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.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

Home Health Care

JANUARY 2, 2024

Devoted Health, a next-generation Medicare Advantage plan and tech-enabled startup , made a financial splash to end 2023 – announcing $175 million in new funding. The Massachusetts-based Devoted Health is an all-in-one health care company that delivers virtual-first care and insurance to primarily Medicare Advantage patients.

Medicare 64

Medicare Home Care Primary Care Quality of Care 64

Home Health Care

JULY 5, 2022

Hospital readmissions are regularly viewed as an indicator of the quality of care patients receive. The Centers for Medicare & Medicaid Services (CMS) calculates annual readmission rates, and if those rates are higher than national averages, hospitals are financially penalized.

Hospitals 100

Hospitals Primary Care Nursing Quality of Care 100

Sheppard Health Law

FEBRUARY 12, 2024

HRSN Initiatives : In the interest of increasing the accessibility and quality of care to address HRSN, the Demonstration Amendment seeks to improve integration between primary care providers and community-based organizations.

Medicaid 52

Medicaid Primary Care Hospitals Integration 52

Healthcare It News

APRIL 28, 2022

The hospitalists, care navigators and primary care providers worked together to roll out a three-step approach to better understand the impact of having drug costs available to physicians and patients at the point of care. MEETING THE CHALLENGE.

Hospitals 233

Hospitals Medicare Primary Care Quality of Care 233

HIT Consultant

JANUARY 25, 2023

. – The report demonstrates, across multiple plans, that placing previously unavailable yet actionable information on quality gaps, HCC (Hierarchical Condition Categories) capture, HRA completion and other initiatives, within the provider’s workflow, is effective in closing more gaps.

Primary Care 52

Primary Care Process improvement Quality of Care Medicare 52

Home Health Care

JANUARY 31, 2023

This is because most of the biggest issues have already been addressed by Congress and the Centers for Medicare & Medicaid Services (CMS). It will give patients the options for care in the home,” she said.

Nursing 89

Nursing Primary Care Medicare Home Care 89

Home Health Care

FEBRUARY 22, 2023

“Yes, we know that when we take on risk, we’re putting ourselves in a position that we might end up losing, but we’re creating opportunities so that we can actually move health care at home forward,” Resilient CEO Jackleen Samuel said during a presentation last month at the Home Care 100 conference.

Home Care 83

Home Care Hospice Care Primary Care Hospitals 83

Etactics

JANUARY 26, 2024

Quality of care. These include capitation, value-based reimbursement, and episodes of care/bundled payments. It is also a term applied to traditional Medicare. This helps distinguish it from Medicare managed-care plans, as well as any other new payment systems there might be. Cost containment.

Healthcare 52

Healthcare Primary Care Medicare Healthcare Providers 52

p3care

NOVEMBER 12, 2021

This unit works together to care for and look after a patient’s health. Their main goal is to improve the quality of care for patients. Ultimately, these add up to clinician’s MIPS reporting services, ACO reporting, or Quality Payment Program. Primary care doctors and specialists. How Does It Work?

Doctors 130

Doctors Accountability Healthcare Providers Accountable Care 130

p3care

NOVEMBER 12, 2021

This unit works together to care for and look after a patient’s health. Their main goal is to improve the quality of care for patients. Ultimately, these add up to clinician’s MIPS reporting services, ACO reporting, or Quality Payment Program. Primary care doctors and specialists. How Does It Work?

Doctors 130

Doctors Accountability Healthcare Providers Accountable Care 130

Home Health Care

JULY 7, 2023

Home Health Care News recently caught up with Harris to learn more about trends he is seeing in the investment space, his goals for ConcertoCare and his predictions for the future of home-based care delivery. Harris: I’m a primary care physician — I did the med school, business school combo.

Hospitals 85

Hospitals Primary Care Quality of Care Medicaid 85

Health Populi

AUGUST 25, 2020

Among these visits, 76% were with a primary care provider, 32% with a specialty care provider, and 18% with a mental health provider, the study found. Most older patients who had a telehealth visit perceived the quality of an office visit was higher (56%) and offered better communication opportunity with the clinician (54%).

Primary Care 171

Primary Care Telemedicine Doctors Hospitals 171

Health Populi

JULY 13, 2020

health care financing regime of volume-based payment didn’t fare well as millions of patients postponed or cancelled procedures and visits for fear of contracting the virus in the halls, offices and clinics of hospitals and doctor’s offices. gross domestic product in 2020, the Centers for Medicare and Medicaid Services calculated.

Primary Care 106

Primary Care Medicare Accountability Hospitals 106

Sheppard Health Law

JANUARY 10, 2024

Markovich is worried that the healthcare system is losing the public’s trust – which will make it harder to effectively fix our system – while also not delivering the quality of care and accessibility needed by our population. For example, Christopher Riopelle, CEO of Strive Health, shared today that 42% of U.S.

Healthcare 52

Healthcare Ambulatory Care Primary Care Medicare 52

Health Populi

MAY 10, 2022

That’s an important behavior change to take into future planning for primary care services targeted to older peoples’ chronic care management and remote health monitoring. The top barrier to using telehealth for people 50+ are concerns about the quality of care not being on-par with in-person visits to doctors.

Doctors 123

Doctors Primary Care Medicare Quality of Care 123

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 142

Integration Healthcare Quality of Care Regulations 142

Home Health Care

SEPTEMBER 7, 2021

Louisville, Kentucky-based Humana is one of the largest Medicare Advantage (MA) insurers in the country. It is also one of the largest providers of home health care through its $8.1 Nearly 90% of seniors want to age in place, according to a recent study conducted by Capital Caring Health and WebMD. “A

Urgent Care 87

Urgent Care Primary Care Quality of Care Patient Experience 87

Healthcare It News

JULY 17, 2023

CCA specializes in managing complex care for individuals dually eligible for Medicare and Medicaid, as well as those who narrowly miss the threshold for Medicaid. This matters not only for urgent care issues, but also when a patient is motivated and wants to secure a visit quickly.

Telemedicine 194

Telemedicine Urgent Care Medicaid Integration 194

Health Populi

FEBRUARY 22, 2022

Doximity’s second report on telemedicine explores both physicians’ and patients’ views on virtual care, finding most doctors and health consumers on the same page of virtual care adoption. For the physicians’ profile, Doximity examined 180,000 doctors’ who billed Medicare for telemedicine claims between January 2020 and June 2021.

Telemedicine 77

Telemedicine Doctors Primary Care Quality of Care 77

Health Populi

MARCH 9, 2022

Through their lens on real estate, JLL wove three themes from the consumer poll: Location and convenience matter most to patients, and health care providers can leverage patient preferences to inform site selection especially for scarce facility types. ” she added. This week, the U.S.

Doctors 91

Doctors Life Sciences Medicare Urgent Care 91

NASHP

AUGUST 23, 2021

Primary care case management (PCCM) programs are one of the oldest types of Medicaid managed care, but over time most states have shifted to use managed care organizations (MCOs) to deliver services to Medicaid participants. ii] Rural areas are highly likely to suffer from shortages of primary care and other providers.

Primary Care 62

Primary Care Medicaid Accountability Quality Improvement 62

NASHP

MARCH 15, 2023

Opportunities for State Policymakers State health reform efforts increasingly focus on providing comprehensive and well-coordinated care to people with serious illness to improve quality of care and drive down costs. Palliative care can be an important component of these strategies.

Medicaid 52

Medicaid Primary Care Integration Nursing 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 91

Integration Healthcare Quality of Care Regulations 91

HIT Consultant

JANUARY 3, 2023

For sellers, as healthcare reimbursement models become more complex, it’s increasingly appealing to have someone else deal with the business back-end so the selling clinician can focus on providing patient care. This trend is likely to continue for the foreseeable future as Medicare Advantage plans increasingly move to value-based models.

Healthcare 52

Healthcare Primary Care Medicare Integration 52

NASHP

MARCH 14, 2022

High-quality palliative care can both improve quality of life and avoid unnecessary and often unwanted treatments for Medicaid enrollees with serious illness. States can support palliative care in a number of ways and across a range of settings (e.g., in hospitals, embedded within enhanced primary care, via home health).

Medicaid 94

Medicaid Rehabilitation Quality Assurance Patient Experience 94

Home Health Care

DECEMBER 14, 2021

Generally, that’s Medicare Advantage,” Johnson said in September. Landmark was originally founded by Rubicon Founders CEO Adam Boehler, who eventually left to head the Center for Medicare and Medicaid Innovation (CMMI). One was that it’s still Medicare fee for service, and it’s built on a fee-for-service chassis.”.

Urgent Care 52

Urgent Care Medicare Quality of Care Medicaid 52

Health Populi

JULY 10, 2020

As a sign of satisfaction, 70% of consumers would be likely (very or extremely) to recommend virtual care to friends or colleagues. Among satisfaction deflectors were perceived quality of care, an impersonal experience, and technical issues.

Urgent Care 111

Urgent Care Primary Care Doctors Quality of Care 111

Sheppard Health Law

MAY 2, 2023

On April 12, 2023, the Centers for Medicare and Medicaid Services (“CMS”) released a final rule updating key regulations pertaining to Programs of All-Inclusive Care for the Elderly (“PACE”) (the “ Final Rule ”). Overall, these changes, summarized below, will offer significant administrative and operational flexibilities.

Regulations 52

Regulations Medicaid Primary Care Medicare 52

HIT Consultant

OCTOBER 26, 2021

As patients move from the acute to post-acute care setting, they are often discharged without the proper tools to successfully support their transition of care. In fact, 57% of Medicare patients are released from the hospital without any post-discharge monitoring. Continue to lead with patient-first choices .

Remote Care 52

Remote Care Healthcare Doctors Primary Care 52

HIT Consultant

OCTOBER 14, 2021

That means virtualized end-to-end processes that integrate every step in patient care from scheduling, intake, waiting rooms and patient queuing to interpretation services, e-prescribe, billing and analytics, referral management and more. So, high quality, accurate data will be an imperative for member satisfaction.

Urgent Care 98

Urgent Care Healthcare Medicare Integration 98

Sheppard Health Law

DECEMBER 12, 2022

The Centers for Medicare & Medicaid Services (CMS) Innovation Center continues to move forward with its “strategic refresh” initiative. Through this shift, CMS aims to examine and enhance payments for specialty care provided to Medicare beneficiaries. Value-Based Care and ACOs.

Accountable Care 52

Accountable Care Accountability Primary Care Medicare 52

NASHP

OCTOBER 20, 2022

Federal agencies have also prioritized and supported advancing integrated care. For example, the Centers for Medicare & Medicaid Services Innovation Center is currently supporting the Integrated Care for Kids (InCK) model across seven sites in six states. Pediatrics. 17] Kretzmann, J. 22] Antonelli, Richard C., Pediatrics.

Medicaid 98

Medicaid Integration Quality Improvement Accountability 98

HIT Consultant

JANUARY 22, 2024

What You Should Know: – The Centers for Medicare & Medicaid Services (CMS) has taken a bold step towards improving care for individuals with both mental health conditions and substance use disorders (SUD), announcing the “ Innovation in Behavioral Health (IBH)” Model.

Medicaid 97

Medicaid Quality of Care Integration Medicare 97

Icanotes

SEPTEMBER 30, 2021

Boost to reputation: The process for insurance credentialing is rigorous, and many people see it as an indicator of the quality of care. In comparison, only 7% of people did so for medical specialists, and just 3% needed to go out of network for primary care. Considering about 10.3%

Primary Care 52

Primary Care Quality of Care Medicaid Healthcare 52

NASHP

MARCH 22, 2024

Integrated Primary and Behavioral Health Care A modern behavioral health system of care is fully integrated into the continuum of health care services, including primary and specialty care settings, and extends into homes and communities to ensure holistic and coordinated support.

Medicaid 52

Medicaid Integration Primary Care Nursing 52

Home Health Care

AUGUST 15, 2021

Centers for Medicare & Medicaid Services (CMS) are again touting the Home Health Value-Based Purchasing (HHVBP) Model as one of the agency’s most successful programs ever. CMMI was created through the Affordable Care Act in 2010. Broadly, HHVBP is a Medicare demonstration that aims to tie reimbursement to quality of care.

Medicare 85

Medicare Medicaid Quality of Care Primary Care 85