Sheppard Health Law

MAY 5, 2022

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).

Medicare 52

Medicare Rehabilitation Urgent Care Patient Safety 52

NASHP

APRIL 15, 2022

For many with complex care needs, research shows supportive housing services are essential for exiting homelessness and staying successfully housed. California’s most recent Medicaid transformation initiative, CalAIM, builds upon the state’s previous work on whole person care to meet the care needs for complex care populations.

Medicaid 59

Medicaid Public Hospital Hospitals Nursing 59

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