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CMS Revises Fiscal Year (FY) 2023 State Performance Standards System (SPSS) Guidance

Briggs Healthcare

The SPSS is aligned with CMS expectations for State Survey Agency performance in accordance with the §1864 Agreement and all related regulations and policies intended to protect and improve the health and safety of Americans such as the State Operations Manual, the Mission and Priority Document, survey procedure guides, and other relevant documents.

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The Critical Shift in ASC EHR Adoption: Overcoming Barriers

HIT Consultant

The EHR is the best way to support the immediate and long-term trajectory of a patient’s health by allowing for more efficient information gathering and information analysis along the continuum of care, including preventive care, through medical incidents, rehabilitation and maintenance.

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HCPCS vs CPT: Everything You Need to Know

Etactics

Level I focuses on codes that report services and procedures performed to payers by physicians, non-physician practitioners, hospitals, laboratories, and outpatient facilities. C Codes - Temporary outpatient hospital prospective payment system. H Codes - Rehabilitative services. B Codes - Enteral and parenteral therapy.

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Behavioral Health System Modernization along the Continuum

NASHP

North Carolina’s InCK program , led by Duke University and the University of North Carolina at Chapel Hill, brings together partners from Medicaid, behavioral health, child welfare, juvenile justice, education, Title V, mobile crisis, and more to coordinate care and address the health and social needs of children in five counties.

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CMS Promotes Competition, Transparency, Health Equity and More in the CY2025 Medicare Advantage and Part D Proposed Rule

Sheppard Health Law

A chronically ill enrollee is defined as an MA member with one or more complex chronic conditions, who is at risk for hospitalization or other adverse health outcomes, and who requires intensive care coordination. Please refer to our January 5, 2023 , November 4, 2022 and May 16, 2022 blog posts for more information.

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Weighing Policy Trade-offs: Building State Capacity to Address Health Care Consolidation

NASHP

Evidence suggests that vertical integration and growing consolidation in health care leads to higher hospital and provider prices and higher total spending — all while having little to no impact on improving quality of care for patients, reducing utilization, or improving efficiency.

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NAHC’s Bill Dombi: Horizontal Integration, Workforce Innovation to Accelerate in 2022

Home Health Care

We’re facing another surge in COVID-19 infections and hospitalizations, plus other health care demands. [00:12:00] In addition to that, the HHVBP demonstration program showed how much could be saved just in reduced hospitalizations via home health care. There’s a continuum of care in terms of need.