid Services outlines the importance of policy intervention in the perinatal period.

Medicaid

Medicaid Prevention Performance improvement Medicare

Opportunities for Aligning Prescription Drug Affordability Boards and Cost-Growth Benchmarks

NASHP

NOVEMBER 15, 2021

In states such as Massachusetts, there is also a threat of a targeted performance improvement plan for entities determined to be cost drivers. Engagement of Stakeholders: PDABs and cost-growth benchmarks create a forum for convening and holding accountable the stakeholders involved in the high costs of health care.

Accountability

Accountability Pharmaceuticals Performance improvement Hospitals

Supporting the Continuum of Care for Serious Illness in Medicaid Managed Care

NASHP

OCTOBER 22, 2021

Promote choice and control for people with serious illness, while taking into account their unique life circumstances; 2. Using quality measures and performance improvement projects that focus on serious illness can help states understand the value and uptake of these services. Goals Principles. Quality Domain Measures Sources.

Medicaid

Medicaid Hospice Care Integration Regulations

How Tech Transforms Echo & Medical Devices with Clifford Thornton | E. 82

Vie Healthcare

AUGUST 23, 2023

You got to take that into account.’’ So managers, they need to work around all these kinds of things and take it into account.’’ The cost of treating cardiovascular disease: ‘’…shortly after Medicare was instituted, cardiovascular spending in the United States jumped to around 100 billion a year within 10 years.

Nursing

Nursing Hospitals Healthcare Accountability

Expanding the Perinatal Workforce through Medicaid Coverage of Doula and Midwifery Services

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 quality and performance initiatives. The U4 modifier is used for both codes. Implement Medicaid Benefit.

Medicaid

Medicaid Nursing Regulations Hospitals

Medical Device Warranty Credits With Al Brander| Episode 55

Vie Healthcare

OCTOBER 28, 2022

In this episode, Lisa Miller, founder of VIE Healthcare and CEO of Spendmend, and Jim Cagliostro, VIE’s Clinical Operations Performance Improvement Expert, interviewed Al Brander to explore in detail the challenges and financial risks of managing medical device warranties. The simple shipping label that keeps vendors accountable.

Hospitals

Hospitals Nursing Accountability Medicare

Summary of State Legislative Efforts Aimed at Health Care Transformation Reforms

NASHP

DECEMBER 8, 2023

In a second bill, Illinois would have created a Medicare for All Health Care Act and an Illinois Health Services Trust. The measure would have established the Illinois Health Services Trust to provide funds for the general operating budget of the program and certain non-patient care expenses.

Primary Care

Primary Care Medicaid Medicare Hospitals

Sustainability and Value: State Palliative Care Reimbursement Strategies

NASHP

AUGUST 24, 2023

Blue Shield offers a range of palliative care services, including: Value-based purchasing: Over the past decade, state Medicaid agencies have designed and implemented a range of initiatives focused on value, using payment to incentivize provider behaviors that can reduce unnecessary care and improve outcomes.

Medicaid

Medicaid Quality Assurance Quality of Care Hospitals

How State Medicaid Programs Serve Children and Youth in Foster Care

NASHP

MAY 17, 2022

States must seek and receive approval from the Centers for Medicare and Medicaid Services (CMS) to enroll CYFC in MMC on a mandatory or voluntary basis (through a state plan amendment or waiver). Department of Health and Human Services, Centers for Medicare & Medicaid Services. MMC or FFS). Accessed November 5, 2021. 17] Ibid. [18]

Medicaid

Medicaid Integration Medicare Primary Care

Administration Strengthens Oversight of Nation’s Poorest-Performing Nursing Homes

Briggs Healthcare

OCTOBER 25, 2022

Today’s announcement is part of a series of new actions the Biden-Harris Administration is taking to increase accountability of bad actors in the nursing home industry, improve the quality of nursing homes and make them safer. Below is an excerpt from that Press Release.

Nursing

Nursing Accountability Quality Improvement Quality of Care

Primary Care Case Management in Medicaid: A Strategy for Supporting Primary Care in Rural Areas

NASHP

AUGUST 23, 2021

In addition, it is important to build in measurement at the start and to think of state efforts as iterative — moving to tackle new priorities as performance improves. Lack of Access to Specialists Associated with Mortality and Preventable Hospitalizations of Rural Medicare Beneficiaries.” Payment to improve capabilities.

Primary Care

Primary Care Medicaid Accountability Quality Improvement

Behavioral Health System Modernization along the Continuum

NASHP

MARCH 22, 2024

North Carolina’s comprehensive behavioral health approach included efforts to increase uptake of CoCM through additional training and practice supports and Medicaid rate increases to 120% of Medicare rates for behavioral health providers. An action plan dashboard tracks targets. CMS’s Birth to 5: Watch Me Thrive!

Medicaid

Medicaid Integration Primary Care Nursing

Taking Back The Business of Healthcare with Preston Alexander| E. 67

Vie Healthcare

APRIL 26, 2023

Since 1999, VIE has been a recognized leader in healthcare costs, hospital purchase services, healthcare benchmarking, supply chain management, and performance improvement. You can learn more about VIE Healthcare Consulting at viehealthcare.com. Jim (19:07): Okay, Preston, I love what you put out there on LinkedIn.

Healthcare

Healthcare Nursing Hospitals Doctors

Exposing Healthcare Fraud with Jonathan Tycko| E. 68

Vie Healthcare

MAY 4, 2023

And as you know, obviously a huge percentage of healthcare spending is funded through Medicare, Medicaid, Tricare, the VA system, and these are all programs that are covered by the False Claims Act. You can learn more about VIE Healthcare Consulting at viehealthcare.com. Jim (19:07): Okay, Preston, I love what you put out there on LinkedIn.

Healthcare

Healthcare Nursing Hospitals Doctors

Optimizing Healthcare for Heart Disease with HeartFlow | E. 62

Vie Healthcare

FEBRUARY 1, 2023

You’re responsible for the revenue of a territory, new accounts, and certainly customer service and clinical support is always tied into any medical device job. Since 1999, VIE has been a recognized leader in healthcare costs, hospital purchase services, healthcare benchmarking, supply chain management, and performance improvement.

Healthcare

Healthcare Patient Experience Hospitals Nursing

Health Care Quality Digest

Accountable Care Organizations Are Diving Head First Into Home-Based Care

Final Rule Gives Home Health Agencies Breathing Room for HHVBP, Medicare Sequestration

Trending Sources

State Oversight and Innovations in Medicaid-Managed Long-Term Services and Supports (MLTSS) Serving Older Adults and People with Disabilities

First Do No Harm

CMS Action to Expand Access to Emergency Care Services in Rural Communities

Voices: Beth Ann Longo, Associate Director, Department of Research, The Joint Commission

States Advancing Equitable Maternal Health Policy Highlighted at #NASHPCONF22

Opportunities for Aligning Prescription Drug Affordability Boards and Cost-Growth Benchmarks

Supporting the Continuum of Care for Serious Illness in Medicaid Managed Care

How Tech Transforms Echo & Medical Devices with Clifford Thornton | E. 82

Expanding the Perinatal Workforce through Medicaid Coverage of Doula and Midwifery Services

Medical Device Warranty Credits With Al Brander| Episode 55

Summary of State Legislative Efforts Aimed at Health Care Transformation Reforms

Sustainability and Value: State Palliative Care Reimbursement Strategies

How State Medicaid Programs Serve Children and Youth in Foster Care

Administration Strengthens Oversight of Nation’s Poorest-Performing Nursing Homes

Primary Care Case Management in Medicaid: A Strategy for Supporting Primary Care in Rural Areas

Behavioral Health System Modernization along the Continuum

Taking Back The Business of Healthcare with Preston Alexander| E. 67

Exposing Healthcare Fraud with Jonathan Tycko| E. 68

Optimizing Healthcare for Heart Disease with HeartFlow | E. 62

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