Remove Accountability Remove Nursing Remove Quality of Care Remove Rehabilitation
article thumbnail

Study: In-Home Outpatient PT Reduces Costs By 52% Compared To Traditional Home Health Services

Home Health Care

“Home health has a very important value,” Palak Shah, Luna’s co-founder and head of clinical services, told Home Health Care News. They have lots of different services: physical therapy, occupational therapy, speech, nursing, etc. Whereas Luna primarily delivers physical therapy. of the total episode cost for the health network.

article thumbnail

June 2023 MedPAC Report to the Congress: Medicare and the Health Care Delivery System

Briggs Healthcare

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.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

HCPCS vs CPT: Everything You Need to Know

Etactics

H Codes - Rehabilitative services. R0070 - The transportation of personnel and portable X-ray equipment to nursing homes or other residency. These codes provide data about the quality of care given. C Codes - Temporary outpatient hospital prospective payment system. D Codes - Dental procedures. Anesthesia. Laboratory.

article thumbnail

National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN): Proceedings from the National Forum on Care Coordination for CYSHCN

NASHP

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].

article thumbnail

Behavioral Health System Modernization along the Continuum

NASHP

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.

article thumbnail

CMS Promotes Competition, Transparency, Health Equity and More in the CY2025 Medicare Advantage and Part D Proposed Rule

Sheppard Health Law

Thus, beginning in 2025, the FMV would be increased to account for administrative payments included under the compensation rate, beginning at $31 and updated annually. 2] A NOMNC ordinarily outlines the appeal process as well as a deadline by which an enrollee should submit his/her appeal. [3]

article thumbnail

National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN) Implementation Guide

NASHP

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.