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CMS is Taking Action to Address Benefit Integrity Issues Related to Hospice Care

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare Effective oversight and enforcement are important to protect the integrity of the Medicare program, especially for vulnerable, seriously ill individuals and their families. Unfortunately, hospices are profiting from fraud at the expense of beneficiaries far too often.

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How Large Health Systems Are Integrating Home-Based Senior Care

Home Health Care

Hospital systems are now making a greater effort to collaborate with senior care providers – including those in home-based care – to elevate care delivery. Key players in this larger move to work more closely with senior care providers, or to integrate that care directly, are Kaiser Permanente and Trinity Health.

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Future Leader: Jaron Clay, Vice President Of Integrations, Care Advantage

Home Health Care

The program is designed to recognize up-and-coming industry members who are shaping the next decade of home health, hospice care, senior housing, skilled nursing, and behavioral health. Jaron Clay, the vice president of integrations at Care Advantage, has been named a 2023 Future Leader by Home Health Care News.

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UnitedHealthcare Donates $2.85M for Direct Service Workers in Indiana

HIT Consultant

Direct service workers (DSWs) are essential in providing care to long-term services and support recipients who choose to age and live in their homes, especially those in underserved communities and rural areas.

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Bridges Health Partners Highmark BCBS Form Commercial Value-Based Care Agreement

HIT Consultant

What You Should Know: Bridges Health Partners LLC (Bridges) , a Clinically Integrated Network, and Highmark Blue Cross Blue Shield (Highmark) entered into a multi-year Value-Based Agreement for Highmark’s Commercial membership in Western Pennsylvania. Established in 2017 through a collaboration between Independence Health System, St.

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HHS & DOJ FY 2022 Enforcement Targeted Fraud in COVID-19, Telemedicine, Opioid and Prescription Drugs, and Substance Use Treatment Centers, Among Other Initiatives

Sheppard Health Law

Enhancing program integrity in noninstitutional care settings, such as home health and hospice care. Strengthening Medicaid program integrity, including working with state partners to enhance the effectiveness of the MFCUs.

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How Trinity Health At Home Is Putting Value-Based Care, Virtual Care, Retention Initiatives To Work

Home Health Care

In response, we introduced a clinical advancement program last year for home care and hospice nurses. Additionally, we’ve expanded our virtual care program to reach patients beyond home care episodes. Trinity Health Home Care Connect — our virtual care program — continues to grow.