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Supporting the Continuum of Care for Serious Illness in Medicaid Managed Care

NASHP

Supporting the Continuum of Care for Serious Illness in Medicaid Managed Care October 25, 2021 / by Salom Teshale, Kitty Purington, Wendy Fox-Grage, and Mia Antezzo. Comprehensive care coordination. billion on chronic obstructive pulmonary disease (COPD) per year. Assessment and management of pain and other symptoms.

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Why Accurate Cost Reporting Could Be Key To Higher Rates In Home Health Care

Home Health Care

Centers for Medicare & Medicaid Services (CMS) decides to do with its home health final payment rule , industry experts believe providers need to drastically improve their cost reporting data. At the same time, Markette believes CMS is too far removed from the actual day-to-day realities of home health and hospice care.

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What States Get Right And Wrong When It Comes To Home-Based Care Support

Home Health Care

This increased awareness has activated lawmakers and state regulators to move in a direction that is positive for providers, according to Messerli. The Minnesota Home Care Association has also been active when it comes to increasing home-based care utilization. Rogers expects coexisting care to be a reality by 2024.

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Hospices in Four States to Receive Extra Scrutiny Over Concerns of Fraud, Waste and Abuse

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare “Last week, regulators rolled out enhanced oversight for new hospices in Arizona, California, Nevada and Texas. The changes, detailed in a 196-page document , went into effect immediately.”

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FY2024 Hospice Payment Rate Update Proposed Rule (CMS-1787-P)

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare On March 31, 2023, CMS posted FY2024 Hospice Payment Rate Update Proposed Rule Fact Sheet. This rule also proposes conforming regulations text changes related to the expiration of the COVID-19 public health emergency (PHE).

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Exploring What An Amedisys Divestment Strategy Could Look Like

Home Health Care

In the case of Amedisys, regulators are likely spending more time evaluating industry-competition ramifications because UnitedHealth Group and Optum acquired one of Amedisys’ largest competitors, LHC Group, at the beginning of 2023. It also would make Optum a hospice leader – and I question just how valuable that is for UnitedHealth Group.

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Key Healthcare Provisions of the Consolidated Appropriations Act, 2023

Sheppard Health Law

In addition to funding, the Act modifies certain telehealth provisions, expands and extends components of the Medicare and Medicaid programs, and supports initiatives within the behavioral health and substance use treatment spaces. Recertification of Eligibility for Hospice Care. Medicaid & CHIP Adjustments.