HIT Consultant

OCTOBER 18, 2023

Hilton Hudson, MD, FACS, and CEO of HPC International In May 2022, a California doctor was sentenced to nearly eight years in prison for his involvement in a $12 million Medicare fraud scheme. million in reimbursements from Medicare over a three-year period. He received $4.5

Regulations 105

Regulations Accountable Care Prevention Medicare 105

Healthcare It News

APRIL 28, 2022

Magnolia Regional is dedicated to empowering its providers with innovative technologies that support their ability to provide the highest quality of care to patients.

Hospitals 221

Hospitals Medicare Primary Care Quality of Care 221

Health Populi

MAY 10, 2022

Among people 50 and over, the doctor’s visit for routine care is the top reason for using virtual care, among 2 in 3 older people. That’s an important behavior change to take into future planning for primary care services targeted to older peoples’ chronic care management and remote health monitoring.

Doctors 123

Doctors Primary Care Medicare Quality of Care 123

HIT Consultant

MARCH 28, 2023

It’s a question that has significant implications for quality of care as well as cost. In addition, the complexities associated with finding the appropriate follow-up care for patients’ behavioral health needs create “a cycle of ED help-seeking behaviors and mental states that worsen with early discharge,” researchers say.

Quality of Care 98

Quality of Care Population Health Hospitals Medicaid 98

Health Populi

FEBRUARY 22, 2022

There’s more evidence that doctors and patients, both, want to use telehealth after the COVID-19 pandemic fades. Doximity’s second report on telemedicine explores both physicians’ and patients’ views on virtual care, finding most doctors and health consumers on the same page of virtual care adoption.

Telemedicine 77

Telemedicine Doctors Primary Care Quality of Care 77

Etactics

JANUARY 26, 2024

Quality of care. These include capitation, value-based reimbursement, and episodes of care/bundled payments. It is also a term applied to traditional Medicare. This helps distinguish it from Medicare managed-care plans, as well as any other new payment systems there might be. Cost containment.

Healthcare 52

Healthcare Primary Care Medicare Healthcare Providers 52

Etactics

JANUARY 31, 2024

Regarding a fee-for-service practice, think of quantity over quality. This means that the doctor or healthcare provider receives payment for each service they perform. Not much later down the line, value-based care threw itself into the mix. For value-based care think the opposite of fee-for-service: quality over quantity.

Quality of Care 52

Quality of Care Doctors Healthcare Providers Healthcare 52

NASHP

NOVEMBER 3, 2023

During this legislative session, several states acted on market oversight, ranging from reporting of transactions to modification of existing laws to evaluate transactions for impact on costs, prices, equity, access, and quality of care.

Hospitals 73

Hospitals Medicaid Quality of Care Medicare 73

Briggs Healthcare

MARCH 20, 2023

and Jonathan Blum, Centers for Medicare & Medicaid Services – names you may recognize from CMS National Stakeholder Calls. As the nation’s largest payer for health care, the Centers for Medicare & Medicaid Services’ (CMS) mission in our National Quality Strategy includes ensuring everyone is safe when they receive care.

Patient Safety 40

Patient Safety Medicaid Medicare Quality of Care 40

Health Populi

AUGUST 25, 2020

In the Fear of Going Out Era spawned by the COVID-19 pandemic, many patients were loath to go to the doctor’s office for medical care, and even less keen on entering a hospital clinic’s doors. Quality of care not as good as in-person (among 67% of older people). 24% had privacy concerns. .”

Primary Care 171

Primary Care Telemedicine Doctors Hospitals 171

Home Health Care

SEPTEMBER 7, 2021

The health care industry now has powerful tools it can apply toward at-home health care,” Cox wrote in the op-ed. Louisville, Kentucky-based Humana is one of the largest Medicare Advantage (MA) insurers in the country. It is also one of the largest providers of home health care through its $8.1

Urgent Care 92

Urgent Care Primary Care Quality of Care Patient Experience 92

Health Populi

JULY 13, 2020

The top areas garnering greatest net positive responses for technology impacts were information management and sharing; quality of care; prevention; and satisfaction, closely followed by efficiency. The Medicare Trust Fund is financed by payroll taxes, general tax revenue, and the premiums enrollees pay. of the U.S. of the U.S.

Primary Care 106

Primary Care Medicare Accountability Hospitals 106

Health Populi

NOVEMBER 19, 2019

Consumers make personal clinical decisions that can be against “doctor’s orders” and shop for health care at another provider site that can be less costly and/or have better consumer reviews or word-of-mouth (with 4 in 5 consumers traveling past the closest hospital to one further away due to a better reputation).

Healthcare 68

Healthcare Ambulatory Care Doctors Hospitals 68

Etactics

APRIL 26, 2024

For example, the payer agreement between a healthcare provider and an insurance company such as Blue Cross and Blue Shield is going to be different from the payer agreement between a healthcare provider and a government-funded agency such as Medicare or Medicaid. These contracts can cover a lot of information.

Healthcare Providers 52

Healthcare Providers Quality of Care Medical Services Healthcare 52

Etactics

DECEMBER 1, 2023

Did you know that poor billing practices cause American doctors to lose around $125 billion each year ? However, Medicare and other insurance cover a variety of different services and supplies, some of which aren’t identified by CPT codes. A9270 - Use if a service is not covered by Medicare or Medicaid. Anesthesia. Laboratory.

Medicare 52

Medicare Medicaid Medical Services Prevention 52

GoMoHealth

JULY 7, 2021

It’s clear that patients are clamoring for better-quality treatment and one of the answers to these pleas has been the advent of value-based care. Simply put, value-based care seeks to reduce spending while improving treatment outcomes. Advantages of Value-Based Care.

Healthcare Providers 74

Healthcare Providers Integration Quality of Care Accountability 74

Health Populi

NOVEMBER 1, 2018

Whether retail clinics, telehealth, or asynchronous physician visits via mobile health apps — consumers’ adoption of these sites, away from traditional brick-and-mortar doctors’ offices and ambulatory care clinics, has hovered around 10%, Oliver Wyman gauges in this report. This survey was conducted among 2,509 U.S.

Healthcare Providers 69

Healthcare Providers Healthcare Doctors Ambulatory Care 69

Briggs Healthcare

JULY 1, 2022

The overall policy goal of this proposed rule is to establish Conditions of Participation (CoPs) to ensure the health and safety of patients who will receive REH services in the most efficient manner possible, while taking into consideration the access and quality of care needs of an REH’s patient population. Critical Access Hospitals.

Performance improvement 52

Performance improvement Hospitals Nursing Prevention 52

Icanotes

MARCH 15, 2021

A doctor can also educate patients using telehealth. Having patients fill out questionnaires virtually that they would usually complete in-office is one way to demonstrate the effectiveness and measure the quality of care. Using telehealth, a clinician can offer patients therapy individually or in a group setting.

Telemedicine 98

Telemedicine Regulations Doctors Quality of Care 98

Health Populi

JULY 10, 2020

As a sign of satisfaction, 70% of consumers would be likely (very or extremely) to recommend virtual care to friends or colleagues. Among satisfaction deflectors were perceived quality of care, an impersonal experience, and technical issues.

Urgent Care 111

Urgent Care Primary Care Doctors Quality of Care 111

HIT Consultant

OCTOBER 26, 2021

As patients move from the acute to post-acute care setting, they are often discharged without the proper tools to successfully support their transition of care. In fact, 57% of Medicare patients are released from the hospital without any post-discharge monitoring. Continue to lead with patient-first choices .

Remote Care 52

Remote Care Healthcare Doctors Primary Care 52

Home Health Care

DECEMBER 1, 2022

I personally think that certificate of need laws are helpful and important for ensuring that we have home health agencies that are of sufficient size and take care of a sufficient census of patients so that they can meet the rigorous Medicare conditions of participation and can provide quality care. Payer engagement.

Law Firms 110

Law Firms Medicare Medicaid Home Care 110

Patient Safety Movement

SEPTEMBER 11, 2023

To get patients to promote their own healthcare and indeed quality of care, you’ve got to give them the basic building blocks,” she says. If you hold back information about the individual, you’re exerting a kind of power over them, and makes them feel like the least important person in the doctor-patient relationship.

Patient Safety 86

Patient Safety Doctors Hospitals Healthcare 86

Patient Safety Movement

JULY 25, 2023

Technology is enabling the determination of this data, using electronic medical record trigger tools, as reported by the Office of the Inspector General last year on Medicare patients and David Bates in a New England Journal of Medicine article on Massachusetts hospitals earlier this year.¹ We need this change NOW! Michael A.E.

Patient Safety 52

Patient Safety Prevention Hospitals Doctors 52

Patient Safety Movement

NOVEMBER 1, 2022

Of particular concern, according to the article, “even if doctors recommend genetic testing, they may lack the expertise to determine which tests people need and how to interpret the results. Research has shown sufficient, high-quality staffing is closely linked to the quality-of-care residents receive.

Patient Safety 52

Patient Safety Nursing Hospitals Accountability 52

HIT Consultant

OCTOBER 14, 2021

In July of this year, CMS began enforcing a requirement for health plans that offer Medicare/Medicaid services to deliver clinical data to their members over smart phones. So, high quality, accurate data will be an imperative for member satisfaction. Jim Fitzgerald, Executive VP & Chief Strategy Officer, CloudWave.

Urgent Care 98

Urgent Care Healthcare Medicare Integration 98

Icanotes

MARCH 9, 2022

If a patient has an insurance plan with parity that would grant them unlimited medical visits in person, they have the right to equal treatment and care for their condition through telemedicine and telehealth. The Medicare Telehealth Parity Act of 2017 expanded telehealth coverage to include more services under Medicare.

Telemedicine 52

Telemedicine Medicaid Medicare Physical Therapy 52

Bill Of Health

OCTOBER 8, 2021

Prior to COVID, policymakers and the medical industry had many assumptions about telehealth related to patient safety, quality of care, fraud, and provider and patient openness to virtual medical encounters.

Medicaid 98

Medicaid Patient Safety Nursing Quality of Care 98

NASHP

SEPTEMBER 30, 2022

One of these contributors, hospital consolidation, has played an outsized role in making health care less affordable for consumers and employers. In addition, the proposed contract terms would have forced the fund to eliminate joint replacement and bariatric surgery programs it established to provide care for as low as a $0 copay for members.

Hospitals 52

Hospitals Accountability Regulations Quality of Care 52

Home Health Care

OCTOBER 4, 2023

HHCN: Francesca, Sharecare recently announced it will bring its care management and transitional care programs for high-risk populations to more than just Medicare Advantage beneficiaries. It’s probably one of the most impressive aspects of self-directed programming.

Home Care 105

Home Care Quality of Care Doctors Nursing 105

NASHP

AUGUST 24, 2023

State health reform efforts increasingly focus on providing comprehensive and well-coordinated care to people with serious illness to improve quality of care and drive down costs. Read the full patient stories on the Center to Advance Palliative Care (CAPC) website.

Medicaid 52

Medicaid Quality Assurance Quality of Care Hospitals 52

Vie Healthcare

JULY 26, 2023

Episode Introduction Melissa shares the four challenges faced by caregivers today, calls on doctors to recognize family and patients as a ‘’unit’’, and highlights the ‘’unpaid, untrained, overwhelmed, burned-out’’ reality of caregiving. Melissa explained the difference when a doctor finally included her in decision-making. ‘’I

Hospitals 52

Hospitals Nursing Doctors Healthcare 52

Healthcare ECONOMIST

FEBRUARY 20, 2024

The Biden Administration promised more access to Medicare data. ProPublica explains : In January, the Biden administration pledged to increase public access to a wide array of Medicare information to improve health care for America’s most sick and vulnerable. Then the reverse happened.

Medicare 70

Medicare Medicaid Accountability Quality of Care 70

Sheppard Health Law

MARCH 2, 2022

On February 24, 2022, the Centers for Medicare & Medicaid Services (CMS) announced its redesign of the Global and Professional Direct Contracting Model (GPDC), which now will be called the Accountable Care Organization (ACO) Realizing Equity, Access, and Community Health (REACH) Model.

Accountable Care 52

Accountable Care Primary Care Medicare Accountability 52

Vie Healthcare

OCTOBER 27, 2021

Yes, Medicare gives specific DRGs, you know, for in-patient cases. You know, managed care companies maybe make a little bit more, but these days, maybe not so much. Lisa Miller (06:35): And I wanted just to understand, you know, from their Medicare cost report, are there any uniquenesses? How costs map to reimbursement?

Hospitals 52

Hospitals Healthcare Medicare Quality of Care 52

KHN

NOVEMBER 14, 2022

Private equity-backed groups have even set up special “obstetric emergency departments” at some hospitals, which can charge expectant mothers hundreds of dollars extra for routine perinatal care. One doctor admitted prescribing the creams to scores of patients he had never seen, examined, or even spoken to, according to the suit.

Doctors 145

Doctors Tricare Medicaid Medical Services 145

KHN

NOVEMBER 14, 2022

Private equity-backed groups have even set up special “obstetric emergency departments” at some hospitals, which can charge expectant mothers hundreds of dollars extra for routine perinatal care. One doctor admitted prescribing the creams to scores of patients he had never seen, examined, or even spoken to, according to the suit.

Doctors 52

Doctors Tricare Medicaid Medical Services 52