Nordic

JUNE 26, 2023

The healthcare industry is in an era of what Nordic calls the “Big Squeeze:” the confluence of market inflation, high labor expenses, and declining operating margins. 1 Figure 1: Kaufman Hall Operating Margin Index YTD by Month

Hospitals 52

Hospitals Medicaid Performance improvement Healthcare 52

NASHP

MARCH 29, 2024

Approaches include allowing family caregivers to receive Medicaid reimbursement , providing culturally competent trainings and peer supports, making respite care more accessible for caregivers, and offering behavioral health supports for caregivers. recruitment, consultation resources, Medicaid reimbursement, etc.).

Medicaid 123

Medicaid Quality of Care Quality Assurance Nursing 123

Home Health Care

AUGUST 7, 2023

Centers for Medicare & Medicaid Services (CMS) released its home health proposed payment rule for 2024. Aside from establishing OASIS competence, providers can integrate real-time, predictive analytics to guide QAPI performance improvement projects and triage daily schedule to risk. In June, the U.S.

Performance improvement 90

Performance improvement Medicare Integration Medicaid 90

Home Health Care

MARCH 10, 2023

Using this data, you can look at trends in your organization and [leverage that against] your marketplace to see what’s the growth potential for Medicare and Medicaid individuals with those disease states that align with the likeness and the demographics of your organization,” Thompson said. “Or

Performance improvement 94

Performance improvement Regulations Medicaid Medicare 94

NASHP

AUGUST 15, 2022

Improving Oral Health Access through Managed Care Quality Initiatives in Pennsylvania By Allie Atkeson. States are engaged in a variety of efforts to improve oral health access as part of improving overall health outcomes for Medicaid members. Note, Medicaid members’ new PH-MCO plans will begin September 1 st , 2022).

Medicaid 52

Medicaid Quality Review Prevention Quality Improvement 52

NASHP

SEPTEMBER 28, 2022

As states are not required to include dental services for adults in their Medicaid programs, the ability for low-income individuals to access dental care is often a factor of where they live. Other state Medicaid programs are adding requirements for primary care medical providers to offer similar services.

Integration 62

Integration Primary Care Medicaid Prevention 62

NASHP

OCTOBER 27, 2022

States identified postpartum coverage, support for people with substance use disorder (SUD), Medicaid coverage of doula services, and payment policies as critical policy levers to address maternal mortality. As of October 2022, 26 states and Washington DC have extended Medicaid postpartum coverage to 12 months. as of November 2021.

Medicaid 57

Medicaid Prevention Performance improvement Medicare 57

Briggs Healthcare

MARCH 9, 2023

Funded by the Centers for Medicare & Medicaid Services (CMS), this program will establish a Center of Excellence for Building Capacity in Nursing Facilities to Care for Residents with Behavioral Health Conditions (Center of Excellence).

Nursing 52

Nursing Prevention Performance improvement Medicaid 52

Home Health Care

APRIL 10, 2023

Indeed, about one in five Medicare patients discharged from a hospital are readmitted within 30 days, at a cost of over $26 billion every year, according to data from the Centers for Medicare & Medicaid Services (CMS). We meet monthly, and we’re working on problem solving, it’s a performance improvement project,” Adams said.

Care Transition 93

Care Transition Hospitals Medicare Performance improvement 93

Briggs Healthcare

APRIL 14, 2023

To obtain your CAH PEPPER , the Chief Executive Officer, President, Administrator, Compliance Officer, Quality Assurance/Performance Improvement Officer, or other authorized user within your organization (selecting a job title closest to their title) should: Review the instructions and obtain the information required to authenticate access.

Quality Assurance 40

Quality Assurance Hospitals Rehabilitation Performance improvement 40

Briggs Healthcare

MARCH 20, 2023

and Jonathan Blum, Centers for Medicare & Medicaid Services – names you may recognize from CMS National Stakeholder Calls. As the nation’s largest payer for health care, the Centers for Medicare & Medicaid Services’ (CMS) mission in our National Quality Strategy includes ensuring everyone is safe when they receive care.

Patient Safety 40

Patient Safety Medicaid Medicare Quality of Care 40

Home Health Care

NOVEMBER 7, 2021

Centers for Medicare & Medicaid Services (CMS) is that the model will now begin Jan. Dombi noted that these agencies that fall “below average” relative to performance improvement are still expected to contribute nearly $3.4 This delay will give home health providers across the U.S.

Medicare 105

Medicare Performance improvement Medicaid Quality of Care 105

Briggs Healthcare

APRIL 10, 2023

To obtain your SNF PEPPER , the Chief Executive Officer, President, Administrator, Compliance Officer, Quality Assurance/Performance Improvement Officer, or other authorized user within your organization (selecting a job title closest to their title) should: 1.

Nursing 40

Nursing Quality Assurance Performance improvement Medicare 40

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. Longo : Focus on the structures, systems and processes that support quality and patient safety, performance improvement and link to health outcomes.

Patient Safety 85

Patient Safety Performance improvement Quality Improvement Accountability 85

NASHP

MAY 17, 2022

How State Medicaid Programs Serve Children and Youth in Foster Care May 17, 2022 / Veronnica Thompson. State Medicaid programs provide coverage of a variety of delivery models for CYFC. The specific structure and program features of a state’s Medicaid delivery system may affect how health care is provided to CYFC.

Medicaid 62

Medicaid Integration Medicare Primary Care 62

Sheppard Health Law

DECEMBER 3, 2021

On November 12, 2021, the Centers for Medicare and Medicaid Services (“CMS”) revised and finalized draft guidance first issued on May 3, 2019, for co-location of hospitals with other hospitals or healthcare providers [1] (the “ Finalized Guidance ”). The Finalized Guidance also makes significant changes to the guidelines for staffing.

Healthcare Providers 52

Healthcare Providers Quality Assurance Healthcare Hospitals 52

NASHP

SEPTEMBER 25, 2023

Medicaid plays a significant role in perinatal health coverage as the largest single payer of pregnancy-related services, covering 41 percent of births nationally and the majority of births in several states. 1] As of September 2023, 37 states and Washington, DC, have extended Medicaid postpartum coverage to 12 months.

Medicaid 78

Medicaid Performance improvement Prevention Health Data 78

Briggs Healthcare

JUNE 28, 2022

The HHVBP Newsletter provides home health agencies (HHAs) with the latest information about the expanded HHVBP Model as well as important tools, news, and timely insights from the Centers for Medicare & Medicaid Services (CMS) and the HHVBP Model Technical Assistance (TA) Team.

Quality Improvement 75

Quality Improvement Quality Assurance Medicare Performance improvement 75

NASHP

AUGUST 23, 2021

Primary care case management (PCCM) programs are one of the oldest types of Medicaid managed care, but over time most states have shifted to use managed care organizations (MCOs) to deliver services to Medicaid participants. million Medicaid participants. The strategies discussed here were developed for PCCM programs.

Primary Care 62

Primary Care Medicaid Accountability Quality Improvement 62

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

NASHP

NOVEMBER 15, 2021

In states such as Massachusetts, there is also a threat of a targeted performance improvement plan for entities determined to be cost drivers. For example, states use total medical expenses (TME) for Medicaid, CHIP and Medicare as well as per member, per year TME reported by commercial insurers to measure total cost of care.

Accountability 52

Accountability Pharmaceuticals Performance improvement Hospitals 52

NASHP

AUGUST 24, 2023

There are a number of strategies state health officials can use as they build sustainable access to palliative care services in their Medicaid programs. Target Populations That Could Benefit from Palliative Care Services Use data to identify Medicaid enrollees with serious illness. Make the case for improved care and reduced costs.

Medicaid 52

Medicaid Quality Assurance Quality of Care Hospitals 52

HIT Consultant

FEBRUARY 8, 2024

The Centers for Medicare and Medicaid Services (CMS) intends to shift traditional Medicare and many Medicaid beneficiaries into VBC arrangements by 2030. Nick D’Ambra, former VP of Quality Improvement at AbsoluteCare, shared an essential experience at the RISE HEDIS & Quality Improvement Summit.

Quality Improvement 105

Quality Improvement Data Acquisition Medicaid Performance improvement 105

p3care

JANUARY 3, 2023

Centers for Medicaid and Medicare Services (CMS) finalize that most of the proposed changes occur in the proposed rule last July. Many providers will have to do this to find specialty measurements or work on performance improvement in their measures to reach the required level and avoid a penalty. MIPS 2023 and The Changes .

Medicare 130

Medicare Performance improvement Doctors Population Health 130

NASHP

DECEMBER 8, 2023

The bill also included a requirement that the HPC’s annual public hearings address the state’s ability to meet the new primary care spending targets and extended the performance improvement plan and HPC reporting provisions to the primary care targets. The bill also required increased Medicaid primary care payments.

Primary Care 57

Primary Care Medicaid Medicare Hospitals 57

Healthcare It News

AUGUST 13, 2021

IKC Inova Health System has relied on evidence-based solutions and standardized approaches to treat patients, earning recognition for excellence in healthcare from the Centers for Medicare and Medicaid Services (CMS), U.S. News & World Report Best Hospitals, and Leapfrog Hospital Safety Grades. THE PROBLEM.

Performance improvement 224

Performance improvement Hospitals Medicaid Medicare 224

Vie Healthcare

JULY 26, 2023

I’ve become a bit of a cynic because I see my father in a nursing home, and my mom is paying $12,000 a month for his care, and the person in the bed next to him is on Medicaid and paying nothing. For me, I went from a peak and a high back to a low, to now I get to start in on DHS and Medicaid benefits. Who does what?

Hospitals 52

Hospitals Nursing Doctors Healthcare 52

Briggs Healthcare

OCTOBER 25, 2022

Terminating federal funding for facilities that don’t improve: CMS is considering all facilities cited with Immediate Jeopardy deficiencies on any two surveys while in the SFF Program for discretionary termination from the Medicare and/or Medicaid programs.

Nursing 40

Nursing Accountability Quality Improvement Quality of Care 40

Vie Healthcare

MAY 4, 2023

And as you know, obviously a huge percentage of healthcare spending is funded through Medicare, Medicaid, Tricare, the VA system, and these are all programs that are covered by the False Claims Act. So the actual amount of fraud is probably some multiple of that. And that’s just the federal government, right?

Healthcare 52

Healthcare Nursing Hospitals Doctors 52

Vie Healthcare

OCTOBER 28, 2022

In this episode, Lisa Miller, founder of VIE Healthcare and CEO of Spendmend, and Jim Cagliostro, VIE’s Clinical Operations Performance Improvement Expert, interviewed Al Brander to explore in detail the challenges and financial risks of managing medical device warranties. Episode Introduction.

Hospitals 52

Hospitals Nursing Accountability Medicare 52

Vie Healthcare

APRIL 26, 2023

Since 1999, VIE has been a recognized leader in healthcare costs, hospital purchase services, healthcare benchmarking, supply chain management, and performance improvement. You can learn more about VIE Healthcare Consulting at viehealthcare.com. Jim (19:07): Okay, Preston, I love what you put out there on LinkedIn.

Healthcare 52

Healthcare Nursing Hospitals Doctors 52

Vie Healthcare

APRIL 19, 2023

John Welton, who’s actually a member of our commission, one of the leading historians on this, brought it forward in front of Medicare and Medicaid. Medicare and Medicaid said at the time, “You know what? So, 1980s happened, then in the 2000s, another group of incredible nurses came together.

Nursing 52

Nursing Hospitals Healthcare Doctors 52

Home Health Care

APRIL 13, 2022

Under the PHE, federal regulators have waived or modified normal requirements for Medicare and Medicaid providers, plus private health insurers. On the reporting front, for example, the Centers for Medicare & Medicaid Services (CMS) has waived the requirement that home health agencies complete their OASIS submission within 30 days.

Quality Assurance 114

Quality Assurance Medicare Hospitals Medicaid 114