HIT Consultant

FEBRUARY 1, 2024

Imagine healthcare providers having immediate access to relevant patient history, trends, and anomalies during care transitions, allowing for more informed and efficient decision-making. AI technology can serve as a fundamental tool in making healthcare insights more accessible and meaningful for clinicians.

Care Transition 52

Care Transition Healthcare Innovation Accountability Medicare 52

HIT Consultant

DECEMBER 9, 2021

Medicare’s annual enrollment period has started, and you know what that means: a slew of commercials suddenly appearing on television for Medicare Advantage plans. Enrollment in Medicare Advantage has more than doubled over the past decade to more than 26 million people this year. The advertising appears to be working.

Medicare 52

Medicare Accountability Nursing Care Transition 52

NASHP

OCTOBER 22, 2021

In addition to a range of metrics related to promoting prevention and reducing utilization related to ambulatory care-sensitive conditions, ICSP measures have included advanced care planning, evidence of physician order for life-sustaining treatment (POLST), effective care transitions, and assessment and management of chronic pain.

Medicaid 102

Medicaid Hospice Care Regulations Integration 102

HIT Consultant

OCTOBER 7, 2021

Value-based care, a model that rewards better patient health outcomes, has experienced a surge in interest amid heightened consumer awareness and among payers seeking to lower costs and stabilize reimbursement. The acceleration of the value-based care transition isn’t slowing; the good news is, it’s not too late to get started.

Healthcare 75

Healthcare Nursing Care Transition Accountability 75

NASHP

FEBRUARY 27, 2023

During a recent virtual meeting focused on alternative payment approaches, Maine state officials detailed how the state intends to use its Primary Care Plus (PCPlus) program to reimburse for CHW services.­ With CMS approval, more advanced elements of the initiative will provide incentives to primary care practices that offer CHW services.

Primary Care 52

Primary Care Medicaid Care Transition Medicare 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). While in foster care, it is not uncommon for CYFC to move between placements. personal care items or electronics). MMC or FFS).

Medicaid 64

Medicaid Integration Medicare Primary Care 64

NASHP

AUGUST 5, 2024

Several states have received approval from the Centers for Medicare and Medicaid Services (CMS) of Medicaid State Plan Amendments (SPAs) that authorize reimbursement for CHW services. Eligible primary care practices must engage CHWs starting in 2024. Other states are in the process of SPA development.

Medicaid 52

Medicaid Primary Care Prevention Accountability 52

HIT Consultant

JUNE 22, 2022

In 2019 alone, and under the traditional fee-for-service model, Medicare spending on skilled nursing facilities (SNFs) averaged $27.8 Equipped with the right tools, providers can make the appropriate post-acute care decision for their patients to mitigate readmission risk and reduce potential post-acute care spending.

Hospitals 98

Hospitals Medicare Primary Care Care Transition 98