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Reimbursement Insights: Medicare and Medicaid Coverage for Cardiology Billing

p3care

Medicare and Medicaid are the two biggest healthcare insurance programs in the United States. They provide healthcare coverage for different medical specialties, and cardiology is one of them. Let’s get started with a little introduction to Medicare and Medicaid programs in general.

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LunaJoy Health Secures $4.2M to Launch LunaCare & Address Disparities in Maternal Mental Health

HIT Consultant

This initiative is especially timely, coinciding with the Centers for Medicare & Medicaid Services’ (CMS) upcoming launch of the Transforming Maternal Health Model (TMaH). This government program aims to bolster infrastructure and improve maternal mental healthcare quality and safety for vulnerable populations.

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Lumeris Secures $100M to Expand Proven Value-Based Care Solutions

HIT Consultant

Lumeris equips these partners with cutting-edge technology and streamlined care delivery processes, enabling them to achieve remarkable improvements in both healthcare quality and cost-effectiveness. “This recent investment will further enable us to meet the growing demand from our provider partners to adopt value-based models.”

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Why Maternity Care Deserts Aren’t Going Away. Here’s What Can Be Done

HIT Consultant

Hospitals in under-resourced areas have less to offer new doctors in terms of equipment, support, and quality of life. They also serve a majority of Medicaid and non-insured patients, which makes it harder to keep the doors open on maternity wards, whose cost of upkeep can be substantial. Incentivizing Medicaid capture.

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The CBO Report and Lessons for CMMI’s Future

Healthcare Leadership Council

First, we’ve already witnessed that CMMI can have its greatest impact in helping to transition the healthcare system from its traditional fee-for-service orientation to a value-based framework. billion between 2011 and 2020.

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Hospital Inpatient Prospective Payment Systems, Quality Programs and Medicare Promoting Interoperability Program Requirements

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. On April 18, 2022, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (CMS-1771-P) that provides updates to the fiscal year (FY) 2023 Long-Term Care Hospital Quality Reporting Program (LTCH QRP).

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Unlocking Value-Based Care: How AI Can Overcome Key Challenges

HIT Consultant

The Centers for Medicare and Medicaid Services (CMS) has outlined an ambitious objective: to transition all traditional Medicare beneficiaries into a VBC arrangement by 2030, a notable increase from the mere 7% recorded in 2021 by Bain Research. Jay Ackerman, CEO, Reveleer The momentum of value-based care (VBC) is poised to accelerate.