HIT Consultant

FEBRUARY 13, 2023

Tom Wriggins, Principal Industry Advisor at SAS John Maynard, CPA, CFE, AHFI Principal Solutions Architect at SAS In 2022, the Center for Medicare and Medicaid Services (CMS) established health equity as a pillar of its future work. Health outcomes and Medicaid program integrity Health outcomes are a function of the quality of care.

Patient Safety 52

Patient Safety Medicaid Integration Medicare 52

Sheppard Health Law

MAY 5, 2022

Department of Health and Human Services Office of Inspector (“OIG”) released a report that studied prior authorization denials and payment denials by Medicare Advantage Organizations (“MAOs”) (the “Report”). Thirteen percent of denied prior authorization requests met Medicare coverage rules. The OIG Report. additional test results).

Medicare 52

Medicare Rehabilitation Urgent Care Patient Safety 52

HIT Consultant

DECEMBER 5, 2023

Despite an unwavering commitment to well-being and safety, these facilities are overwhelmed by a growing number of priorities and hampered by a shrinking labor force – which hamstrings their ability to implement a plan for success. The time for change is now.

Hospitals 98

Hospitals Patient Safety Quality Improvement Prevention 98

Briggs Healthcare

MARCH 20, 2023

and Jonathan Blum, Centers for Medicare & Medicaid Services – names you may recognize from CMS National Stakeholder Calls. Ensuring patient safety is at the heart of the Hippocratic Oath: First, Do No Harm. Protecting patients must always remain our first priority. The authors are Lee Fleisher, MD.,

Patient Safety 40

Patient Safety Medicaid Medicare Quality of Care 40

Home Health Care

MAY 30, 2022

“Given the scale and persistence of patient harm in hospitals in the decade since our last report, HHS leadership and agencies must work with urgency to reduce patient harm in hospitals,” stated the report. Among their findings, investigators determined that one in four hospitalized Medicare patients experienced harm during their stay.

Hospitals 89

Hospitals Medicare Prevention Home Care 89

Briggs Healthcare

JULY 17, 2023

Medicare-certified hospitals have a regulatory obligation to care for patients in a safe setting under the Medicare Hospital Conditions of Participation at §482.13(c)(2). Reducing these common deficiencies increases the quality of care for people with Medicare and Medicaid.

Hospitals 52

Hospitals Patient Safety Quality of Care Medicare 52

Healthcare It News

OCTOBER 12, 2023

"Throughout the process, the digital care management approach captures holistic, contextual data, creating a more meaningful, measurable and even predictive view for better patient care and outcomes," he added. Another aspect of this approach is reimbursement. "We will follow these trends as more data is gathered over time.

Digital Care 237

Digital Care Physical Therapy Patient Experience Remote Care 237

Readiness Rounds

OCTOBER 3, 2023

This approach helps reduce findings, improves patient safety, and supports sustainable performance improvement. The rules of unannounced visits from regulatory bodies have been significantly tightened by the Centers for Medicare & Medicaid Services (CMS) making it crucial for healthcare facilities to be constantly prepared.

Regulations 52

Regulations Performance improvement Patient Safety Hospitals 52

p3care

MAY 1, 2023

Electronic health records (EHRs) with encryption and access limits, Monitoring and auditing access to patient information, and confirmation of the veracity of patient and provider identities, etc. Detecting Fraudulent Medical Billing Services Healthcare fraud has negative effects on patient safety and the treatment standard as a whole.

Patient Safety 130

Patient Safety Healthcare Regulations Medicaid 130

HIT Consultant

AUGUST 24, 2022

The suite of tools in the EHR-integrated eGMS platform guides pharmacists and other healthcare providers to achieve best practice care by providing personalized treatment recommendations, identifying and alerting of patients in glycemic disarray, and providing guardrails that enhance patient safety.

Integration 52

Integration Patient Safety Medicaid Hospitals 52

Sheppard Health Law

AUGUST 11, 2022

The FQHC served predominantly low-income individuals [3] including Medicare and Medicaid beneficiaries and offered telehealth services to its patients through a telehealth application, which could be downloaded onto a smartphone. . The Arrangement.

Patient Safety 52

Patient Safety Quality of Care Medicare Medicaid 52

Briggs Healthcare

MARCH 2, 2022

The purpose of this primer is to provide updated information to the patient safety community about the challenges of ensuring the safe care of older adults in Medicare and Medicaid certified nursing homes (NHs) associated with the COVID-19 pandemic, and the federal and state efforts taken to mitigate these challenges.

Nursing 98

Nursing Patient Safety Quality of Care Regulations 98

Patient Safety Movement

NOVEMBER 1, 2022

Joe’s passion for patient safety has been a driving force behind breakthrough developments in medical innovation at the company he founded, Masimo. CHAIRMAN’S LETTER Dear Friends and Colleagues, Last month, we recognised 2022 World Patient Safety Day.

Patient Safety 52

Patient Safety Nursing Hospitals Accountability 52

Briggs Healthcare

AUGUST 2, 2022

However, prior to issuing the guidance, the COVID-19 public health emergency (PHE) was declared, and CMS immediately redirected resources to address patient safety needs related to the PHE. This is the opening statement for brief of the OIG Report published July 26, 2022. “(OIG)

Prevention 98

Prevention Nursing Regulations Patient Safety 98

Healthcare Leadership Council

NOVEMBER 1, 2023

Unfortunately, the federal Centers for Medicare & Medicaid Services (CMS) is proposing a policy change that would assign more “busy work” to key players across the health sector. Under existing rules, the manufacturer would have to offer the highest discount of the three — 30% — to Medicaid.

Medicaid 40

Medicaid Healthcare Pharmaceuticals Medicare 40

Meditech

JANUARY 18, 2022

At Ozarks Healthcare , we serve a community where 23% of the population lives below poverty level, and many residents are uninsured or on Medicaid/Medicare without supplemental insurance. Not because of treatment issues, but because of care inequality issues.

Medicaid 91

Medicaid Prevention Medicare Healthcare 91

Home Health Care

OCTOBER 28, 2022

Longo : There are nearly 11,000 home health agencies that report data to the Centers for Medicare and Medicaid Services. I’d like to point out that accreditation is regarded as a well-established mechanism for promoting quality and patient safety in health care.

Patient Safety 83

Patient Safety Performance improvement Quality Improvement Accountability 83

Home Health Care

DECEMBER 6, 2023

It was established with the goal of improving the quality of health care services and patient safety through accreditation and certification programs. ACHC is recognized by the Centers for Medicare and Medicaid Services (CMS) as a deeming authority for home health and hospice.

Regulations 84

Regulations Care Transition Telemedicine Patient Safety 84

CAPS

OCTOBER 11, 2019

CAPS provided Patient and Family Engagement technical support to the Hospital Engagement Networks (2012-2015) and Hospital Improvement Innovation Network (2015-2020) programs and the Transforming Clinical Practice Initiative (2015-2019).

Patient Safety 52

Patient Safety Clinical Practice Quality Improvement Medicaid 52

Lexis Nexis

DECEMBER 14, 2023

These efforts will support faster care path decisions, manage claim costs and share digestible patient history with a patient’s care team. The ability to strike the balance of privacy, ethical use of data, patient safety and equity will be key for healthcare to successfully use data to support operational tasks and patient care.

Healthcare 52

Healthcare Urgent Care Life Sciences Regulations 52

Briggs Healthcare

MARCH 2, 2022

This is a great example of what AHRQ does: create programs that make it simple to put evidence into practice—thus promoting patient safety and improving patients’ lives.”. Antibiotic prescriptions are common in long-term care facilities, yet up to 75 percent of them are considered inappropriate or not following guidelines.

Patient Safety 75

Patient Safety Medicaid Prevention Medicare 75

Bill Of Health

OCTOBER 8, 2021

My forthcoming article proposes that the federal government use its spending power to incentivize states to adopt a de facto national telehealth licensing scheme through state-based mutual recognition of licensing and scope of practice reforms through a Medicaid program funding “bonus.”.

Medicaid 98

Medicaid Patient Safety Nursing Quality of Care 98

Home Health Care

AUGUST 31, 2022

The company’s revenue is mostly from government payers like Medicaid, which is different from many of the bigger home care companies that rely primarily on private-pay clients. We want to be that true destination where people really want to come to work and make a difference.”.

Home Care 95

Home Care Medicaid Patient Safety Primary Care 95

Healthcare Success

JULY 5, 2022

Traditional fee for service, accountable care, concierge service, HMOs, cash-only vs. private insurance-only vs. Medicaid/Medicare—all produce different incentives and behaviors because the compensation model impacts how your product/service gets paid for and by whom.

Doctors 148

Doctors Private Practices Accountability Hospitals 148

Healthcare Leadership Council

OCTOBER 18, 2023

billion between 2011 and 2020.

Medicare 81

Medicare Healthcare Quality Medicaid Healthcare 81

Briggs Healthcare

APRIL 7, 2022

CMS issued a Press Release this afternoon after this morning’s posting of QSO-22-15-NH & NLTC & LSC : “The Centers for Medicare & Medicaid Services (CMS) is taking steps to continue to protect nursing home residents’ health and safety by announcing guidance that restores certain minimum standards for compliance with CMS requirements.

Nursing 40

Nursing Patient Safety Regulations Medicaid 40

Home Health Care

NOVEMBER 4, 2021

Centers for Medicare & Medicaid Services (CMS) has been putting together its guidance to help steer that process. The Occupational Safety and Health Administration (OSHA) also released interim vaccine rules for companies with 100 or more employees on Thursday. Since then, the U.S. 5 of this year. This is a developing story.

Regulations 119

Regulations Medicaid Medicare Patient Safety 119

Briggs Healthcare

APRIL 11, 2023

As required by statute, the fiscal year (FY) 2024 inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) rule updates Medicare payments and policies for hospitals. This proposal builds on other policies to support access to care in rural and other underserved communities.

Patient Safety 40

Patient Safety Medicare Hospitals Prevention 40

NASHP

MARCH 22, 2024

States such as Texas, Wyoming , and New Jersey are adopting Medicaid reimbursement of collaborative care services and are addressing capacity to transition to CoCM. Integration of Substance Use Services and Supports States can align long siloed approaches to primary care, mental health, and substance use services through integration efforts.

Medicaid 52

Medicaid Integration Primary Care Nursing 52

Patient Safety Movement

AUGUST 25, 2023

At June’s World Patient Safety, Science & Technology Summit, our CEO Dr. Michael Ramsay shared an optimistic perspective about the progress which can be made in patient safety in the next five years through data transparency and evidence-based medicine. “I The current structure fails patients on a colossal scale.

Patient Safety 52

Patient Safety Healthcare Prevention Hospitals 52

HIT Consultant

JANUARY 18, 2023

Some of the bills passed in 2022 vary – from Pennsylvania’s HB 1630, which enables the state to audit and review PBMs that service Medicaid-managed care organizations to Oklahoma’s SB 737 which prohibits PBMs from using spread pricing. Mike Pritts, Chief Product Officer at Surescripts.

Life Sciences 98

Life Sciences Patient Safety Primary Care Medicaid 98

Etactics

NOVEMBER 8, 2023

Such issues may include navigating billing models, payer requirements, and complicated Medicare guidelines. Patients with Alzheimer’s disease or other cognitive issues. State Medicaid and Medicare Part D plans make up the primary payers. Medicare Part D Billing - This is an optional prescription drug program.

Medicare 52

Medicare Nursing Hospice Care Patient Safety 52

Briggs Healthcare

AUGUST 22, 2022

The Centers for Medicare & Medicaid Services (CMS) has launched a multi-faceted approach aimed at determining the minimum level and type of staffing needed to enable safe and quality care in nursing homes. Evidence has shown that adequate staffing is closely linked to the quality of care residents receive. [2]

Nursing 75

Nursing Medicaid Quality of Care Medicare 75

NASHP

AUGUST 9, 2021

Ensuring adequate Medicaid coverage and payment for SUD and mental health related services: Medicaid covers more than 40 percent of births in the United States and covers approximately 65.9 To ensure Medicaid coverage and adequate reimbursement, many MMRCs commonly recommend three strategies as outlined below.

Medicaid 52

Medicaid Prevention Primary Care Hospitals 52

Home Health Care

SEPTEMBER 9, 2021

Centers for Medicare & Medicaid Services (CMS) to require COVID-19 vaccinations for “most health care settings that receive Medicare or Medicaid reimbursement, including but not limited to hospitals, dialysis facilities, ambulatory surgical settings and home health agencies.”. The plan also mobilizes the U.S.

Medicaid 105

Medicaid Home Care Medicare Patient Safety 105

KHN

DECEMBER 19, 2023

And though Medicare reimburses hospitals nearly $200,000 for most HeartMate 3 implants, federal administrators do not track patient outcomes or enforce performance standards for the heart pumps. CMS does not track LVAD patient outcomes at individual facilities, said Sara Lonardo, CMS press secretary at the time.

Doctors 133

Doctors Regulations Hospitals Law Firms 133

Briggs Healthcare

MARCH 14, 2023

The budget details a blueprint to grow the economy from the bottom up and middle out, lower costs for families, protect and strengthen Medicare and Social Security, and reduce the deficit by ensuring the wealthy and big corporations pay their fair share—all while ensuring no one making less than $400,000 per year pays more in taxes.

Patient Safety 40

Patient Safety Nursing Medicare Medicaid 40