article thumbnail

UConn Health squares away CMS audit trail and more with digital health platform

Healthcare It News

" MEETING THE CHALLENGE UConn Health went live on the platform in early August 2023, and it is in active use by patients and more than 60 MSK surgeons, care team members and clinical practice leaders for spine, arthroplasty, sports and foot/ankle care. Another aspect of this approach is reimbursement.

article thumbnail

Improving Oral Health Access through Managed Care Quality Initiatives in Pennsylvania

NASHP

States are engaged in a variety of efforts to improve oral health access as part of improving overall health outcomes for Medicaid members. Medicaid managed care contracting provides a pathway for states to use performance-based measurement, payment, and other incentives to improve care delivery. CMS 416 preventative services.

Insiders

Sign Up for our Newsletter

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

article thumbnail

A ‘Persistence of Patient Harm’: Hospital Failures Highlight Need for Home-Based Care Investments

Home Health Care

Additionally, physician-reviewers determined that 43% of the harm events could have been prevented if patients had been provided better care. A similar OIG effort in 2010 found that 27% of hospitalized Medicare patients experienced harm during stays in October 2008, with nearly half of those events preventable.

article thumbnail

From Evolution to Innovation, from Health Care to Health: How Health Plans With Collaborators Are Re-Defining the Industry

Health Populi

Health plans are designed to provide a range of medical services, preventive care, and financial protection against the costs of healthcare. The response: A health plan is a comprehensive package of healthcare services and coverage that helps individuals or groups manage and finance their healthcare needs.

article thumbnail

HEDIS® Public Comment Period Is Now Open

NCQA

HEDIS measures do not constitute clinical practice guidelines, and should not be used to determine insurance or coverage. Health plans have an important role in providing services to prevent adverse outcomes and ensure proper care coordination during the post-surgical period.

article thumbnail

AI-Powered Pop Health and SDOH – The Good, The Bad and The Best Practices

HIT Consultant

SDOH for this group is both a contributing factor to disease and an obstacle to effectively closing gaps in treatment and prevention. . Sand , MD, MBA, ZeOmega’s Chief Medical Officer, provides clinical direction on product development, positioning, and relevance for the company’s evolving markets.

article thumbnail

Public Health Modernization Toolkit: Key Commitments, Priorities, and Strategies to Advance Collaboration between Public Health and Health Systems

NASHP

This feedback, along with state-collected health data, helped shape Oregon’s five priority areas : institutional bias; adversity, trauma, and toxic stress; behavioral health; access to equitable preventive services; and economic drivers of health.