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Palliative Care in Medicaid — Costing Out the Benefit: Actuarial Analysis of Medicaid Experience

NASHP

Palliative Care in Medicaid. Costing Out the Benefit: Actuarial Analysis of Medicaid Experience October 6, 2022/ by Elrycc Berkman, ASA, MAAA; Tim Doyle, FSA, MAAA; and Ryan Brancati. for every $1 spent on palliative care. for every $1 spent on palliative care. Background What Is Palliative Care?

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Discrepancies In Home Health Enrollment Data Raise Red Flags In Congressional Hearing

Home Health Care

Steel also pointed to a potential discrepancy in the way home health agencies are accounted for, and how HHS and the the Centers for Medicare & Medicaid Services (CMS) tracks enrollment data. The post Discrepancies In Home Health Enrollment Data Raise Red Flags In Congressional Hearing appeared first on Home Health Care News.

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

NASHP

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 100
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Getting To Know Laura Tortorella, The Next CEO Of AccentCare

Home Health Care

Also based in Dallas, Steward Health Care operates 33 hospitals across Arizona, Arkansas, Florida, Massachusetts, Ohio, Pennsylvania and Texas. It is also one of the nation’s largest accountable care organizations, according to the company’s website. ” Tortorella joins the home health industry at an interesting time. .”

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Why Accurate Cost Reporting Could Be Key To Higher Rates In Home Health Care

Home Health Care

Centers for Medicare & Medicaid Services (CMS) decides to do with its home health final payment rule , industry experts believe providers need to drastically improve their cost reporting data. Over the years, Maxim said she has seen providers cutting corners firsthand when hiring accountants to put together cost reports.

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CMS To End Hospice MA Carve-In: Insights For Home-Based Care Providers

Home Health Care

But the failure of hospice’s fit within VBID points to larger problems that exist somewhere between home-based care providers and MA plans. Along the way, hospice care and other tangential services were supposed to become a larger part of the program. VBID was designed to help modernize the MA program.

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Exploring What An Amedisys Divestment Strategy Could Look Like

Home Health Care

Those two entities alone accounted for nearly half of all 2023 MA enrollment. It also would make Optum a hospice leader – and I question just how valuable that is for UnitedHealth Group. As of December 2023, Amedisys had 165 Medicare-certified hospice care centers in over 30 states. million in net services revenue.