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

Home Health Care

Medicare Advantage (MA) – the offshoot of traditional Medicare that’s administered by private insurance companies – has recently caught a lot of flak. Centers for Medicare & Medicaid Services (CMS) has been collecting feedback on the MA program through a request for information (RFI) process.

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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

The “National Forum on Advancing High-Quality, Equitable Care Coordination for Children and Youth with Special Health Care Needs” centered on two key topics for improving care coordination systems for CYSHCN: integrated care coordination and the care coordination workforce.

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

NASHP

While some select initiatives in state spending plans remain under review, all 50 states have received approval from the Centers for Medicare and Medicaid Services (CMS) to claim the enhanced Medicaid HCBS Federal Medical Assistance Percentage (FMAP) and begin to implement their proposals.[2]. Rehabilitative services. Case management.

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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.