Sheppard Health Law

NOVEMBER 13, 2023

On November 6, 2023, the Centers for Medicare and Medicaid Services (“CMS”) released the contract year 2025 proposed rule for Medicare Advantage (“MA”) organizations and Part D sponsors (the “Proposed Rule”). The UM committee was established in April 2023 in the 2024 Medicare Advantage and Part D Final Rule (CMS-4201-F).

Medicare 59

Medicare Medicaid Regulations Integration 59

HIT Consultant

NOVEMBER 16, 2022

Edifecs and Empowered-Home announced a partnership to provide automated prior authorizations to medical associations, Accountable Care Organizations (ACOs), Independent Physician Associations (IPAs), medical groups, and home healthcare agencies. MEDITECH, SeamlessMD Collaborate on Digital Health Integration.

Physical Therapy 98

Physical Therapy Integration Accountable Care Rehabilitation 98

Healthcare ECONOMIST

JANUARY 14, 2022

Before the merger, NYULH consisted of a multispecialty academic acute care hospital (450 beds) and a specialized orthopedic, rheumatic, and neurologic treatment and rehabilitation hospital (190 beds). To account for changes in patient mix, the authors control for patient demographics, insurance type, DRG mix, and Elixhauser comorbidities.

Hospitals 61

Hospitals Rehabilitation Quality Improvement Accountability 61

Healthcare Success

NOVEMBER 7, 2022

Level up your game if you seek Medicare Advantage members. As you likely already know, Medicare Advantage is growing, and the landscape is becoming more competitive. Take the leap with integrated marketing . Reassess compensation packages often to ensure they remain competitive.

Doctors 130

Doctors Integration Healthcare Nursing 130

HIT Consultant

JUNE 16, 2023

can deliver an elevated experience for both clinicians and patients by offering health systems integrated solutions combining care.ai’s Smart Care Facility Platform with Samsung’s healthcare-grade displays. Pearl Health and Story Health partner to improve treatment for Medicare patients suffering from cardiovascular disease.

Physical Therapy 52

Physical Therapy Primary Care Rehabilitation Medicare 52

NASHP

OCTOBER 20, 2022

The “National Forum on Advancing High-Quality, Equitable Care Coordination for Children and Youth with Special Health Care Needs” centered on two key topics for improving care coordination systems for CYSHCN: integrated care coordination and the care coordination workforce.

Medicaid 98

Medicaid Integration Quality Improvement Accountability 98

NASHP

MARCH 22, 2024

It includes examples from various states organized by the framework buckets: integrated primary and behavioral health care, crisis continuum of care, in-home and in-community based, and out-of-home and community. States have a range of tools and policy levers at their disposal to build capacity for integrated behavioral health approaches.

Medicaid 52

Medicaid Integration Primary Care Nursing 52