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Aetna Medicare CMO Outlines Aging-in-Place Agenda

Home Health Care

Jamie Sharp, chief medical officer for Aetna Medicare. “We’re We’re kind of assuming a new landscape for the delivery of health care and moving away from acute,” Sharp told Home Health Care News. “I million Medicare members nationwide. I think it’s important to focus on aging in place.”.

Medicare 105
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HHS OIG Report On Prior Authorizations Under Medicare Advantage

Sheppard Health Law

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).

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Getting To Know Laura Tortorella, The Next CEO Of AccentCare

Home Health Care

It is also one of the nation’s largest accountable care organizations, according to the company’s website. Its network also includes multispecialty medical groups, urgent care centers, skilled nursing facilities and behavioral health centers. ” Tortorella joins the home health industry at an interesting time.

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CenterWell Home Health President Susan Benoit Discusses Value-Based Care, Partnership Strategies

Home Health Care

The home health leader of one of the nation’s largest health insurers believes the industry will need to be ready to move toward value-based care. Meanwhile, critics of Medicare Advantage (MA) should start to spend time with payers to understand what their needs are and what is driving up their costs. We have their labs.

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Salvo Health Secures $5 Million to Expand Wraparound GI Care Model

HIT Consultant

Empowering local providers: Addressing staff shortages and burnout by offering a team of nurses, dietitians, and behavioral health specialists. Enabling insurance coverage: Supporting billing for Remote Patient Monitoring (RPM) and Chronic Care Management (CCM) codes for both Medicare and commercially insured patients.

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Bridges Health Partners Highmark BCBS Form Commercial Value-Based Care Agreement

HIT Consultant

The agreement is designed to improve the health of Highmark’s members by providing accessible, high quality, cost effective, patient centered care through member collaboration and innovation. Established in 2017 through a collaboration between Independence Health System, St.

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Startups, Payer-Provider Hybrids Believe They Can Bring New-Age Thinking To Home-Based Care

Home Health Care

Humana is a health insurance company that operates one of the largest Medicare Advantage plans in the U.S. It is also a provider organization through its CenterWell arm, which includes home health care, pharmacy and primary care services. Our health care system is very reactive,” she said. A company like Humana Inc.