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. Monitor and evaluate quality improvement and outcomes and address barriers to care.

Medicaid 57

Medicaid Nursing Regulations Hospitals 57

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

NASHP

MARCH 29, 2024

5 Compared to white, non-Hispanic CYSHCN, CYSHCN who are Black or Latinx are at particular risk of receiving infrequent, low-quality care, 6 while American Indian and Alaska Native CYSHCN are less likely to be able to access specialty treatment or receive culturally sensitive services.

Medicaid 123

Medicaid Quality of Care Quality Assurance Nursing 123

HIT Consultant

APRIL 16, 2024

Through MSSP, they have demonstrably reduced healthcare costs while maintaining exceptional quality of care for over 60,000 Medicare beneficiaries. REACH Program: Reducing Barriers and Improving Outcomes The REACH program from the Center for Medicare & Medicaid Innovation (CMMI) aims to address healthcare disparities.

Accountable Care 52

Accountable Care Accountability Medicare Population Health 52

Briggs Healthcare

AUGUST 14, 2023

The three domains of the SPSS for the 2023 fiscal year include: • Survey and Intake Process • Survey and Intake Quality • Noncompliance Resolution On behalf of CMS, we truly appreciate all the endless efforts to improve the health, safety and dignity of all Medicare and Medicaid enrollees. Effective Date: Immediately.

Physical Therapy 52

Physical Therapy Rehabilitation Medicaid Quality of Care 52

Briggs Healthcare

SEPTEMBER 26, 2023

Nursing homes are inspected by state surveyors for compliance with federal requirements for participation with Medicare and/or Medicaid (42 CFR 483 Subpart B). CMPs collected from nursing homes can be reinvested to improve the quality of care and quality of life of nursing home residents (per 42 CFR 488.433).

Nursing 52

Nursing Quality of Care Medicaid Telemedicine 52

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

HIT Consultant

MAY 2, 2023

Andy Auerbach, Chief Revenue Officer of SafeRide Health As the healthcare industry continues to evolve, there is a growing need for innovative solutions that not only improve the quality of care but also make care more accessible. adults without access to a vehicle or public transportation skipped needed medical care last year.

Medicaid 96

Medicaid Regulations Medicare Integration 96

Briggs Healthcare

JANUARY 20, 2023

CMS performs over 100,000 compliance surveys of Medicare and Medicaid-certified providers and suppliers, each year. The intent of this initiative is to provide a resource for providers and suppliers to proactively address common compliance concerns and therefore increase the quality of care for patients and residents.

Quality of Care 52

Quality of Care Regulations Medicaid Prevention 52

HIT Consultant

OCTOBER 20, 2023

As is often the case in today’s healthcare environment, advanced technologies powered by artificial intelligence (AI) and machine learning (ML) are emerging as a potential solution, helping to both prevent falls and accelerate recovery when falls lead to injury – particularly when they can be used in the comfort of the patient’s home.

Rehabilitation 105

Rehabilitation Pharmaceuticals Prevention Biotechnology 105

p3care

FEBRUARY 10, 2021

From the next performance year (2021), Accountable Care Organizations (ACOs) expect different reporting requirements under the Medicare Shared Savings Program. CMS (Centers for Medicare and Medicaid Services) has recommended changes for ACO reporting criteria. Quality of Care by ACOs. 236 Controlling High Blood Pressure.

Medicare 246

Medicare Accountable Care Accountability Medicaid 246

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

Briggs Healthcare

JULY 17, 2023

Resources to Improve Quality of Care: Check out CMS’s new Quality in Focus interactive video series. The series of 10–15 minute videos are tailored to provider types and aim to reduce the deficiencies most commonly cited during the CMS survey process, like infection control and accident prevention.

Hospitals 52

Hospitals Patient Safety Quality of Care Medicare 52

Briggs Healthcare

MARCH 9, 2023

SAMHSA provides leadership, supports programs and services, and devotes resources to helping people act on the knowledge that behavioral health is essential to health, prevention works, treatment is effective, and people recover. The training and technical assistance provided by the COENF will be free of charge.

Nursing 52

Nursing Prevention Performance improvement Medicaid 52

Healthcare ECONOMIST

NOVEMBER 4, 2022

2022) explains : The Pennsylvania Rural Health Model is a $25 million, 6-year demonstration funded by the Center for Medicare and Medicaid Innovation (CMMI). PARM is multi-payer initiative, which includes participation from Medicare, commercial payers, commercial payers’ Medicaid managed care and Medicare Advantage plans.

Hospitals 73

Hospitals Medicare Medicaid Quality of Care 73

Home Health Care

JANUARY 6, 2022

When it comes to home health, location factors heavily into the quality of care patients receive. Agencies in rural areas tend to initiate care more quickly, for example, while their urban counterparts perform better on outcomes measures, a new study suggests. Centers for Medicare & Medicaid Services (CMS).

Nursing 86

Nursing Medicaid Medicare Quality of Care 86

HIT Consultant

SEPTEMBER 14, 2023

Rural communities may lack easy access to preventive care and screenings. But there is another hurdle that is just as significant, and that is the lack of quality data on these social determinants. By comparing quality-of-care data with population, income, and ethnicity across the U.S., The costs are astronomical.

Health Data 115

Health Data Telemedicine Accountability Population Health 115

HIT Consultant

MARCH 20, 2024

Sachin Patel, Chief Executive Officer, Apixio The lack of a complete and comprehensive patient record limits the ability of the physician to improve care and puts organizations at financial and regulatory risk. The Centers for Medicare and Medicaid Services (CMS) estimated that for payment year 2018 alone , it will recover $428.4

Medicare 52

Medicare Prevention Quality of Care Medicaid 52

Home Health Care

DECEMBER 7, 2023

Increased capacity for predictive modeling through AI will empower home care leaders to enhance service offerings to improve the quality of care, patient health, comfort and independence. Home care has established itself as a positive impact to health outcomes when it comes to the cost of health care for our seniors.

Home Care 117

Home Care Regulations Nursing Prevention 117

Briggs Healthcare

AUGUST 22, 2022

The Palliative Care Measures Project was led by AAHPM, with subrecipients the RAND Corporation and the National Coalition for Hospice and Palliative Care and was funded under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) to develop two quality measures. Description of the Measures.

Patient Experience 52

Patient Experience Quality Improvement Quality of Care Medicare 52

NASHP

NOVEMBER 3, 2023

During this legislative session, several states acted on market oversight, ranging from reporting of transactions to modification of existing laws to evaluate transactions for impact on costs, prices, equity, access, and quality of care.

Hospitals 70

Hospitals Medicaid Quality of Care Medicare 70

p3care

OCTOBER 30, 2020

CMS (The Centers for Medicare and Medicaid Services) released the proposed rule for QPP MIPS 2021 via the Medicare Physician Fee Schedule (PFS) Notice of Proposed Rulemaking (NPRM). For instance, CMS asks physicians to focus on the quality of care rather than the volume of patients. Let’s get started!

Medicare 243

Medicare Measurable Quality Medicaid Accountable Care 243

Bill Of Health

NOVEMBER 9, 2023

Despite efforts to increase access to health care and to better incentivize high-quality, value-based care, the United States’ health care system remains fragmented, largely profit-based, and predominantly disease-focused rather than prevention-focused. The dire state of the U.S. First, while the U.S.

Medicaid 62

Medicaid Pharmaceuticals Prevention Quality of Care 62

Healthcare It News

APRIL 28, 2022

"Physicians commonly prescribe antithrombotic or anticoagulants for these patients to prevent cardiac events such as heart attack and stroke, which may result in hospitalizations and readmissions if patients don't adhere to their medication regimen," said Brian Davis, CIO at Magnolia Regional Health Center.

Hospitals 227

Hospitals Medicare Primary Care Quality of Care 227

Home Health Care

AUGUST 25, 2021

Centers for Medicare & Medicaid Services (CMS) is sure to add more fuel to the fire for the “Choose Home” initiative and other movements aiming to bring more care into the home. A recently published study by the U.S. The potential impact on legislation. “The

Nursing 103

Nursing Home Care Medicare Accountability 103

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

Etactics

DECEMBER 1, 2023

Preventing denial codes is essential if you want to keep a steady revenue flow. This is an easily preventable billing error, which we are going to go over in this blog. These codes assist healthcare workers in reporting different medical procedures and services to health insurance programs, such as Medicare and Medicaid.

Medicare 52

Medicare Medicaid Medical Services Prevention 52

Healthcare ECONOMIST

AUGUST 23, 2021

In 2008, the Centers for Medicare & Medicaid Services (CMS) implemented the Hospital-Acquired Conditions Present on Admission (HAC-POA) program. The mandatory program penalized hospitals as it would no longer reimburse them for treating of preventable complications that developed during a patient’s hospitalization.

Medicare 68

Medicare Hospitals Medicaid Quality of Care 68

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

Etactics

APRIL 26, 2024

For example, the payer agreement between a healthcare provider and an insurance company such as Blue Cross and Blue Shield is going to be different from the payer agreement between a healthcare provider and a government-funded agency such as Medicare or Medicaid. These contracts can cover a lot of information.

Healthcare Providers 52

Healthcare Providers Quality of Care Medical Services Healthcare 52

Cloud Blogs

FEBRUARY 28, 2022

These shifting priorities have catalyzed the desire to track patient outcomes and cost-savings for improved quality of care. In 2020, the Centers for Medicaid and Medicare Services (CMS) issued additional rules requiring that payors and providers who receive CMS funds make health information more accessible.

Integration 140

Integration Healthcare Quality of Care Regulations 140

NASHP

OCTOBER 20, 2022

This substandard access to quality care can lead to poor health outcomes.[6]. have a special health care need, and an estimated 44 percent of CYSHCN are enrolled in Medicaid.[7] public health, Medicaid, mental health) and other stakeholders (e.g., Training CHWs in core components of care coordination.

Medicaid 98

Medicaid Integration Quality Improvement Accountability 98

Home Health Care

JUNE 9, 2022

“We’re seeing a massive shift to value-based care versus our previous form of care, which was volume-based,” says Erika Sessions, director of compliance and policy development for online caregiver training platform CareAcademy. That will ultimately benefit the quality of care.”. This article is sponsored by CareAcademy.

Care Transition 105

Care Transition Quality of Care Accountability Medicaid 105

Briggs Healthcare

JUNE 7, 2022

The OIG issued this Press Release on Monday, June 6, 2022 with this subtitle: “America’s taxpayers could recoup nearly $3 billion in misspent Medicare, Medicaid, and other health and human services funds as a result of work by HHS-OIG. State surveys of nursing homes are the primary safeguard for ensuring quality of care and resident safety.

Medicare 52

Medicare Medicaid Nursing Integration 52

Briggs Healthcare

AUGUST 23, 2023

The Centers for Medicare & Medicaid Services (CMS) has an important role to play in ensuring that hospices are providing necessary and critical, high-quality care to our Medicare beneficiaries at the end of life. Part of this includes preventing fraud, waste, and abuse from taking place in the first place.

Hospice Care 40

Hospice Care Integration Medicare Medicaid 40

Briggs Healthcare

APRIL 5, 2023

On April 4, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would update Medicare payment policies and rates for skilled nursing facilities under the Skilled Nursing Facility Prospective Payment System (SNF PPS) for fiscal year (FY) 2024.

Rehabilitation 40

Rehabilitation Nursing Medicare Quality of Care 40

Cloud Blogs

FEBRUARY 28, 2022

These shifting priorities have catalyzed the desire to track patient outcomes and cost-savings for improved quality of care. In 2020, the Centers for Medicaid and Medicare Services (CMS) issued additional rules requiring that payors and providers who receive CMS funds make health information more accessible.

Integration 88

Integration Healthcare Quality of Care Regulations 88