Home Health Care

JUNE 1, 2023

The study — done in conjunction with the nonprofit hospital system Hoag Hospital — was conducted between 2021 and 2023. According to data from Hoag Orthopedic Institute (HOI), traditional home health PT for post-surgical rehabilitation in 2021 accounted for 10.4% of the total episode cost for the health network.

Physical Therapy 90

Physical Therapy Rehabilitation Quality of Care Accountability 90

Briggs Healthcare

JUNE 21, 2023

However, the CMS/ASPE prototype includes adjusters that account for cost differences across the four settings. Monitoring provider responses to the new payment system would help CMS identify potential refinements to the design that would help ensure quality of care and beneficiary access.

Medicare 52

Medicare Rehabilitation Accountability Quality of Care 52

Etactics

DECEMBER 1, 2023

Level I focuses on codes that report services and procedures performed to payers by physicians, non-physician practitioners, hospitals, laboratories, and outpatient facilities. C Codes - Temporary outpatient hospital prospective payment system. H Codes - Rehabilitative services. B Codes - Enteral and parenteral therapy.

Medicare 52

Medicare Medicaid Medical Services Prevention 52

NASHP

MARCH 22, 2024

North Carolina’s InCK program , led by Duke University and the University of North Carolina at Chapel Hill, brings together partners from Medicaid, behavioral health, child welfare, juvenile justice, education, Title V, mobile crisis, and more to coordinate care and address the health and social needs of children in five counties.

Medicaid 52

Medicaid Integration Primary Care Nursing 52

NASHP

OCTOBER 20, 2022

For example, the Centers for Medicare & Medicaid Services Innovation Center is currently supporting the Integrated Care for Kids (InCK) model across seven sites in six states. This model aims to improve quality of care for children, including CYSHCN, through integrated care delivery systems that include care coordination.[12].

Medicaid 98

Medicaid Integration Quality Improvement Accountability 98

Sheppard Health Law

NOVEMBER 13, 2023

A chronically ill enrollee is defined as an MA member with one or more complex chronic conditions, who is at risk for hospitalization or other adverse health outcomes, and who requires intensive care coordination.

Medicare 59

Medicare Medicaid Regulations Integration 59

NASHP

JUNE 22, 2022

This section of the guide outlines considerations, examples, and resources for: Identifying stakeholders and establishing partnerships across care coordination and child-serving systems. Assessing care coordination system capacity, gaps, and process improvements. Financing care coordination systems. Meet quality requirements.

Care Transition 52

Care Transition Medicaid Doctors Regulations 52