Home Health Care

MAY 15, 2022

And they’re being implemented at a time when the Medicare program is shifting much quicker to mandatory risk models, so ACOs have more pressure to generate savings, not generate losses. The IAC provides research, analytics, health policy analysis and performance improvement collaboratives for the ACO industry.

Accountable Care 88

Accountable Care Accountability Primary Care Medicare 88

p3care

JULY 6, 2023

So, we can simply say that the MIPS performance score has an impact on Medicare revenues. Tips to Boost MIPS 2023 Performance Score Let’s explore some effective strategies to boost MIPS 2023 performance: Group Reporting Can Benefit Fortunately, group reporting is an option for you if you are part of a group or virtual group.

Performance improvement 130

Performance improvement Medicare Healthcare 130

p3care

APRIL 11, 2023

Therefore, CMS has planned to upgrade the provider’s performance with its MIPS 2023 framework. It is gradually making the Medicare Quality Payment Program a little more complex. Overall, it has higher goals for improved quality care and patient outcomes. However, the CMS hasn’t neglected them at all.

Performance improvement 130

Performance improvement Primary Care Regulations Patient Experience 130

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 96

Performance improvement Regulations Medicaid Medicare 96

Briggs Healthcare

SEPTEMBER 14, 2023

Acumen and Abt are convening this TEP to evaluate the measurement sets across the Inpatient Rehabilitation Facility (IRF), Long-Term Care Hospital (LTCH), Skilled Nursing Facility (SNF), Home Health (HH), and Hospice settings, with a focus on identifying measurement gaps, and ensuring measures align with CMS program requirements and goals.

Rehabilitation 40

Rehabilitation Performance improvement Nursing Medicare 40

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

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

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

Briggs Healthcare

JULY 1, 2022

Upcoming rulemaking in the calendar year (CY) 2023 Outpatient Prospective Payment System-Ambulatory Surgical Center (OPPS/ASC) proposed rule is anticipated to include discussion of policies regarding Medicare payment, quality reporting, and enrollment. Critical Access Hospitals.

Performance improvement 52

Performance improvement Hospitals Nursing Prevention 52

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

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

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 90

Patient Safety Performance improvement Quality Improvement Accountability 90

NASHP

OCTOBER 2, 2023

Additional Considerations Requires budget neutrality (note that budget neutrality calculations for health-related social needs were recently updated ) Typically involves extensive negotiations with the Centers for Medicare & Medicaid Services (CMS).

Medicaid 72

Medicaid Performance improvement Integration Nursing 72

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

OCTOBER 27, 2022

Disparities in maternal mortality also did not improve, with Black individuals more likely to die from pregnancy-related causes. These new data, coupled with recent federal action including a Maternity Care Action Plan by the Centers for Medicare & Medicaid Services outlines the importance of policy intervention in the perinatal period.

Medicaid 59

Medicaid Prevention Performance improvement Medicare 59

NASHP

SEPTEMBER 28, 2022

Centers for Disease Control and Prevention, Centers for Medicare & Medicaid Services (CMS), HRSA, Indian Health Services, Substance Abuse and Mental Health Services Administration (SAMHSA) and Veterans Administration all touch oral health care policies, programs, and workforce. State- Federal Collaboration on Oral Health.

Integration 64

Integration Primary Care Medicaid Prevention 64

NASHP

OCTOBER 22, 2021

Using quality measures and performance improvement projects that focus on serious illness can help states understand the value and uptake of these services. Recent changes in federal Medicare guidance permit Medicare Advantage plans (including D-SNPs) to provide home-based palliative care as a supplemental benefit.

Medicaid 102

Medicaid Hospice Care Integration Regulations 102

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

MARCH 29, 2024

49 HOME reports performance measures for the Utah Department of Health’s managed care quality strategy and supports a performance improvement project. 25] Centers for Medicare and Medicaid Services. Using a medical home model , HOME coordinates primary and specialty care, mental health care, and other needed services.

Medicaid 124

Medicaid Quality of Care Quality Assurance Nursing 124

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

Vie Healthcare

APRIL 24, 2024

Since 1999, VIE has been a recognized leader in healthcare costs, hospital purchased services, healthcare benchmarking, supply chain management, and performance improvement. And honestly, I still don’t understand some of the Medicare terminology that I’m being thrown at, at work. Jim (20:57): Sure.

Healthcare 98

Healthcare Hospitals Process improvement Ambulatory Care 98

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

NASHP

SEPTEMBER 25, 2023

Overview of SPAs and 1115 waivers State Plan Amendment : When a state is planning to make a change to its Medicaid program policies or operational approach, they can submit state plan amendments (SPAs) to the Centers for Medicare & Medicaid Services (CMS) for review and approval.

Medicaid 80

Medicaid Performance improvement Prevention Health Data 80

Vie Healthcare

NOVEMBER 26, 2021

And part of the strategy is, now is, is performance improvement, margin improvement. And you know, they’re just big words, you know, it’s like, okay, well, yeah, we, you know, we want excellence, we want performance improvement. Lisa Miller (39:59): It’s a great point.

Healthcare Analytics 52

Healthcare Analytics Healthcare Hospitals Doctors 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 quality and performance initiatives. The U4 modifier is used for both codes. Implement Medicaid Benefit.

Medicaid 59

Medicaid Nursing Regulations Hospitals 59

Vie Healthcare

AUGUST 23, 2023

The cost of treating cardiovascular disease: ‘’…shortly after Medicare was instituted, cardiovascular spending in the United States jumped to around 100 billion a year within 10 years. So they have to adhere to these nurse to patient ratios in all New York ICUs now. You can learn more about VIE Healthcare Consulting at viehealthcare.com.

Nursing 98

Nursing Hospitals Healthcare Accountability 98

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 228

Performance improvement Hospitals Medicaid Medicare 228

NASHP

DECEMBER 8, 2023

In a second bill, Illinois would have created a Medicare for All Health Care Act and an Illinois Health Services Trust. The measure would have established the Illinois Health Services Trust to provide funds for the general operating budget of the program and certain non-patient care expenses.

Primary Care 59

Primary Care Medicaid Medicare Hospitals 59

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. This is Medicare fraud….’’. So, this is Medicare fraud.

Hospitals 52

Hospitals Nursing Accountability Medicare 52

NASHP

AUGUST 24, 2023

advance care screening) were performed. While New York tied its performance improvement strategy to process measures, states could also use pay-for-performance strategies to promote structural changes within a practice (e.g., CAPC also created the resource document “ Serious Illness Strategies ” for health plans and ACOs.

Medicaid 52

Medicaid Quality Assurance Quality of Care Hospitals 52

NASHP

MAY 17, 2022

States must seek and receive approval from the Centers for Medicare and Medicaid Services (CMS) to enroll CYFC in MMC on a mandatory or voluntary basis (through a state plan amendment or waiver). Department of Health and Human Services, Centers for Medicare & Medicaid Services. MMC or FFS). Accessed November 5, 2021. 48] U.S.

Medicaid 64

Medicaid Integration Medicare Primary Care 64

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

NASHP

MARCH 22, 2024

North Carolina’s comprehensive behavioral health approach included efforts to increase uptake of CoCM through additional training and practice supports and Medicaid rate increases to 120% of Medicare rates for behavioral health providers. An action plan dashboard tracks targets. CMS’s Birth to 5: Watch Me Thrive!

Medicaid 52

Medicaid Integration Primary Care Nursing 52

NASHP

AUGUST 23, 2021

In addition, it is important to build in measurement at the start and to think of state efforts as iterative — moving to tackle new priorities as performance improves. Lack of Access to Specialists Associated with Mortality and Preventable Hospitalizations of Rural Medicare Beneficiaries.” iv] Johnston, K. Wen, and K.

Primary Care 64

Primary Care Medicaid Accountability Quality Improvement 64

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. 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

FEBRUARY 1, 2023

Since 1999, VIE has been a recognized leader in healthcare costs, hospital purchase services, healthcare benchmarking, supply chain management, and performance improvement. And it’s great to know that HeartFlow is currently covered by Medicare nationally, and 98% of commercial payers in the US.

Healthcare 52

Healthcare Patient Experience Hospitals Nursing 52

Vie Healthcare

JULY 26, 2023

Since 1999, VIE has been a recognized leader in healthcare costs, hospital purchased services, healthcare benchmarking, supply chain management, and performance improvement. I didn’t know about my aunt’s healthcare benefits or Medicaid or Medicare process. Jim (14:32): So Melissa, I loved when you said this.

Hospitals 52

Hospitals Nursing Doctors Healthcare 52