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‘The Patient Pays The Price’: Home Health Stakeholders Slam Medicare Advantage Plans As CMS Comment Period Closes

Home Health Care

What’s more, MA home health patients generally have worse functional outcomes compared to traditional Medicare patients, partly because they often receive fewer visits, according to a 2024 study from the Department of Rehabilitation Medicine at University of Washington. Similar MA grievances can be heard from beyond home health care as well.

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HLTH22 Day 3 News Summary

HIT Consultant

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. MEDITECH, SeamlessMD Collaborate on Digital Health Integration.

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Impact of hospital mergers on quality: a case study

Healthcare ECONOMIST

Before the merger, NYULH consisted of a multispecialty academic acute care hospital (450 beds) and a specialized orthopedic, rheumatic, and neurologic treatment and rehabilitation hospital (190 beds). To account for changes in patient mix, the authors control for patient demographics, insurance type, DRG mix, and Elixhauser comorbidities.

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National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN): Proceedings from the National Forum on Care Coordination for CYSHCN

NASHP

have a special health care need, and an estimated 44 percent of CYSHCN are enrolled in Medicaid.[7] public health, Medicaid, mental health) and other stakeholders (e.g., Integrated Care Coordination for CYSHCN During the forum, participants discussed key challenges, strategies, and considerations related to integrated care for CYSHCN.

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Expanded Federal Investment in Home and Community-Based Services: State Approaches to Serve Children and Youth

NASHP

1] Under the American Rescue Plan Act, the federal government expanded funding to states’ Medicaid HCBS programs, including a one-year, 10-percentage-point increase in federal Medicaid matching funds for HCBS. Medicaid Home and Community-Based Services for Children and Youth with Special Health Care Needs.

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As Medical Cost Trend Remains Flat, Patients Face Growing Health Consumer Financial Stress

Health Populi

Even with moderating medical trend growth, the Centers for Medicare and Medicaid Services (CMS) expect that healthcare spending will account for 20% of the U.S. As with public sector healthcare spending (“entitlements” in the form of Medicare and Medicaid), healthcare spending crowds out U.S. economy by 2026.

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Behavioral Health System Modernization along the Continuum

NASHP

It includes examples from various states organized by the framework buckets: integrated primary and behavioral health care, crisis continuum of care, in-home and in-community based, and out-of-home and community. States have a range of tools and policy levers at their disposal to build capacity for integrated behavioral health approaches.