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

Healthcare It News

MAY 31, 2023

The participating primary care practices, all part of Patient-Centered Outcomes Research Institute’s clinical research network, were either general, family, ambulatory internal medicine, preventive medicine or geriatric medicine practices. Regulations that varied widely also affected their use of telehealth platforms.

Telemedicine 304

Telemedicine Primary Care Regulations Doctors 304

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 93

Medicaid Medicare Home Care Regulations 93

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 100

Medicaid Hospice Care Integration Regulations 100

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

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 57

Medicaid Nursing Regulations Hospitals 57

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

HIT Consultant

JUNE 16, 2022

The purpose of the No Surprises Act is to prevent surprise out-of-network bills, often for emergency services. As a result, the Centers for Medicare and Medicaid Services (CMS) has since issued new guidance regarding the IDR process for disputing parties. healthcare system. In fact, more than half of all U.S. About Lynne Rinehimer.

Regulations 52

Regulations Hospitals Medicaid Medicare 52

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

HIT Consultant

MAY 2, 2023

For decades, the industry lacked a patient-centric approach focused on efficiency, reliability, and accessibility for all populations, especially those enrolled in Medicare Advantage and Medicaid plans. In a recent study , 21% of U.S. adults without access to a vehicle or public transportation skipped needed medical care last year.

Medicaid 96

Medicaid Regulations Medicare Integration 96

Healthcare It News

FEBRUARY 5, 2024

However, depending on the state and its regulations, patients may need to, at times, be seen in person. As the public health emergency of COVID is ending, state regulations are changing and fortunately telepsychiatry will still exist as part of a hybrid model.

Regulations 250

Regulations Telemedicine Remote Care Prevention 250

Home Health Care

DECEMBER 7, 2023

Daniel Gottschalk​​​​, Co‑CEO of Family Tree Private Care Balancing the need for appropriate home care regulations while preventing overregulation is crucial for the industry. Baseline regulations that set forth good business practices to keep clients and caregivers safe are essential.

Home Care 118

Home Care Regulations Nursing Prevention 118

Briggs Healthcare

JULY 19, 2022

In 2016, the Centers for Medicare & Medicaid Services (CMS) updated its life safety and emergency preparedness regulations to improve protections for all Medicare and Medicaid beneficiaries, including those residing in nursing homes. Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. “In

Nursing 52

Nursing Medicaid Medicare Regulations 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

Bill Of Health

DECEMBER 6, 2023

To tackle this issue, federal and state governments should strengthen the regulation of insurance networks and insurers should address underlying causes of inadequate networks. Considering these substantial consequences for patients’ access to mental health care, developing solutions to prevent ghost networks is critical.

Regulations 57

Regulations Medicaid Medicare Prevention 57

Triage Health Law

JULY 27, 2023

CMS interpreted the regulatory definition to allow marketing materials to address or include a wide range of benefits available, including vision, dental, premium reduction, and hearing, without being subject to Medicare marketing regulations. What led to the Change in Definition?

Medicare 98

Medicare Regulations Medicaid Prevention 98

HIT Consultant

SEPTEMBER 6, 2023

By transitioning to dedicated hardware in a data center, you regain full control over your servers and can chart your own course when it comes to updates and implementing security and privacy measures mandated by HIPAA regulations. HIPAA and GDPR are not the only regulators in the space either. Getting data security wrong is expensive.

Regulations 122

Regulations Medicaid Prevention Medicare 122

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 57

Medicaid Public Hospital Hospitals Nursing 57

Briggs Healthcare

FEBRUARY 6, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare Today (Friday, February 3, 2023), the Center for Medicaid and CHIP Services (CMCS) launched a new virtual home for telehealth content on Medicaid.gov. The redesigned pages make it easier for users to find information about how telehealth can be utilized under Medicaid.

Medicaid 52

Medicaid Regulations Prevention Healthcare 52

HIT Consultant

OCTOBER 30, 2023

This may result in a healthcare provider being removed from an ACO or prevented from joining an ACO. “HHS To ensure appropriate sharing and the protection of patient privacy and preferences, the information blocking regulations include exceptions, such as the Privacy Exception.

Medicare 98

Medicare Accountable Care Healthcare Providers Regulations 98

NASHP

FEBRUARY 13, 2023

Preventing unintended pregnancies is a shared public health goal as unintended pregnancies are significantly associated with adverse maternal and infant health outcomes , including postpartum depression, interpersonal violence, preterm birth, and low birth weight. Nearly half of all pregnancies in the United States are unintended.

Medicaid 57

Medicaid Nursing Prevention Regulations 57

Bill Of Health

MARCH 24, 2023

Each month, members of the Program On Regulation, Therapeutics, And Law (PORTAL) review the peer-reviewed medical literature to identify interesting empirical studies, policy analyses, and editorials on health law and policy issues. Market dynamics of authorized generics in Medicaid from 2014 to 2020. Health Serv Res. 2023 Feb 23.

Regulations 57

Regulations Medicare Medicaid Prevention 57

NASHP

DECEMBER 10, 2021

The information on this map comes from a 50-state survey of a variety of stakeholders, ranging from Medicaid officials to Community Health Workers, on their states’ approaches?to?integrating?CHWs CDC Centers for Disease Control and Prevention. MHP Medicaid Health Plans. USPSTF United States Preventative Services Task Force.

Medicaid 120

Medicaid Primary Care Prevention Nursing 120

Briggs Healthcare

JANUARY 20, 2023

CMS performs over 100,000 compliance surveys of Medicare and Medicaid-certified providers and suppliers, each year. Each interactive video focuses on a specific health or safety citation, with the goal of helping facilities to proactively identify and prevent these deficiencies in the future.

Quality of Care 52

Quality of Care Regulations Medicaid Prevention 52

Briggs Healthcare

JULY 18, 2022

The modern American nursing home, an unexpected creature of the Medicaid and Medicare programs, has evolved to provide neither a comfortable, functional “home” nor reliably excellent “nursing” (Grabowski, 2022). 2022; Ninteau & Bishop, 2022) discuss aspects of clinical care that should be targets for improvement and regulation.

Nursing 80

Nursing Regulations Medicaid Home Care 80

p3care

MAY 20, 2022

The rules and regulations relating to each category also change or are updated every year. Preventive Care and Early Detection: Immunization Against Influenza. Preventive Care and Early Detection: Checking for Tobacco Use and Intervention for Ceasing. MIPS Reporting Measures for Allergy and Immunology Specialty.

Prevention 246

Prevention Doctors Healthcare Providers Regulations 246

Briggs Healthcare

AUGUST 14, 2023

The SPSS is aligned with CMS expectations for State Survey Agency performance in accordance with the §1864 Agreement and all related regulations and policies intended to protect and improve the health and safety of Americans such as the State Operations Manual, the Mission and Priority Document, survey procedure guides, and other relevant documents.

Physical Therapy 52

Physical Therapy Rehabilitation Medicaid Quality of Care 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

Sheppard Health Law

NOVEMBER 2, 2023

According to the Congressional Research Service, which analyzed data from the Centers for Medicare & Medicaid Services (“CMS”) National Health Expenditure Accounts (“NHEA”) on the personal health expenditures for LTSS by payer, in 2021, an estimated $467.4 billion was spent on LTSS. This represents 13.2% of LTSS spending. [5]

Medicaid 52

Medicaid Medicare Accountability Nursing 52

NASHP

AUGUST 30, 2023

Drafting Note : Rural emergency hospitals are defined in accordance with federal regulations, 87 Fed Reg. A state may opt not to include this specific subsection 4 and instead use regulations or guidance to clarify the re-licensure/re-enrollment option. A state may also defer regulations or adopt emergency regulations.

Hospitals 97

Hospitals Regulations Federal Healthcare Nursing 97

p3care

MAY 1, 2023

We understand the paramount necessity of identifying and preventing healthcare fraud and abuse. It’s crucial to guarantee that audits are carried out fully, and objectively following relevant rules or regulations. Well, we have a simple solution to avoid such things, i.e., depend on medical billing outsourcing companies.

Patient Safety 130

Patient Safety Healthcare Regulations Medicaid 130

HIT Consultant

MARCH 9, 2023

Rajesh Sharma, Vice President and General Manager of Systems Integration, Data Analytics and Interoperability Product Offerings, Gainwell Technologies The Centers for Medicare and Medicaid Services (CMS) has laid the critical groundwork to create a connected healthcare system in which patients, providers, and payers can easily exchange information.

Healthcare 94

Healthcare Prevention Medicaid Integration 94

Bill Of Health

OCTOBER 27, 2023

The regulation and administration of health care in the United States suggests a list of familiar institutional names — the Department of Health and Human Services, the Food and Drug Administration, Centers for Medicare & Medicaid Services, and the National Institutes of Health, to list a few.

Biotechnology 62

Biotechnology Regulations Medical Services Health Data 62

NASHP

MARCH 22, 2024

As major purchasers, administrators, and regulators of behavioral health treatment and supports, states play a critical role in system transformation. Invest in prevention and early intervention. In Colorado , Medicaid leverages its medical loss ratio (MLR) policies to incentivize MCOs’ performance. See the full resource guide.

Medicaid 52

Medicaid Urgent Care Primary Care Hospitals 52

Sheppard Health Law

JANUARY 26, 2023

Medicaid and Medicare The Balanced Budget Act of 1997, Public Law 105–33, 111 Stat. The Medicaid and Medicare statutes also contain conscience provisions related to the performance of advanced directives, religious nonmedical healthcare providers and their patients.

Healthcare 105

Healthcare Federal Healthcare Medicaid Regulations 105

HIT Consultant

JUNE 9, 2022

New government regulations, like the Centers for Medicare & Medicaid Services’ interoperability rules and the Fast Healthcare Interoperability Resources (FHIR) standard enforcement, have finally been passed that support a seamless flow of medical information. Yet, the tides are turning.

Healthcare 98

Healthcare Regulations Prevention Medicaid 98

NASHP

DECEMBER 19, 2022

Before the onset of the COVID-19 pandemic, all 50 states offered at least partial coverage of telehealth services through their Medicaid fee-for-service programs. Medicaid managed care plans had increased their use of telehealth services, but coverage varied significantly across (and sometimes within) states.

Medicaid 52

Medicaid Regulations Prevention Primary Care 52