NASHP

OCTOBER 20, 2022

This substandard access to quality care can lead to poor health outcomes.[6]. have a special health care need, and an estimated 44 percent of CYSHCN are enrolled in Medicaid.[7] In June 2022, NASHP convened a national forum with state health officials (e.g., Nearly 20 percent of children in the U.S.

Medicaid 98

Medicaid Integration Accountability Quality Improvement 98

HIT Consultant

NOVEMBER 2, 2023

Collaboration aims to drive coordinated care and improve quality while reducing costs NS-EEH will strengthen its clinically integrated network (CIN) by incorporating Lumeris’ population health data platform into its value-based care strategy.

Accountable Care 52

Accountable Care Population Health Accountability Medicaid 52

NASHP

JULY 24, 2023

Between 2017 and 2023, laws regulating PBMs accounted for more than half of all enacted prescription drug legislation. All 50 states have enacted at least one law on PBMs since 2016, accounting for more than 150 laws in total. 2022 Prescription Drug Transparency Report Check out this 2022 report from the Maine Health Data Organization.

Medicaid 52

Medicaid Regulations Pharmaceuticals Accountability 52

NASHP

AUGUST 31, 2023

State leaders play a critical role in convening key internal and external partners, implementing engagement and input processes that foster shared ownership and accountability toward goals at the state and community levels.

Medicaid 52

Medicaid Accountability Public Health services Population Health 52

NCQA

JULY 17, 2023

We want to evolve HEDIS as the best performance measurement system for: Improving health equity. With that goal in mind, we are revising HEDIS measures to: Better align with digital health data standards. Leverage electronic clinical data. Encourage standardized exchange of health information.

Ambulatory Care 52

Ambulatory Care Medicaid Accountability Prevention 52

NASHP

OCTOBER 21, 2024

As states work to advance health equity, concurrent challenges such as workforce shortages , health care deserts , and disruptions in access to care and Medicaid coverage have hindered efforts to reduce health disparities. For example, the Minnesota Department of Human Services (DHS) worked with the state’s U.S.-born

Medicaid 52

Medicaid Population Health Integration Health Data 52

Bill Of Health

OCTOBER 27, 2023

Namely, legal protections concerning personal health data may not apply when the entity offering the service is decidedly not a “provider.” To illustrate the issue, consider that the Privacy Rule of the Health Insurance Portability and Accountability Act (HIPAA) expressly covers genetic information as a form of health data.

Biotechnology 64

Biotechnology Regulations Medical Services Health Data 64

NASHP

JUNE 13, 2023

NASHP Uses Hospitals’ Own Data in Hospital Cost Tool NASHP’s Hospital Cost Tool uses Medicare Cost Report data that hospitals attest to and submit annually to the Center for Medicare and Medicaid Services. The tool currently incorporates Medicare Cost Report data from approximately 4,600 hospitals from 2011 through 2021.

Hospitals 52

Hospitals Medicare Accountability Medicaid 52

HIT Consultant

FEBRUARY 21, 2024

Digitally, this started with the bi-partisan BlueButton™ initiative to allow Medicare beneficiaries access to their data. CMS is now harnessing the power of digital interoperability to improve the accountability, transparency and ultimately availability of care, in particular in MA.

Medicare 52

Medicare Accountability Doctors Medicaid 52

HIT Consultant

APRIL 4, 2023

After only six digital health raises over $100M across Q3 and Q4 2022 combined, Q1 2023 logged six megadeals from Monogram Health ($375M), ShiftKey ($300M), Paradigm ($203M), ShiftMed ($200M), Gravie ($179M) and Vytalize Health ($100M)—accounting for 40% of the quarter’s total digital health funding.

Telemedicine 52

Telemedicine Medicaid Medicare Regulations 52

HIT Consultant

OCTOBER 14, 2021

And of course, we will continue the conversation on interoperability, data, and AI.” We’re looking forward to hearing about the acceleration of technology-driven performance and accountability in healthcare. So, high quality, accurate data will be an imperative for member satisfaction.

Urgent Care 98

Urgent Care Healthcare Medicare Integration 98

NASHP

MARCH 22, 2024

States such as Texas, Wyoming , and New Jersey are adopting Medicaid reimbursement of collaborative care services and are addressing capacity to transition to CoCM. Integration of Substance Use Services and Supports States can align long siloed approaches to primary care, mental health, and substance use services through integration efforts.

Medicaid 52

Medicaid Integration Primary Care Nursing 52

HIT Consultant

OCTOBER 4, 2021

The Centers for Medicare and Medicaid Services (CMS) strive for innovations in healthcare technologies that drive down costs and improve the patient experience. One big step forward is the 21 st Century Cures Act passed in 2016, putting patients in charge of their own health records. Protect Against Security Breaches.

Healthcare 52

Healthcare Accountability Patient Experience Medicaid 52

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. WEDI has close working relationships with both CMS and CAQH.

Healthcare 75

Healthcare Nursing Care Transition Accountability 75

Sheppard Health Law

JANUARY 26, 2024

On December 13, 2022, the Centers for Medicare and Medicaid Services (“CMS”) issued a proposed rule, titled Advancing Interoperability and Improving Prior Authorization Processes (“Proposed Rule”), to improve patient and provider access to health information and streamline processes related to prior authorizations for medical items and services.

Medicare 52

Medicare Medicaid Hospitals Health Data 52

Lexis Nexis

APRIL 28, 2023

And it’s been found that  private insurance companies spend $1.87B  on SDoH data, with the top six insurers accounting for 72% of that SDoH spend. And  And while the data is a few years old,  a study found that 57 health systems  invested at least $2.5B What SDoH data do you have today?

Medicaid 52

Medicaid Prevention Accountability Healthcare 52

Etactics

DECEMBER 1, 2023

These codes assist healthcare workers in reporting different medical procedures and services to health insurance programs, such as Medicare and Medicaid. HCPCS Code Structure The HCPCS exists in the public domain created by the Centers for Medicare and Medicaid Services. A0425 - Ambulance transportation (ground mileage).

Medicare 52

Medicare Medicaid Medical Services Prevention 52

HIT Consultant

MAY 26, 2023

Ophelia , an opioid addiction care provider partners with health insurers Healthfirst NY and MVP Healthcare , further expanding access to its evidence-based medication-assisted treatment via telehealth across New York state.

Integration 52

Integration Patient Experience Life Sciences Hospitals 52

Health Populi

FEBRUARY 15, 2022

When Abner met up with investors in the venture capital community at the time, he said it was “a struggle to talk to people about a solution that focused on the underserved and Medicaid.” Abner would talk about Medicaid, and the VC community didn’t understand what Medicaid was having little to no exposure to the payor.

Telemedicine 113

Telemedicine Medicaid Accountability Health Data 113

HIT Consultant

NOVEMBER 16, 2022

Edifecs and Empowered-Home announced a partnership to provide automated prior authorizations to medical associations, Accountable Care Organizations (ACOs), Independent Physician Associations (IPAs), medical groups, and home healthcare agencies. Edifecs Partners with Empowered-Home to Deliver Automated Prior Authorizations.

Physical Therapy 98

Physical Therapy Integration Accountable Care Rehabilitation 98

Home Health Care

FEBRUARY 28, 2022

Centers for Medicare & Medicaid Services (CMS) announced Thursday , the Global and Professional Direct Contracting (GPDC) Models will expire at the end of 2022. 1, 2023, the accountable care organization (ACO) “REACH” Model – which stands for “Realizing Equity, Access and Community Health” – will take its place. “I

Primary Care 98

Primary Care Accountable Care Accountability Medicaid 98

Bill Of Health

OCTOBER 26, 2022

In the post- Dobbs fight to safeguard reproductive healthcare, a new spotlight has been placed on two existing federal laws: the Health Insurance Portability and Accountability Act (HIPAA) and the Emergency Medical Treatment and Active Labor Act (EMTALA). . By Katie Gu. OCR HIPAA Privacy Rule Guidance.

Medicare 75

Medicare Medicaid Hospitals Health Data 75

NASHP

OCTOBER 1, 2021

All three states emphasized a need for more timely and complete data—which would require broad improvements to data collection and management. In Indiana , COVID-19 necessitated an overhaul of data systems, and also an increase in state officials’ data literacy.

Medicaid 59

Medicaid Integration Hospitals Prevention 59