Healthcare ECONOMIST

JANUARY 14, 2022

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.

Hospitals 75

Hospitals Rehabilitation Accountability Quality Improvement 75

NASHP

APRIL 15, 2022

CalAIM: Leveraging Medicaid Managed Care for Housing and Homelessness Supports April 15, 2022 / by Allie Atkeson. Driven by challenges facing individuals with complex care needs, states are increasingly working to address the physical, behavioral, and social needs of their Medicaid beneficiaries. Download the report (PDF).

Medicaid 59

Medicaid Public Hospital Hospitals Nursing 59

Briggs Healthcare

FEBRUARY 3, 2022

Content-related questions should be submitted to the setting specific help desk: Home Health QRP Help Desk Inpatient Rehabilitation Facility QRP Help Desk Long-Term Care Hospital QRP Help Desk Skilled Nursing Facility QRP Help Desk. If you have questions about accessing the resources or feedback regarding the trainings, please email the?

Rehabilitation 40

Rehabilitation Nursing Accountability Medicaid 40

NASHP

OCTOBER 20, 2022

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., Reimbursing parent consultants as CHWs through Medicaid, including through Medicaid managed care and fee-for-service approaches.

Medicaid 98

Medicaid Integration Accountability Quality Improvement 98

NASHP

MARCH 28, 2022

State Medicaid-funded long-term services and supports (LTSS) systems are not well-positioned to compete for this shrinking pool of workers. Responsible for 43 percent of all LTSS expenditures , state Medicaid programs have a major role to play in responding to this crisis. These funds must be spent before March 31, 2024.

Nursing 98

Nursing Medicaid Home Care Rehabilitation 98

Health Populi

JUNE 13, 2018

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.

Rehabilitation 63

Rehabilitation Medicaid Medicare Healthcare 63

HIT Consultant

FEBRUARY 1, 2023

Most patients with OUD diagnosis had Medicaid, were uninsured or homeless – with associated visit costs largely borne by health systems. percent of all hospital expenditures (although OUD only accounted for 0.56 If the payer mix remained constant, $67 billion of the expense would be borne by the Medicare and Medicaid programs.

Hospitals 52

Hospitals Medicaid Rehabilitation Accountability 52

Briggs Healthcare

JUNE 21, 2023

The second report, prepared by the Secretary of Health and Human Services (referred to here as the Centers for Medicare & Medicaid Services/Assistant Secretary for Planning and Evaluation (CMS/ASPE) report), was issued in July 2022. The first report, completed by the Commission, was submitted to the Congress in 2016.

Medicare 52

Medicare Rehabilitation Accountability Quality of Care 52

NASHP

DECEMBER 6, 2024

Implementing health and housing initiatives requires partnerships among Medicaid systems, other health and behavioral partners, and key housing partners such as state housing finance agencies (HFAs), and local partners such as continuums of care for homelessness (CoCs) and public housing authorities (PHAs).

Medicaid 52

Medicaid Accountability Rehabilitation Nursing 52

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

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. H Codes - Rehabilitative services.

Medicare 52

Medicare Medicaid Medical Services Prevention 52

Briggs Healthcare

AUGUST 19, 2022

The Centers for Medicare & Medicaid Services (CMS) plays an important role in protecting the health and safety of all Americans as they journey through the health care system. There’s a lot of information in the CMS Blog. This is especially true during a pandemic, natural disaster, or other emergencies. and Arjun Srinivasan, M.D.,

Medicaid 40

Medicaid Medicare Nursing Rehabilitation 40

NASHP

DECEMBER 20, 2022

This approach requires significant coordination among policymakers from across state systems – behavioral health, Medicaid, courts, and corrections – to share resources, align policies, and develop clear protocols for programming. D)(1) of these regulations, or are treated for an opioid overdose.

Medicaid 52

Medicaid Prevention Hospitals Integration 52

NASHP

JULY 22, 2022

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.

Medicaid 105

Medicaid Rehabilitation Nursing Medicare 105

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

NASHP

JUNE 22, 2022

public health, Medicaid, mental health) and other stakeholders (e.g., State Medicaid agencies. Medicaid managed care contracts). By using funds from each department to support Medicaid eligible services such as behavioral health care and housing supports, the CSA draws down federal Medicaid funding. [6]

Care Transition 52

Care Transition Medicaid Doctors Regulations 52

Sheppard Health Law

NOVEMBER 13, 2023

On November 6, 2023, the Centers for Medicare and Medicaid Services (“CMS”) released the contract year 2025 proposed rule for Medicare Advantage (“MA”) organizations and Part D sponsors (the “Proposed Rule”). 2] A NOMNC ordinarily outlines the appeal process as well as a deadline by which an enrollee should submit his/her appeal. [3]

Medicare 59

Medicare Medicaid Regulations Integration 59

Home Health Care

NOVEMBER 26, 2024

The Centers for Medicare & Medicaid Services (CMS) is proposing new limits on Medicare Advantage (MA) plans regarding prior authorization , utilization management, coverage decisions and the use of artificial intelligence (AI). These proposed changes aim to address the barriers to accessing care identified by CMS.

Medicare 77

Medicare Rehabilitation Quality of Care Accountability 77