Briggs Healthcare

JULY 6, 2022

On September 30, 2019, the Centers for Medicare & Medicaid Services (CMS) published the final rule Medicare and Medicaid Programs; Regulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction Final Rule , which included revisions for the hospital Conditions of Participation (CoP) for 42 CFR §482.42

Prevention 98

Prevention Hospitals Regulations Medicaid 98

NASHP

OCTOBER 18, 2022

Medicaid Structured Family Caregiving: Enabling Family Members to Make Caregiving Their Primary Focus October 2022/ by Neva Kaye. Family caregivers play an important role in states’ efforts to help Medicaid beneficiaries safely remain in their communities. Missouri Medicaid official. Georgia Medicaid official.

Medicaid 145

Medicaid Nursing Prevention 145

HIT Consultant

AUGUST 31, 2023

Adimika Arthur, Executive Director, HealthTech 4 Medicaid Manisha Sharma, Senior Medical Director, Promise Health Plan Blue Shield of California During the pandemic, Medicaid enrollment grew by nearly 30% to cover more than 93 million Americans , due in large part to COVID-19 provisions that included continuous Medicaid enrollment.

Medicaid 64

Medicaid Prevention Health Data Quality of Care 64

NASHP

APRIL 24, 2023

Access to quality health services is essential as most preventable pregnancy-related deaths are attributed to mental health and cardiac and coronary conditions. births, Medicaid and the Children’s Health Insurance Program (CHIP) are critical in addressing this maternal health concern. As the payor of over 40 percent of U.S.

Medicaid 52

Medicaid Prevention Accountability Quality Improvement 52

NASHP

NOVEMBER 1, 2021

Nevada Pilots Innovative Program to Increase Access to Preventive Oral Care for Children November 1, 2021 / by Ella Roth and Carrie Hanlon. In fact, 50 percent fewer dental health services were provided for children covered by Medicaid and CHIP from March to July 2020 compared to 2019 data.

Prevention 98

Prevention Medicaid Regulations Nursing 98

NASHP

MARCH 13, 2023

The Consolidated Appropriations Act enacted in December 2022 delinks the Medicaid continuous coverage requirement from the COVID-19 PHE, ending the protection on March 31, 2023 (along with a phase-down through 2023 of the increased federal match rate).

Medicaid 105

Medicaid Accountability Prevention Medicare 105

Health Populi

JUNE 27, 2022

Declines in preventive care services like cancer screenings and blood glucose testing concern employers, whose continued to cover health insurance for employees during the pandemic. The full report speaks to medical spending and utilization trends for preventive care, telehealth, and behavioral health.

Prevention 121

Prevention Primary Care Medicaid Medical Services 121

NASHP

DECEMBER 16, 2022

States provide access to contraception under their Medicaid programs in various ways. Contraception , also known as birth control, is the use of drugs, barriers, or surgery to prevent pregnancy. According to the Centers for Disease Control and Prevention , a wide range of contraceptives are available. What is contraception?

Medicaid 52

Medicaid Prevention Quality Improvement Hospitals 52

Sheppard Health Law

FEBRUARY 3, 2023

Part 521 governing the implementation and operation of effective compliance programs for certain “required providers,” including, now for the first time, Medicaid managed care organizations (MMCOs). [1] New Subpart 521-1: Compliance Programs The adopted regulations represent substantial changes to 18 N.Y.C.R.R.

Medicaid 52

Medicaid Regulations Prevention Accountability 52

NASHP

MAY 1, 2023

3] Most individuals participating in home visiting programs are enrolled in Medicaid.[4] 4] As of 2022, at least 28 states offer home visiting services within their Medicaid programs to better address the unique needs of their beneficiaries. Oklahoma and Wisconsin).[12]

Medicaid 64

Medicaid Medicare Nursing Integration 64

HIT Consultant

AUGUST 15, 2023

The partnership brings yet another level of important care services into the home for health plans using MedArrive, especially those that serve Medicaid beneficiaries. More than one in four Medicaid beneficiaries have some form of CVD, rates that are often much higher than in other populations.

Medicaid 52

Medicaid Integration Prevention Healthcare 52

NASHP

APRIL 17, 2023

1],[2] Nearly all state Medicaid programs are working to improve maternal health through early identification of depression during well-child visits and connecting mothers to follow-up services, as depicted in NASHP’s updated Medicaid Policies for Caregiver Depression Screening during Well-Child Visits by State.

Medicaid 52

Medicaid Prevention Primary Care Accountability 52

Briggs Healthcare

FEBRUARY 10, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The American Health Care Association (AHCA) has partnered with the Association for Professionals in Infection Control and Epidemiology (APIC) to set up a national forum for infection preventionists and infection prevention champions working in long term care (LTC).The

Prevention 40

Prevention Medicaid Medicare Healthcare 40

NASHP

MARCH 6, 2023

State Medicaid strategies for improving access to postpartum contraceptive care, including LARC Payment Connecticut’s Medicaid Pay for Performance in Obstetrics Care Program aims to improve care of pregnant women, newborn outcomes, and the incidence of avoidable mortality and morbidity.

Medicaid 59

Medicaid Hospitals Prevention Medicare 59

Briggs Healthcare

AUGUST 2, 2022

“Selected nursing homes may not have complied with Federal requirements for infection prevention and control and emergency preparedness. Specifically, 28 of the 39 nursing homes had possible deficiencies. This is the opening statement for brief of the OIG Report published July 26, 2022. “(OIG)

Prevention 98

Prevention Nursing Regulations Patient Safety 98

NASHP

SEPTEMBER 20, 2021

State Medicaid Coverage of Dental Services for General Adult and Pregnant Populations Updated September 20, 2021. State Medicaid programs are required to cover dental services for children under 21, but services for adults, including pregnant women are optional. Inability to access dental care can result in poor oral health.

Medicaid 72

Medicaid Prevention 72

NASHP

OCTOBER 22, 2021

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. billion on chronic obstructive pulmonary disease (COPD) per year. Assessment and management of pain and other symptoms. Comprehensive care coordination.

Medicaid 102

Medicaid Hospice Care Integration Regulations 102

NASHP

DECEMBER 7, 2022

State Approaches to Community Health Worker Financing through Medicaid State Plan Amendments December 7, 2022 / by Carl Rush, Elinor Higgins , and Sandra Wilkniss. Recent discussions have centered around Medicaid’s role. This brief provides an overview of recent developments in Medicaid State Plan Amendments (SPAs). California.

Medicaid 52

Medicaid Primary Care Prevention Regulations 52

NASHP

APRIL 17, 2023

In addition, starting in 2024, federal rules will require states to report performance on some measures, including some behavioral health measures, to the Centers for Medicare & Medicaid Services (CMS). 1] All but one of these Medicaid agencies collected at least one measure of behavioral health performance.

Medicaid 52

Medicaid Quality Assurance Quality Improvement Quality Review 52

Home Health Care

MARCH 18, 2024

The move is an effort to reduce Medicaid spending. CDPAP is a state Medicaid program that allows people who need care, known as home care consumers, to hire the caregiver of their choice. “In The move would also potentially prevent more than 100,000 people who rely on family members from accessing home care.

Home Care 137

Home Care Medicaid Prevention Nursing 137

NASHP

DECEMBER 23, 2022

With more than 40 percent of births financed by Medicaid, the Centers for Medicare & Medicaid Services (CMS) has developed an action plan that corresponds with goals outlined in the White House blueprint. Implement Medicaid benefit. Identify community assets, engage the provider community, and build infrastructure.

Medicaid 59

Medicaid Nursing Regulations Hospitals 59

Briggs Healthcare

MARCH 22, 2023

This report: (1) describes actions experts identified that HHS should continue, enhance, or discontinue to improve infection prevention and control practices in nursing homes and (2) compares actions identified by experts with prior recommendations from GAO and others.

Prevention 52

Prevention Nursing Quality of Care Medicaid 52

NASHP

DECEMBER 13, 2021

Toolkit: New Legislative and Medicaid Models to Lower Drug Prices. For additional information and greater detail, see NASHP’s brief “ State Strategies to Lower Drug Prices: New Legislative and Medicaid Models.” Resources: Model legislation: “An Act to Prevent Excessive and Unconscionable Prices for Prescription Drugs ”.

Medicaid 52

Medicaid Regulations Prevention Pharmaceuticals 52

Healthcare It News

OCTOBER 27, 2023

As part of the National Center for Chronic Disease Prevention and Health Promotion the Division of Nutrition, Physical Activity and Obesity within the U.S., the Centers for Disease Control and Prevention also focuses on food and nutrition security as one of five social determinants of health.

Medicaid 258

Medicaid Integration Prevention Healthcare 258

Healthcare It News

APRIL 5, 2024

Northwestern Medicine, the Nevada Health Link, Cohere Health and Kyruus Health are partnering withDell Technologies, Google Cloud Marketplace and others to offer providers and payers ways to tackle the daily challenges that delay care approvals and prevent patients from seeking care and enrolling in health plans.

Integration 246

Integration Medicaid Hospitals Prevention 246

NASHP

NOVEMBER 15, 2021

Immunization Barriers in the United States: Targeting Medicaid Partnerships Fact Sheet: Using New and Existing Federal Funds to Modernize IIS. from the Centers for Disease Control and Prevention (CDC) and the Center for Medicare and Medicaid Services (CMS). What gaps can be filled to help facilitate public health activity?

Medicaid 52

Medicaid Quality Improvement Prevention Integration 52

Home Health Care

APRIL 12, 2024

In past years, Medicare-certified home health agencies and Medicaid personal care services providers have been big focus areas for government watchdogs. Once implemented, EVV could increase the risk that Medicaid beneficiaries’ needs are not being met, potentially compromising their health and safety,” OIG’s work plan states.

Medicaid 88

Medicaid Medicare Home Care Regulations 88

NASHP

SEPTEMBER 28, 2021

State Medicaid Financing of Home Visiting Services in Seven States Eddy Fernandez. Other areas of savings include a reduction of unnecessary emergency department visits and decreased use of public assistance programs such as Temporary Assistance for Needy Families (TANF), Supplemental Nutrition Assistance Program (SNAP), and Medicaid.

Medicaid 52

Medicaid Nursing Prevention Regulations 52

Healthcare ECONOMIST

APRIL 3, 2024

Medicare , Medicaid) or commercial (e.g., Of note is recent legislation that impacts quality measurement for Medicaid plans. Additionally, the SUPPORT Act man-dated that Medicaid DUR programs monitor the use of antipsychotic medication in children. employer-provided) pharmacy plans. A helpful summary table is below.

Medicaid 71

Medicaid Population Health Prevention Medicare 71

NASHP

APRIL 15, 2022

CalAIM: Leveraging Medicaid Managed Care for Housing and Homelessness Supports April 15, 2022 / by Allie Atkeson. Driven by challenges facing individuals with complex care needs, states are increasingly working to address the physical, behavioral, and social needs of their Medicaid beneficiaries. Eviction prevention.

Medicaid 59

Medicaid Public Hospital Hospitals Nursing 59

Health Policy News

SEPTEMBER 30, 2021

Along with approximately one-thousand state and federal Program Integrity professionals and experts, PCG’s Health team sponsored, attended and presented at the 2021 National Association of Medicaid Program Integrity (NAMPI) virtual.

Integration 52

Integration Medicaid Prevention 52

Healthcare It News

JANUARY 10, 2023

The virtual care services will be delivered without copays, out-of-pocket costs or deductibles for families with active insurance or Medicaid coverage. WHY IT MATTERS. "We also know that significant sociodemographic and cultural disparities exist in the initiation and continuation of breastfeeding.

Primary Care 267

Primary Care Quality of Care Telemedicine Prevention 267

Healthcare It News

OCTOBER 25, 2022

" The second campaign is focused on improving and protecting maternal health, and HIMSS is calling on its members to contact their governors and state Medicaid directors and urge them to make better use of information and technology to reduce maternal mortality. Those risks to maternal health have only increased during the pandemic.

Patient Safety 242

Patient Safety Prevention Medicaid Medicare 242

p3care

OCTOBER 31, 2022

This can help prevent fraudsters from billing for services the patient did not receive. In the healthcare system, so many policies, including the 72-hour rule, have been implemented to help prevent fraud and abuse. CAAT helps to prevent mistakes and ensure compliance with the law. What is meant by the 72-hour rule?

Medicare 113

Medicare Prevention Medicaid Hospitals 113

Sheppard Health Law

OCTOBER 27, 2021

On October 20, 2021, the Centers for Medicare and Medicaid (“ CMS ”) Innovation Center (“ Innovation Center ”) published a white paper detailing its vision for the next ten years: a health system that achieves equitable outcomes through high quality, affordable, person-centered care. Strategic Objective 2: Advance Health Equity.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

Triage Health Law

OCTOBER 12, 2023

Department of Health and Human Services (“HHS”) introduced a new “Strategic Plan for Oversight of Managed Care for Medicare and Medicaid” (the “ Strategic Plan ”). 2] For Medicaid, almost seventy-five percent (75%) of beneficiaries are now enrolled with comprehensive Managed Care Organizations. [3]

Medicare 69

Medicare Medicaid Prevention Regulations 69

Health Populi

JUNE 23, 2023

The Commonwealth Fund’s- methodology covered, Access and affordability Prevention and treatment Avoidable use and cost Healthy lives Reproductive care and women’s health Income disparity, and Racial and ethnic equity. This bar chart illustrates that U.S. Among other factors contributing to some U.S.

Healthcare 129

Healthcare Medicaid Prevention Quality of Care 129