HIT Consultant

AUGUST 31, 2023

Adimika Arthur, Executive Director, HealthTech 4 Medicaid Manisha Sharma, Senior Medical Director, Promise Health Plan Blue Shield of California During the pandemic, Medicaid enrollment grew by nearly 30% to cover more than 93 million Americans , due in large part to COVID-19 provisions that included continuous Medicaid enrollment.

Medicaid 64

Medicaid Prevention Health Data Quality of Care 64

Home Health Care

JULY 19, 2024

This article is a part of your HHCN+ Membership The home health industry has its very own boogeyman — the bad actor. The outright fraud, where it’s very overt and purposeful, is the greatest concern,” he told Home Health Care News. We would much prefer to see a targeted capability applied,” Dombi said.

Regulations 108

Regulations Home Care Quality of Care Medicaid 108

NASHP

OCTOBER 22, 2021

Supporting the Continuum of Care for Serious Illness in Medicaid Managed Care October 25, 2021 / by Salom Teshale, Kitty Purington, Wendy Fox-Grage, and Mia Antezzo. Comprehensive care coordination. billion on chronic obstructive pulmonary disease (COPD) per year. Assessment and management of pain and other symptoms.

Medicaid 102

Medicaid Hospice Care Regulations Integration 102

Home Health Care

FEBRUARY 3, 2023

Self-directed care providers will allow seniors and people with disabilities to choose their own non-medical caregiver. Then, those chosen caregivers are generally paid out by state Medicaid programs. The dramatic rise in consumer-directed care is not just evident in the home-based care space, but in the health care world at large.

Medicaid 113

Medicaid Home Care Regulations Quality of Care 113

Home Health Care

MARCH 9, 2022

health care system has learned that home-based care companies are well-positioned to respond to unique challenges, with at-home care approaches often boosting patient satisfaction, lowering costs and improving quality of care. Over the past few years, the U.S.

Home Care 97

Home Care Regulations Urgent Care Remote Care 97

Home Health Care

JUNE 28, 2023

Riggins is a veteran of the home health space, but has been thrust into RCD given the VitalCaring’s footprint in Texas and Florida, two of the five states where the Centers for Medicare & Medicaid Services (CMS) demonstration is active. But the pre-claim really puts more of that 100% burden on you trying to obtain that affirmation.”

Home Care 89

Home Care Regulations Medicare Quality of Care 89

NASHP

JANUARY 12, 2024

Direct care workers — such as personal care and home care aides as well as certified nursing assistants — provide care services to individuals and older adults with complex needs. In 2024, people with Medicare and Medicaid coverage (i.e.,

Medicaid 64

Medicaid Nursing Accountability Integration 64

Home Health Care

JANUARY 17, 2022

starting with Choose Home. Potential cost-saving is what is attracting bipartisan support for this legislation,” Bill Dombi, president of the National Association for Home Care & Hospice (NAHC), told Home Health Care News during a recent HHCN+ TALKS episode. How NAHC views the in-home care workforce situation.

Integration 104

Integration Home Care Medicare Medicaid 104

Home Health Care

MAY 12, 2022

The appointment followed reports that Colorado’s Department of Health Care Policy and Financing and the U.S. Centers for Medicare & Medicaid Services (CMS) stopped reimbursing InnovAge for new clients. InnovAge’s plan to remediate and transform — which the company has dubbed “One InnovAge” — has three key dimensions.

Quality of Care 52

Quality of Care Regulations Medicaid Home Care 52

Home Health Care

DECEMBER 1, 2022

HHCN: Matt, what’s your background in home health and home care, for our audience who might not be familiar with your work? Wolfe : I am an attorney with the law firm Baker Donaldson and I represent health care providers across the continuum of care. That includes home health, home care and hospice providers.

Law Firms 109

Law Firms Medicare Medicaid Home Care 109

NASHP

MARCH 22, 2024

States such as Texas, Wyoming , and New Jersey are adopting Medicaid reimbursement of collaborative care services and are addressing capacity to transition to CoCM. People with COD are significantly more likely to be arrested , with a disproportionate impact on women and Black adults. An action plan dashboard tracks targets.

Medicaid 52

Medicaid Integration Primary Care Nursing 52

Home Health Care

JULY 22, 2024

Kathy Hochul last week told reporters that the state’s self-directed home care program has become a “racket.” While New York’s program – dubbed the Consumer Directed Personal Assistance Program (CDPAP) – is unique, self- and consumer-directed home care has become a much more popular model over the last few years across the country.

Home Care 87

Home Care Quality of Care Medicaid Regulations 87

Home Health Care

SEPTEMBER 25, 2024

Early trials of the model found the total cost of at-home care was 32% less than traditional hospital care, the length of stay was one-third shorter and the incidence of complications was dramatically lower. HaH can reduce hospital overcrowding and provide care that aligns with patient preferences,” O’Sullivan said. “One

Hospitals 113

Hospitals Medicare Patient Safety Nursing 113

Home Health Care

OCTOBER 9, 2023

The ensuing public health emergency acted as a catalyst that underscored the critical need for high-quality health care accessible within the comfort of one’s home. As a result, at-home care emerged as a lifeline and organizations like Axxess were ready to answer the call.

Regulations 98

Regulations Home Care Quality of Care Medicaid 98

Briggs Healthcare

AUGUST 22, 2022

In February 2022, President Biden announced a comprehensive set of reforms to improve the safety and quality of nursing home care, hold nursing homes accountable for the care they provide, and make the quality of care and facility ownership more transparent so that potential residents and their loved ones can make informed care choices. [1]

Nursing 75

Nursing Medicaid Quality of Care Medicare 75

NASHP

MAY 20, 2022

Although states can promote family caregiver services through licensure, regulation, and outreach, the most powerful policy lever that states have to increase access is funding key services and supports. Medicaid is the largest source of public funding that can be leveraged to support family caregivers.

Medicaid 115

Medicaid Nursing Hospitals Home Care 115

Sheppard Health Law

FEBRUARY 27, 2023

On February 15, 2023, the Centers for Medicare and Medicaid Services (CMS) published a proposed rule that would require nursing homes enrolled in Medicare and Medicaid to disclose new information about their ownership and management structures. Finally, CMS proposed a number of other definitions (e.g.,

Nursing 52

Nursing Medicaid Medicare Regulations 52

Briggs Healthcare

AUGUST 29, 2023

This comprehensive report (478 pages) summarizes results from the Nursing Home Staffing Study activities between May and December of 2022 and presents options for minimum nurse staffing requirements for consideration by the Centers for Medicare & Medicaid Services. Below are key findings from the Staffing Study.

Nursing 52

Nursing Medicaid Medicare Accountability 52

Home Health Care

MARCH 2, 2022

These actions were developed by the Department of Health & Human Services (HHS) through the Centers for Medicare & Medicaid Services (CMS), the White House stated. This substantial increase in federal nursing home regulation has led some providers to believe that home health could be on the Biden administration’s radar next.

Nursing 98

Nursing Home Care Regulations Quality of Care 98

Briggs Healthcare

MARCH 8, 2022

“President Joe Biden’s top Medicare official suggested Wednesday that forthcoming rules to bolster nursing home staffing won’t be issued under a mechanism, known as interim final rules, that would allow regulations to take effect more or less immediately. The quality-of-care issues are not solely found in the U.S.

Nursing 73

Nursing Home Care Regulations Medicare 73

Home Health Care

NOVEMBER 6, 2023

The reality of the funding aspect of Medicaid does not make it easy to run a business and to serve all the people that need to be served,” Mollie Gurian, VP of home-based and HCBS policy at LeadingAge, said at the organization’s annual conference in Chicago on Monday. In managed care, many providers don’t have a voice.

Medicaid 105

Medicaid Quality of Care Regulations Medicare 105

Briggs Healthcare

NOVEMBER 15, 2023

Today’s final rule includes definitions of private equity and real estate investment trusts, setting the stage for identifying whether a nursing home belongs to one of these types of owners. CMS is committed to leveraging our tools to improve safety and quality of care in nursing homes,” CMS Administrator Chiquita Brooks-LaSure said. “By

Nursing 40

Nursing Quality of Care Accountability Medicare 40