Home Health Care

OCTOBER 5, 2023

Right when I think I’ve written about the topic too much, I’m reminded again by a home health provider just how important it is. Login The post What’s On Amedisys, VitalCaring, Intrepid’s Payer-Relationship Wish Lists appeared first on Home Health Care News. I don’t think so. Sign up for HHCN+ to read this exclusive content.

Medicare 91

Medicare Home Care 91

Healthcare ECONOMIST

FEBRUARY 15, 2024

That is the topic of a U.S. Legislation to increase drug price transparency, coupled with better information about value, can help payers and consumers spend their money wisely. Senate hearing last week. One person testifying was an economist, USC Professor Darius Lakdawalla.

Pharmaceuticals 95

Pharmaceuticals 95

NASHP

MARCH 1, 2024

TOPIC: Payment and Delivery System Reform Brief / 02-06-24 CMS States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model Application Assistance Tool NASHP developed the States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model Application Assistance.

Primary Care 59

Primary Care Population Health Hospitals Medicaid 59

Etactics

APRIL 12, 2024

Table of Contents Third-Party Payers What’s a Clearinghouse? Just as insurance looks like a lot of different things, a third-party payer can look like a lot of different things. A third-party payer is any organization besides the patient that pays for healthcare services. Back to the basics. It’s a group effort. Not even close.

Healthcare 52

Healthcare Medicaid Doctors Medicare 52

Home Health Care

FEBRUARY 16, 2024

In general, the home health consulting firm SimiTree has noticed an increase in the amount of providers that have been struggling with things like unbilled claims, inaccurate primary payer selection and more, according to Lynn Labarta, vice president of post-acute revenue cycle management at SimiTree. We see this constantly.”

Home Care 103

Home Care Medicare Prevention Nursing 103

Healthcare ECONOMIST

FEBRUARY 8, 2024

Understanding the economic impacts on patients and caregivers can help payers and other decision-makers to better design plans and strategies to ultimately improve patients’ experiences and outcomes. Further, because these diseases are rare, any real world data is likely to have–by definition–a very small sample size.

Patient Experience 88

Patient Experience Healthcare 88

Home Health Care

FEBRUARY 12, 2024

NYSE: HUM) and Cigna Group (NYSE: CI) combination rumor ended late last year with the insinuation that the two massive payers couldn’t agree to a price tag. Many payers are under pressure due to rising utilization, slowing growth, and changes to the Medicare Advantage (MA) program.” For instance, the Humana Inc.

Nursing 84

Nursing Home Care Medicare Healthcare 84

p3care

AUGUST 7, 2023

Also, Medicare is the primary payer for healthcare facilities in the US. Before moving on to our topic, let’s have a short overview of some RCM key performance indicators! Therefore, we can’t overlook the significance of Clinical Documentation Improvement (CDI) at all.

Regulations 246

Regulations Accountability Medicare Healthcare 246

HIT Consultant

JULY 11, 2023

Sarah Reilly, SVP, Product and Strategy, Lucet The growing demand for behavioral healthcare in America is putting a serious strain on both payers and providers with no signs of slowing down anytime soon. Vendors and data scientists can work with payers to create algorithms that further optimize care. adults has a mental illness.

Healthcare 75

Healthcare 75

Health Business Group

JUNE 29, 2023

We also take a look at the contemporary trends for employers and payers, and how digital health benefits are evaluated today. This episode also covers the hot topic of digital tools vs coaches and how Dario Health approaches it.

Integration 52

Integration Healthcare 52

HIT Consultant

APRIL 26, 2023

The topics that dominated the conference included teasing out the nuanced approach to safely deploying Chat GPT/AI into the industry (and when not to), health equity, and the patient journey. Artificial intelligence/machine learning and the power of what it can do was another key topic of discussion at HIMSS.

Life Sciences 98

Life Sciences Remote Care Performance improvement Healthcare 98

Healthcare ECONOMIST

JUNE 16, 2023

” The article also cites the well-known issue that commercial payers may not be able to internalize the benefits of any AD treatment. …a private insurer may not want to cover an expensive but effective early-stage intervention for AD (e.g., One study ( Hurd et al. You can read the whole article here.

Home Care 98

Home Care Pharmaceuticals Nursing Medicaid 98

HIT Consultant

OCTOBER 19, 2023

” Rhonda Gibler, Chief Sales Officer, Carenet Health “The conference included discussions on many important, relevant topics in the industry today. The home is becoming the new clinic, ED, or hospital, and roles throughout the healthcare system are evolving to accommodate this shift.” AI has long been a buzzword in the industry.

Home Care 104

Home Care Healthcare Hospitals 104

Bookzurman

SEPTEMBER 29, 2021

CMS won't take enforcement action for payer-to-payer data exchange in May interoperability rule. Healthcare Topics. New health record data standard adoption remains stagnant, ONC finds. Defense Logistics Agency Is Building an EHR to Track Occupational Health. iOS 15 will give doctors a window into Apple Health app data.

Health Data 78

Health Data Doctors Integration Healthcare 78

p3care

JUNE 21, 2023

It will educate you about topics like: What documentation do you need? It contains important information about Medicare’s policies and guidelines for different healthcare services, including chiropractic care. If you’re a chiropractor, it’s a good idea to check the MBPM for detailed information. Which services are covered?

Medicare 130

Medicare Prevention Healthcare Providers Healthcare 130

Briggs Healthcare

AUGUST 7, 2023

Due to the declining numbers of beneficiaries with Medicare FFS benefits, collecting data on all residents, regardless of payer, supports CMS’ mission to ensure quality care for all individuals and provides the most robust and accurate representation of quality in the SNF setting.

Medicare 40

Medicare Quality of Care Medicaid Nursing 40

Healthcare ECONOMIST

APRIL 25, 2023

To combat rising costs, payers have turned to white, brown and clear bagging as well as approaches to restrict the site of care where patients receive specialty drugs. Analysis of the impact of white bagging on payers and patients will be discussed later in this paper. of total prescription drug expenditure.

Hospitals 72

Hospitals Patient Safety Accountability Pharmaceuticals 72

Healthcare It News

OCTOBER 6, 2022

His advice to providers and payers on how to address topics for their patients or members: "You have to find that balance between accuracy and evidence-based information but also being engaging and understandable for that patient," he said. He also advises using visual metaphors to explain complex topics.

Primary Care 205

Primary Care Healthcare Doctors Hospitals 205

HIT Consultant

MARCH 17, 2024

healthcare system contributes to administrative waste and $265 billion in unnecessary costs, according to Drug Topics. As payers and providers face increasing pressure to enhance quality care outcomes while lowering costs, leveraging data both prospectively and retrospectively is critical – and AI makes that possible at scale.

Quality Improvement 64

Quality Improvement Medicare Quality of Care Regulations 64

Home Health Care

FEBRUARY 21, 2023

As such, Grabowski is in a position to offer insights on a variety of topics that are top of mind for home health care providers, among others. This is one of the real points that needs to be understood, we can’t look at all payers. Looking at the margins, they were incredibly healthy from Medicare.

Medicare 82

Medicare Nursing Medicaid Home Care 82

NASHP

JULY 29, 2022

IHS providers are authorized to bill third-party payers and collect reimbursements from third-party payers, including Medicaid (by the Indian Health Care Improvement Act , made permanent by the ACA). When a topic arises that pertains to a specific population subgroup, OIFA staff engage representatives from that population.

Medicaid 128

Medicaid Prevention Medicare Integration 128

Home Health Care

JUNE 29, 2022

Providers went from shying away from the topic, to discussing it on background, to taking the microphone and more or less rallying their peers to fight back. Payers have star ratings too, just like in home health,” Wanda Coley, the VP of strategy and execution at UnitedHealth Group (NYSE: UNH), said on a webinar hosted by Forcura. “We

Medicare 90

Medicare Home Care Healthcare 90

HIT Consultant

JUNE 12, 2022

As the healthcare system continues to evolve to adopt a more patient-centric approach, surprise billing has become a topic discussed by consumers and policymakers. With the passage of the No Surprises Act, a large book of new regulations and requirements for healthcare providers and payers was handed down in an effort to protect patients.

Regulations 98

Regulations Medicare Patient Experience Medicaid 98

Home Health Care

JUNE 7, 2022

Particularly in Tennessee, where HomeFirst is based, MA is taking over as the dominant payer, HomeFirst President and CEO Jim Happ told Home Health Care News. And it’s not just Medicare Advantage, either, but also other commercial insurance payers as well which pay the same way – on a per-visit basis,” Happ said. “If

Medicare 98

Medicare Healthcare 98

Health Populi

JUNE 23, 2022

An hour after the Morning Consult session, I brainstormed the topic of consumers-as-payers of medical bills and prescription drugs with GoodRx strategy leaders. In my data wonkiness, inflation certainly played a starring role in setting the stage for Mind, Body and Wallet — the title of one of the sources of my plotline. (The

Accountability 115

Accountability Medicare Hospitals Healthcare 115

Healthcare ECONOMIST

FEBRUARY 7, 2023

That is the topic of a recent Health Affairs article by Chernew and Berquist. Paying for value is good in theory; but is it feasible to measure quality in a valid way in the real-world and link to reimbursement in a manner that is not burdensome to payers, providers and patients?

Measurable Quality 92

Measurable Quality Telemedicine Medicare Hospitals 92

Home Health Care

MARCH 12, 2024

Afterward, in a one-on-one, I got to lean more into those home health topics. How do you plan on showing that worth to Humana, and then to other payers? And I think the payer involvement in home health is a recognition of that, one that will continue to evolve. And much more. That it’s a preventative service.

Primary Care 104

Primary Care Medicare Home Care Nursing 104

Etactics

MARCH 13, 2024

This allows payers to decide how a person will handle their payment responsibilities. For example, payers can determine which plan has the primary payment responsibility and how the other plans can contribute. It also coordinates the payment process and makes sure that the primary payer is the first to pay.

Regulations 52

Regulations Accountability Doctors Medicare 52

Home Health Care

MARCH 13, 2024

The topic of the hearing is especially pressing because individuals living in rural communities often face barriers that prevent them from receiving adequate care. The House of Representatives’ Ways and Means Committee held a hearing Tuesday focused on enhancing access to care-at-home in rural and underserved communities.

Hospitals 92

Hospitals Medicare Prevention Primary Care 92

Home Health Care

MARCH 10, 2023

Also top of mind for Allison is the continuing ability to keep turnover rate down and payer diversification. Home Health Care News recently caught up with Allison, who expanded on these topics and more during the course of the conversation. How important is payer diversification to Addus? What are you doing to move towards this?

Medicaid 94

Medicaid Nursing Integration Home Care 94

Home Health Care

MAY 11, 2023

That, and other questions provoked by the Amedisys-Option Care Health deal, are the topic of this week’s exclusive, members-only HHCN+ Update. – We are focused on operating this company and executing on our payer innovation strategy, as well as our recruitment and retention strategy. That’s really all we can say.”

Medicare 85

Medicare Hospitals Healthcare 85

Home Health Care

AUGUST 2, 2023

We are making progress integrating these multi-payer companies to create meaningful value,” CVS Health CEO Karen Lynch said on the call. “We While the company’s leaders have mentioned in the past that more home-based care transactions could take place in the future , Lynch and Guertin did not touch on the topic on Wednesday’s call.

Primary Care 77

Primary Care Home Care Integration 77

HIT Consultant

JULY 26, 2023

Patty Hayward, GM of Healthcare and Life Sciences at Talkdesk Generative artificial intelligence (AI) arguably is the hottest topic today in the world of business and technology. Fortunately, there is one area of healthcare where generative AI can help providers and payer organizations today: the contact center.

Healthcare 98

Healthcare Life Sciences Population Health Accountability 98

Health Advances

APRIL 4, 2023

Design teams tackled women’s health topics including gynecologic health, menopause, ageing, education, and AI. Navigating a landscape with scarce funding requires fluctuation in business models, which often begin as D2C to obtain proof of concept before payer involvement. primary care, obstetrics, fertility, and menopause).

Primary Care 52

Primary Care 52

Bill Of Health

JANUARY 4, 2022

The selections feature topics ranging from an analysis of cost-effectiveness studies of oncology drugs approved between 2015 and 2020, to payer-specific negotiated prices for prescription drugs at top-performing US hospitals, to an assessment of access to COVID-19 vaccines in countries where they were tested. 2021 Nov;599(7884):181.

Medicare 78

Medicare Regulations Hospitals Pharmaceuticals 78

Lexis Nexis

JUNE 5, 2023

Adam brings more than 20 years of clinical, technical, and legal experience across the provider, payer and pharmaceutical industries and was previously the head of global strategic operations at IQVIA in their Integrated Health Practice.

Life Sciences 52

Life Sciences Integration Nursing Pharmaceuticals 52

Sequence Health

FEBRUARY 15, 2023

Reduce Billing Mistakes The topic of medical insurance verification is becoming more common. Proper Organization Of Payer Details Your healthcare support team should understand your processes and payer contracts on a deep level. Ultimately that will allow you to grow your practice while serving more patients.

Quality Assurance 52

Quality Assurance Private Practices Medicare Medicaid 52