KHN

FEBRUARY 8, 2022

The federal government has penalized 764 hospitals — including more than three dozen it simultaneously rates as among the best in the country — for having the highest numbers of patient infections and potentially avoidable complications.

Medicare 52

Medicare Hospital IT Hospitals Patient Safety 52

Briggs Healthcare

AUGUST 14, 2023

Resources to Improve Quality of Care: Check out CMS’s new Quality in Focus interactive video series. Reducing these common deficiencies increases the quality of care for people with Medicare and Medicaid.

Physical Therapy 52

Physical Therapy Rehabilitation Medicaid Quality of Care 52

Briggs Healthcare

APRIL 5, 2023

These actions support the Administration’s plan to improve safety and quality of care in nursing homes, and CMS remains committed to proposing minimum staffing standards for nursing facilities later this spring. This fact sheet discusses the major provisions of the proposed rule.

Rehabilitation 40

Rehabilitation Nursing Medicare Quality of Care 40

NASHP

MARCH 14, 2022

High-quality palliative care can both improve quality of life and avoid unnecessary and often unwanted treatments for Medicaid enrollees with serious illness. States can support palliative care in a number of ways and across a range of settings (e.g., in hospitals, embedded within enhanced primary care, via home health).

Medicaid 94

Medicaid Rehabilitation Quality Assurance Patient Experience 94

Briggs Healthcare

MAY 30, 2023

acute care hospital, long-term acute care hospital [LTAC], skilled nursing facility [SNF], inpatient rehabilitation facility [IRF]) to their home (e.g., assisted living, adult family home, group home). NOTE: This document provides a draft description of the measure. The potential measure exclusions.

Medicaid 40

Medicaid Rehabilitation Quality Improvement Quality of Care 40

Briggs Healthcare

JUNE 21, 2023

This upkeep should include regular revisions to the case-mix classification system (the groupings and their relative weights), rebasing payments so that payments remain aligned with the cost of care, and, as noted above, adjustments to address upcoding. The first report, completed by the Commission, was submitted to the Congress in 2016.

Medicare 52

Medicare Rehabilitation Accountability Quality of Care 52

HIT Consultant

APRIL 18, 2022

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.

Patient Experience 89

Patient Experience Quality of Care Rehabilitation Regulations 89

Home Health Care

JANUARY 23, 2022

The Tyler, Texas-based Choice is a home health, hospice and rehabilitation services provider that has made some serious growth moves of late. “Patients will greatly benefit from this arrangement as it will improve and streamline the transition from hospital to home health care. The Care Team acquires Crossroads Hospice.

Home Care 98

Home Care Rehabilitation Quality of Care Hospitals 98

Bill Of Health

JULY 20, 2023

Following patient protests, the hospital updated its policies with an imperfect fix, announcing that “ patients can ask, but providers determine when and if masking in a particular situation is clinically necessary.” health care leaves little room for individualized accommodation and self-advocating patients vulnerable to retaliation.

Doctors 76

Doctors Rehabilitation Quality of Care Hospitals 76

Etactics

DECEMBER 1, 2023

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.

Medicare 52

Medicare Medicaid Medical Services Prevention 52

NASHP

MARCH 22, 2024

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.

Medicaid 52

Medicaid Integration Primary Care Nursing 52

NASHP

JULY 24, 2023

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.

Hospitals 52

Hospitals Prevention Quality Improvement Quality of Care 52

NASHP

OCTOBER 2, 2023

Value-Added Services Services that are not covered under the state plan but that a managed care plan opts to spend a portion of its administrative funding from its capitation to improve quality of care and/or reduce costs. State Example Virginia Medallion 4.0

Medicaid 70

Medicaid Performance improvement Integration Nursing 70

Home Health Care

JANUARY 17, 2022

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.

Integration 99

Integration Home Care Medicare Medicaid 99

NASHP

OCTOBER 20, 2022

For example, the Centers for Medicare & Medicaid Services Innovation Center is currently supporting the Integrated Care for Kids (InCK) model across seven sites in six states. This model aims to improve quality of care for children, including CYSHCN, through integrated care delivery systems that include care coordination.[12].

Medicaid 98

Medicaid Integration Quality Improvement Accountability 98

NASHP

JUNE 22, 2022

This section of the guide outlines considerations, examples, and resources for: Identifying stakeholders and establishing partnerships across care coordination and child-serving systems. Assessing care coordination system capacity, gaps, and process improvements. Financing care coordination systems. Meet quality requirements.

Care Transition 52

Care Transition Medicaid Doctors Regulations 52

Sheppard Health Law

NOVEMBER 13, 2023

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.

Medicare 59

Medicare Medicaid Regulations Integration 59