HIT Consultant

NOVEMBER 21, 2023

a leading provider of innovative, cloud-based healthcare technology solutions, today announced that its clients participating in the Medicare Shared Savings Program (MSSP) leveraged NextGen® Population Health to achieve a cumulative $82 million in total Medicare savings last year. What You Should Know: NextGen Healthcare, Inc.

Medicare 52

Medicare Population Health Accountable Care Quality of Care 52

HIT Consultant

JUNE 2, 2022

What You Should Know: – CareMax , a tech-enabled provider of value-based care to seniors announced an agreement to acquire the Medicare value-based care business of Steward Health Care System for a combination of cash and stock. – CareMax will pay $25 million in cash and issue 23.5

Medicare 95

Medicare Primary Care Quality of Care Accountability 95

HIT Consultant

JANUARY 2, 2024

Ed Park, CEO at Devoted Health What You Should Know: – Devoted Health , a leading provider of all-in-one healthcare for Medicare beneficiaries, has secured $175M in Series E funding, demonstrating continued investor confidence in its mission to revolutionize senior care.

Medicare 52

Medicare Quality of Care Integration Healthcare 52

KHN

FEBRUARY 8, 2022

The penalties — a 1% reduction in Medicare payments over 12 months — are based on the experiences of Medicare patients discharged from the hospital between July 2018 and the end of 2019, before the pandemic began in earnest. Paradoxically, all those hospitals have five stars, the best rating, on Medicare’s Care Compare website.

Medicare 137

Medicare Hospital IT Hospitals Patient Safety 137

Healthcare ECONOMIST

OCTOBER 24, 2022

That is the connection made between Medicare Advantage (MA) Star Ratings under the Quality Bonus Program (QBP) and Garrison Keillor well-known segment on the Prairie Home Companion in a recent paper by Teno and Ankuda (2022). The Affordable Care Act in 2010 mandated the creation of the 5-star rating system for MA plans.

Medicare 64

Medicare Quality of Care 64

Home Health Care

AUGUST 4, 2023

Here is a look at three steps providers can take to improve their QAPI approach, fix their VBP scores and boost their Medicare payments. The post How to Improve Your VBP Scores and Boost Medicare Payments appeared first on Home Health Care News. But how will they do it?

Medicare 88

Medicare Performance improvement Quality Assurance Quality Improvement 88

Home Health Care

NOVEMBER 7, 2021

Centers for Medicare & Medicaid Services (CMS) is that the model will now begin Jan. more room to breathe, Valerie Cornett, chief of strategy and innovation at MAC Legacy, told Home Health Care News. Broadly, HHVBP has many supporters among the home health industry due to its ability to boost quality scores and Medicare savings.

Medicare 104

Medicare Performance improvement Medicaid Quality of Care 104

Home Health Care

MARCH 28, 2022

Florida Blue Medicare — the state’s Blue Cross and Blue Shield Medicare plan — is collaborating with Emcara Health to offer eligible members access to home-based primary care. The collaboration reflects how payers are increasingly turning to in-home care organizations of all shapes and sizes.

Primary Care 73

Primary Care Medicare Home Care Nursing 73

Healthcare ECONOMIST

MARCH 7, 2022

Three management and culture capacity measures assessed learning and team culture (nine items), capacity for innovation (six items), and depression care management (six items) because effective depression care requires high practice orientation to learning and teamwork.15 Capabilities were then rescaled to range between 0 and 1.

Medicare 61

Medicare Quality of Care Prevention Hospitals 61

Briggs Healthcare

JULY 25, 2023

In addition, it covers the Medicare Advantage program and prescription drug coverage for Medicare beneficiaries, including Part D. In addition, it covers the Medicare Advantage program and prescription drug coverage for Medicare beneficiaries, including Part D. This Data Book is packed with information and charts.

Medicare 52

Medicare Ambulatory Care Rehabilitation Quality of Care 52

Home Health Care

OCTOBER 27, 2023

In the first six years of the Home Health Value‐Based Purchasing (HHVBP) Model demonstration, the nine participating states saved Medicare $1.38 Centers for Medicare & Medicaid Services (CMS) that evaluated the first six years of HHVBP before the national expansion at the beginning of 2023. billion, a 1.9%

Medicare 92

Medicare Quality of Care Nursing Medicaid 92

HIT Consultant

APRIL 1, 2024

Improperly billed for services: The government alleges that TRG billed Medicare for radiology services performed by a radiologist located in the UK, which violates program regulations. The allegations against TRG raise concerns about the quality of care patients may have received and the potential misuse of federal healthcare funds.

Quality of Care 97

Quality of Care Regulations Federal Healthcare Healthcare Providers 97

Home Health Care

APRIL 15, 2024

Last week, the Centers for Medicare & Medicaid Services (CMS) Innovation Center announced a new proposed model that will undoubtedly affect home health providers, and also allow them the opportunity to get more involved in value-based care initiatives. TEAM would be yet another model furthering that goal, if enacted.

Accountability 69

Accountability Medicare Home Care Quality of Care 69

Briggs Healthcare

JUNE 21, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The Medicare Payment Advisory Commission (MedPAC) has released its June 2023 Report to the Congress: Medicare and the Health Care Delivery System. You may go to our website at www.medpac.gov to view the 10 chapters of the report, or follow the links below.

Medicare 52

Medicare Rehabilitation Accountability Quality of Care 52

Healthcare It News

JANUARY 10, 2023

The Connecticut Children's Care Network, with 37 independent pediatric practices and more than 200 pediatric primary care providers in Connecticut and Massachusetts, has a mission to improve the quality of care and health outcomes for infants, children and adolescents. Email: afox@himss.org.

Primary Care 261

Primary Care Quality of Care Telemedicine Prevention 261

Home Health Care

SEPTEMBER 3, 2022

Seniors on Medicare Advantage health plans may not always be receiving high quality care, a new study shows. The study’s authors concluded that paying higher premiums is not always necessary when seniors are trying to receive high quality care from an MA plan.

Medicare 110

Medicare Quality of Care Accountability Medicaid 110

Healthcare ECONOMIST

AUGUST 23, 2021

In 2008, the Centers for Medicare & Medicaid Services (CMS) implemented the Hospital-Acquired Conditions Present on Admission (HAC-POA) program. The goal of this program was to reduce the frequency of high-cost complications among Medicare beneficiaries.

Medicare 67

Medicare Hospitals Medicaid Quality of Care 67

p3care

DECEMBER 10, 2020

MACRA MIPS (The Medicare Access and CHIP Reauthorization Act of 2015 – Merit-based Incentive Payment System) is a program that caters to physician finances under Medicare. Not only that, but it determines the quality of care within hospitals, practices, and clinics should meet certain standards.

Quality of Care 246

Quality of Care Medicare Quality Improvement Medicaid 246

p3care

JULY 2, 2023

Centers for Medicare & Medicaid Services (CMS) Promoting Interoperability (PI) Programs Merit-based Incentive Payment System (MIPS) Third-party ONC-Authorized Certification Bodies (ONC-ACBs) ONC-ACBs are authorized by the ONC to evaluate health IT solutions. Afterward, they implement strategies to enhance the quality of care they deliver.

Performance improvement 237

Performance improvement Quality of Care Healthcare Providers Integration 237

Briggs Healthcare

FEBRUARY 9, 2022

The Medicare and Medicaid certification of providers and suppliers in a State whose oversight process is substantially deficient may be jeopardized if CMS cannot ensure that the regulatory minimum health and safety standards have been met.

Medicaid 52

Medicaid Medicare Regulations Quality of Care 52

KHN

FEBRUARY 8, 2022

The penalties — a 1% reduction in Medicare payments over 12 months — are based on the experiences of Medicare patients discharged from the hospital between July 2018 and the end of 2019, before the pandemic began in earnest. Paradoxically, all those hospitals have five stars, the best rating, on Medicare’s Care Compare website.

Medicare 52

Medicare Hospital IT Hospitals Patient Safety 52

p3care

FEBRUARY 10, 2021

From the next performance year (2021), Accountable Care Organizations (ACOs) expect different reporting requirements under the Medicare Shared Savings Program. CMS (Centers for Medicare and Medicaid Services) has recommended changes for ACO reporting criteria. Compact MIPS Quality Measure Set. Quality of Care by ACOs.

Medicare 246

Medicare Accountable Care Accountability Medicaid 246

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

Sheppard Health Law

OCTOBER 27, 2022

On October 21, 2022, the Centers for Medicare and Medicaid Services (CMS) announced changes to its Special Focus Facility (SFF) program, including new steps to address nursing home facilities that fail to graduate from the SFF program in a timely manner, or “yo-yo” back into non-compliance after graduating from the SFF program.

Medicaid 96

Medicaid Nursing Medicare Quality of Care 96

Home Health Care

MARCH 16, 2023

Back in January, the Medicare Payment Advisory Commission (MedPAC) voted unanimously to recommend a 7% payment cut for home health agencies in 2024. Broadly, the report covers Medicare payment policy, including the Medicare fee-for-service payment systems for home health care. in 2020 and 15.4% This was a historic high.

Medicare 92

Medicare Quality of Care Hospitals 92

HIT Consultant

FEBRUARY 9, 2023

Czekai, MPH, VP of Strategic Partnerships at Cohere Health The Centers for Medicare & Medicaid Services (CMS) recently proposed a new rule to advance interoperability and improve the prior authorization (PA) process for Medicare and Medicaid patients. Electronic PA is surely a good starting point, but it is not enough.

Medicaid 98

Medicaid Medicare Quality of Care Patient Experience 98

Home Health Care

OCTOBER 4, 2022

If the home health payment rule for 2023 is finalized by the Centers for Medicare & Medicaid Services (CMS) as proposed, it will likely affect quality of care. This article is a part of your HHCN+ Membership. There are a few reasons why. . Sign up for HHCN + to read this exclusive content.

Quality of Care 89

Quality of Care Medicaid Medicare 89

Home Health Care

JANUARY 12, 2023

In a unanimous vote Thursday, the Medicare Payment Advisory Commission (MedPAC) recommended that the Medicare base payment rate for home health care be reduced by 7% for CY 2024. According to MedPAC data, Medicare spent $16.9 Agencies had a positive Medicare marginal profit of 25.9% million beneficiaries. “We

Rehabilitation 88

Rehabilitation Medicare Quality of Care Nursing 88

Briggs Healthcare

NOVEMBER 3, 2021

CMS’ Calendar Year (CY) 2022 Physician Fee Schedule (PFS) final rule will promote greater use of telehealth and other telecommunications technologies for providing behavioral health care services, encourage growth in the diabetes prevention program, and boost payment rates for vaccine administration.

Medicare 105

Medicare Prevention Quality of Care Regulations 105

Home Health Care

FEBRUARY 28, 2024

This article is a part of your HHCN+ Membership In the last home health proposed rule from the Centers for Medicare & Medicaid Services (CMS), the federal agency in charge of reimbursement rates sent out a request for information on home health aide utilization. This system aimed to change the way Medicare paid for home health services.

Medicare 86

Medicare Home Care Nursing Medicaid 86

Health Recovery

FEBRUARY 13, 2023

Launched over a decade ago, the Hospital Readmission Reduction Program (HRRP) is a Center of Medicare and Medicaid Services (CMS) initiative to reduce unnecessary readmissions and improve the quality of care for Medicare beneficiaries.

Hospitals 52

Hospitals Quality of Care Medicare Medicaid 52

Meditech

MAY 26, 2022

Hospital patient experience surveys, such as the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS), measure the quality of care given by a hospital, which influences patient satisfaction and retention.

Patient Experience 86

Patient Experience Quality of Care Medicare Hospitals 86

Home Health Care

DECEMBER 5, 2023

Centers for Medicare & Medicaid Services’ (CMS) CY 2024 final home health rule deal with the Home Health Value-Based Purchasing (HHVBP) model. What is true today is not what’s going to be true with the final rule,” Cindy Krafft, owner of K&K Health Care Solutions, said during a MedBridge webinar on Tuesday.

Rehabilitation 106

Rehabilitation Medicare Quality of Care Patient Experience 106

Home Health Care

OCTOBER 18, 2022

million in order to resolve allegations that it paid physicians to induce referrals of patients that led to false claims to the Medicare and TRICARE programs. Offering illegal financial incentives to physicians in return for patient referrals undermines the integrity of our health care system,” U.S.

Tricare 105

Tricare Medicaid Medicare Integration 105

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 65

Medicare Home Care Primary Care Quality of Care 65

Healthcare ECONOMIST

OCTOBER 25, 2023

However, little is known about how system ownership affects hospital profitability and quality. We combine novel, patient-level transaction price data from a large commercial insurer, Medicare claims, and New York hospital discharges between 2012 and 2018 to study changes at over 100 independent hospitals that transition to system ownership.

Hospitals 74

Hospitals Quality of Care Medicare 74

Home Health Care

APRIL 3, 2024

Point32Health – the parent company of Harvard Pilgrim Health Care and Tufts Health Plan – announced Wednesday that it is removing prior authorization requirements for the first 30 days of home health care beginning on April 12. The changes will affect members in Point32Health’s commercial plans. “We

Rehabilitation 71

Rehabilitation Home Care Quality of Care Hospitals 71