Healthcare Success

JULY 5, 2022

You're selling a product or service regulated by the state (or county). Traditional fee for service, accountable care, concierge service, HMOs, cash-only vs. private insurance-only vs. You’re selling a product or service with significant state or local competition.

Doctors 154

Doctors Private Practices Accountability Hospitals 154

Health Blawg

JANUARY 16, 2019

Hey, coordinated care is a good idea. The first RFI to issue was the one seeking input on the regulations implementing the Stark law and the federal anti-kickback statute (See: Stark and AKS RFI and public comments ). The original HIPAA regulations were drafted by HHS in the absence of any particular statutory framework.

Regulations 60

Regulations Health Data Accountability Healthcare 60

Health Blawg

JANUARY 16, 2019

Hey, coordinated care is a good idea. The first RFI to issue was the one seeking input on the regulations implementing the Stark law and the federal anti-kickback statute (See: Stark and AKS RFI and public comments ). The original HIPAA regulations were drafted by HHS in the absence of any particular statutory framework.

Regulations 60

Regulations Health Data Accountability Healthcare 60

NASHP

MAY 10, 2024

Practices participating in the Medicare Shared Savings Program (MSSP) or the Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) (CMS released guidance on model overlaps with these and other programs and AHEAD.)

Primary Care 52

Primary Care Medicaid Medicare Integration 52

Health Dialog

JUNE 16, 2016

The latest FDA rule , which will take effect August 8 th this year, extends regulations to include all tobacco products, including e-cigarettes (also called electronic cigarettes or electronic nicotine delivery systems (ENDS)), dissolvables, hookah tobacco, cigars, pipe tobacco, and any novel or future tobacco products.

Prevention 40

Prevention Regulations Accountable Care Population Health 40

NASHP

MAY 26, 2022

HCA has certified PDAs for end-of-life care, cardiac care, cancer screening, total joint replacement, spine care, maternity and labor/delivery. Washington’s certification process for PDAs involves the Health Care Authority identifying a priority area and calling for submissions for PDA certifications.

Patient Experience 52

Patient Experience Medicaid Accountable Care Regulations 52

NASHP

DECEMBER 10, 2021

ACO Accountable Care Organizations. CBCM Community Based Care Management Program. There are currently some Accountable Care Organizations (ACOs) that cover the cost of CHW services through Medicaid administrative payments. The Code of Maryland Regulations (COMAR) 10.68.01 Acronym Guide.

Medicaid 121

Medicaid Primary Care Prevention Nursing 121

NASHP

OCTOBER 20, 2022

High-quality, integrated care requires strong system-level partnerships, information and data sharing, and family-centered practices. Yet, states often face barriers to integrated care including a lack of trust across agencies, privacy regulations that may hinder data sharing, and misaligned eligibility, enrollment, and referral systems.

Medicaid 98

Medicaid Integration Quality Improvement Accountability 98

Sheppard Health Law

MAY 9, 2023

While not as onerous as the original proposal, the new notice and disclosure process will result in greater (1) transparency into financial investor involvement in health care entities, and (2) access to data on health care transactions in light of health equity considerations that are becoming a greater focus in the industry.

Regulations 52

Regulations Accountable Care Accountability Medical Services 52

NASHP

NOVEMBER 12, 2021

If not, policymakers may consider defining it in regulation.]. Any affiliation, arrangement, or contract that results in a change of control for a health care entity. Note: Policymakers may need to define some of these terms and specify how they are to be calculated in regulation. Section 2: Notice. (A)

Regulations 52

Regulations Rehabilitation Accountable Care Hospitals 52

NASHP

NOVEMBER 29, 2021

There are currently some Accountable Care Organizations (ACOs) that cover the cost of CHW services through Medicaid administrative payments. State Agencies (Vermont Department of Health and Department of Vermont Health Access) and Accountable Care Organization (OneCare Vermont), as well as other community-based organizations. .

Medicaid 52

Medicaid Primary Care Prevention Nursing 52

HIT Consultant

JANUARY 20, 2023

The TNAP program is designed to accommodate stakeholders that will exchange data, including QHINs, other health information networks, health information exchanges, accountable care organizations, data registries, labs, providers, payers, vendors, and suppliers.

Health Data 98

Health Data Accountable Care Accountability Healthcare 98

NASHP

OCTOBER 16, 2023

Washington defines the coverage in regulation and details it in a billing guide. Providers wishing to offer PPC must be licensed as a hospice provider and receive approval to provide the palliative care service from the Medicaid agency. EPSDT services are only available to Medicaid beneficiaries under age 21.)

Medicaid 52

Medicaid Medicare Regulations Accountable Care 52

Healthcare It News

NOVEMBER 15, 2021

Thanks to new regulations from the government and subsequent new rules from commercial payers, telemedicine services are being reimbursed. When it comes to the COVID-19 pandemic and health IT, if there's just one thing that everyone can agree on, it's that telehealth has gone mainstream. " Hospital-at-home.

Telemedicine 360

Telemedicine Hospitals Nursing Health Technology 360

Accountable Care Doctors

OCTOBER 21, 2020

“Doing more procedures is not the answer to quality care — it is building a system and a culture that puts the resources of the entire team at play in the correct way.”. We can take the time to have the important conversations about patient goals, including those about end-of-life care that were so important during the pandemic.

Primary Care 59

Primary Care Integration Remote Care Population Health 59

Health Blawg

APRIL 8, 2018

All-payor ratesetting in Maryland, we recently learned, turned out to be not everything it was cracked up to be (I came of age as a health care lawyer and regulator in the former People’s Republic of Massachusetts under similar all-payor ratesetting rules). How do we integrate lessons from the past and present?

Primary Care 60

Primary Care Integration Urgent Care Pharmaceuticals 60

Health Blawg

APRIL 8, 2018

All-payor ratesetting in Maryland, we recently learned, turned out to be not everything it was cracked up to be (I came of age as a health care lawyer and regulator in the former People’s Republic of Massachusetts under similar all-payor ratesetting rules). How do we integrate lessons from the past and present?

Primary Care 60

Primary Care Integration Urgent Care Pharmaceuticals 60

Health Blawg

APRIL 8, 2018

All-payor ratesetting in Maryland, we recently learned, turned out to be not everything it was cracked up to be (I came of age as a health care lawyer and regulator in the former People’s Republic of Massachusetts under similar all-payor ratesetting rules). How do we integrate lessons from the past and present?

Primary Care 60

Primary Care Integration Urgent Care Pharmaceuticals 60

Health Blawg

APRIL 8, 2018

All-payor ratesetting in Maryland, we recently learned, turned out to be not everything it was cracked up to be (I came of age as a health care lawyer and regulator in the former People’s Republic of Massachusetts under similar all-payor ratesetting rules). How do we integrate lessons from the past and present?

Primary Care 60

Primary Care Integration Urgent Care Pharmaceuticals 60

Health Blawg

APRIL 8, 2018

All-payor ratesetting in Maryland, we recently learned, turned out to be not everything it was cracked up to be (I came of age as a health care lawyer and regulator in the former People’s Republic of Massachusetts under similar all-payor ratesetting rules). How do we integrate lessons from the past and present?

Primary Care 60

Primary Care Integration Urgent Care Pharmaceuticals 60

Health Blawg

APRIL 8, 2018

All-payor ratesetting in Maryland, we recently learned, turned out to be not everything it was cracked up to be (I came of age as a health care lawyer and regulator in the former People’s Republic of Massachusetts under similar all-payor ratesetting rules). How do we integrate lessons from the past and present?

Primary Care 60

Primary Care Integration Urgent Care Pharmaceuticals 60

Health Blawg

APRIL 8, 2018

All-payor ratesetting in Maryland, we recently learned, turned out to be not everything it was cracked up to be (I came of age as a health care lawyer and regulator in the former People’s Republic of Massachusetts under similar all-payor ratesetting rules). How do we integrate lessons from the past and present?

Primary Care 60

Primary Care Integration Urgent Care Pharmaceuticals 60

Health Populi

MAY 22, 2018

The recent announcement of the prescription drug cost regulation blueprint, “American Patients First,” speaks to President Trump’s and Secretary Azar’s focus on regulatory reforms targeting the prices of medicine. Last year’s rate of growth was 4.6%.

Accountable Care 91

Accountable Care Hospitals Accountability Regulations 91

HIT Consultant

APRIL 7, 2023

HIPAA, GDPR regulations), data privacy risks (ie, that extend beyond the regulations), reputational risks (e.g., FL also requires hospitals and researchers to work closely together to ensure that data is shared in a way that is both secure and compliant with regulations.

Hospitals 52

Hospitals Life Sciences Integration Accountability 52

Home Health Care

MAY 23, 2022

Out of those creations came the Biden administration’s accountable care organization (ACO) “REACH” Model, which stands for “Realizing Equity, Access and Community Health.” The third, the Geographic Direct-Contracting Model, was completely done away with.

Medicare 119

Medicare Accountable Care Accountability Doctors 119