Home Health Care

AUGUST 25, 2021

Centers for Medicare & Medicaid Services (CMS) is sure to add more fuel to the fire for the “Choose Home” initiative and other movements aiming to bring more care into the home. 31, 2020, accounting for the majority of the COVID-19 pandemic in the U.S. The study period was between March 1, 2020, and Dec.

Nursing 109

Nursing Home Care Medicare Accountability 109

HIT Consultant

OCTOBER 18, 2023

Hilton Hudson, MD, FACS, and CEO of HPC International In May 2022, a California doctor was sentenced to nearly eight years in prison for his involvement in a $12 million Medicare fraud scheme. million in reimbursements from Medicare over a three-year period. This prevents errors and helps accurately represent services provided.

Regulations 105

Regulations Accountable Care Prevention Medicare 105

HIT Consultant

OCTOBER 20, 2023

According to a study in the Journal of the American Geriatric Society , non-fatal falls cost an estimated $50 billion in medical expenses, while fatal falls account for an estimated $754 million. can be attributed to falls, including approximately six percent of Medicare and eight percent of Medicaid expenditures.

Rehabilitation 105

Rehabilitation Pharmaceuticals Prevention Biotechnology 105

HIT Consultant

SEPTEMBER 14, 2023

By one estimate, healthcare improvements accounted for one-third of the economic growth of developed nations over the last century. However, actual medical care accounts for 20% or less of what affects population health. Rural communities may lack easy access to preventive care and screenings.

Health Data 115

Health Data Accountability Telemedicine Doctors 115

p3care

OCTOBER 30, 2020

CMS (The Centers for Medicare and Medicaid Services) released the proposed rule for QPP MIPS 2021 via the Medicare Physician Fee Schedule (PFS) Notice of Proposed Rulemaking (NPRM). How MIPS consultants take care of the administrative data to report to the authorities affects revenue cycles. Quality Category: Weighs 50%.

Medicare 243

Medicare Measurable Quality Medicaid Accountable Care 243

Lexis Nexis

OCTOBER 31, 2023

For payers, the opportunity is significant: well-designed online tools translate into better member engagement, higher retention rates, improved health outcomes and quality of care scores, and reduced administrative costs. Make the portal easy to use, and you’ll see members create accounts, login, and return again and again.

Healthcare 52

Healthcare Quality of Care Accountability Medicare 52

Home Health Care

APRIL 23, 2024

This article is a part of your HHCN+ Membership On Tuesday, Centers for Medicare & Medicaid Services (CMS) officials vehemently backed the thought process behind the “80-20” wage mandate in home- and community-based services (HCBS). Providers and advocates, on the other hand, continued to argue that the policy could be disastrous.

Home Care 108

Home Care Medicaid Law Firms Quality of Care 108

HIT Consultant

MAY 2, 2023

Andy Auerbach, Chief Revenue Officer of SafeRide Health As the healthcare industry continues to evolve, there is a growing need for innovative solutions that not only improve the quality of care but also make care more accessible. adults without access to a vehicle or public transportation skipped needed medical care last year.

Medicaid 96

Medicaid Regulations Medicare Integration 96

Briggs Healthcare

MARCH 2, 2022

The purpose of this primer is to provide updated information to the patient safety community about the challenges of ensuring the safe care of older adults in Medicare and Medicaid certified nursing homes (NHs) associated with the COVID-19 pandemic, and the federal and state efforts taken to mitigate these challenges.

Nursing 98

Nursing Patient Safety Quality of Care Regulations 98

Briggs Healthcare

MARCH 20, 2023

and Jonathan Blum, Centers for Medicare & Medicaid Services – names you may recognize from CMS National Stakeholder Calls. As the nation’s largest payer for health care, the Centers for Medicare & Medicaid Services’ (CMS) mission in our National Quality Strategy includes ensuring everyone is safe when they receive care.

Patient Safety 40

Patient Safety Medicaid Medicare Quality of Care 40

Health Populi

JULY 13, 2020

The EIU VBHC framework addresses four aspects of how technology can underpin value-based care: Ensuring standardization. Driving efficiency and accountability. The Medicare Trust Fund is financed by payroll taxes, general tax revenue, and the premiums enrollees pay. Capturing and sharing interoperable and transparent data.

Primary Care 110

Primary Care Medicare Accountability Hospitals 110

Etactics

DECEMBER 1, 2023

Preventing denial codes is essential if you want to keep a steady revenue flow. This is an easily preventable billing error, which we are going to go over in this blog. However, Medicare and other insurance cover a variety of different services and supplies, some of which aren’t identified by CPT codes. Anesthesia. Laboratory.

Medicare 52

Medicare Medicaid Medical Services Prevention 52

Home Health Care

JUNE 9, 2022

“We’re seeing a massive shift to value-based care versus our previous form of care, which was volume-based,” says Erika Sessions, director of compliance and policy development for online caregiver training platform CareAcademy. That will ultimately benefit the quality of care.”. This article is sponsored by CareAcademy.

Care Transition 105

Care Transition Quality of Care Accountability Medicaid 105

GoMoHealth

JULY 7, 2021

Simply put, value-based care seeks to reduce spending while improving treatment outcomes. It ties reimbursement for treatment to the quality of care provided and rewards providers for both efficiency and effectiveness. Advantages of Value-Based Care.

Healthcare Providers 75

Healthcare Providers Integration Quality of Care Accountability 75

Briggs Healthcare

JULY 1, 2022

The overall policy goal of this proposed rule is to establish Conditions of Participation (CoPs) to ensure the health and safety of patients who will receive REH services in the most efficient manner possible, while taking into consideration the access and quality of care needs of an REH’s patient population.

Performance improvement 52

Performance improvement Hospitals Nursing Prevention 52

Patient Safety Movement

NOVEMBER 1, 2022

NEW FEDERAL EFFORTS TO IMPROVE NURSING HOME SAFETY The White House has just announced a plan to improve the safety and quality of care in the nation’s nursing homes, aimed to protect seniors from an industry known for its lack of accountability. The AEBP is available without charge to hospitals online.

Patient Safety 52

Patient Safety Nursing Hospitals Accountability 52

Patient Safety Movement

SEPTEMBER 11, 2023

We don’t have any kind of accountability like that, and I think that that’s a real shame.” To get patients to promote their own healthcare and indeed quality of care, you’ve got to give them the basic building blocks,” she says. It’s something I think health systems need to understand better and invest in.

Patient Safety 86

Patient Safety Doctors Hospitals Healthcare 86

NASHP

OCTOBER 22, 2021

Well-coordinated care that anticipates and manages the symptoms and stressors of serious illness can help people with these and other complex conditions reduce pain and suffering , avoid receiving treatment that does not align with their wishes , and prevent overutilization of care. Goals Principles.

Medicaid 102

Medicaid Hospice Care Regulations Integration 102

NASHP

OCTOBER 20, 2022

Federal agencies have also prioritized and supported advancing integrated care. For example, the Centers for Medicare & Medicaid Services Innovation Center is currently supporting the Integrated Care for Kids (InCK) model across seven sites in six states. Leveraging Data and Technology.

Medicaid 98

Medicaid Integration Accountability Quality Improvement 98

NASHP

SEPTEMBER 30, 2022

Evidence suggests that consolidation leads to higher hospital and provider prices and higher total expenditures – all while having little to no impact on improving quality of care for patients, reducing utilization, or improving efficiency. Other Policy Tools to Hold Insurers Accountable. In the federal case (Sidibe v.

Hospitals 52

Hospitals Accountability Regulations Quality of Care 52

NASHP

DECEMBER 23, 2022

With more than 40 percent of births financed by Medicaid, the Centers for Medicare & Medicaid Services (CMS) has developed an action plan that corresponds with goals outlined in the White House blueprint. States can test innovative care models with section 1115 demonstration waivers. Support from MCOs. As of 2019, the majority (85.52

Medicaid 59

Medicaid Nursing Regulations Hospitals 59

Briggs Healthcare

JULY 6, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare Better infection surveillance and trained surveyors are also necessary to keep nursing homes safe and accountable. Through proper surveys, the public will know which long-term care facilities are meeting requirements set forth by CMS. Arlington, Va., Arlington, Va.,

Prevention 40

Prevention Nursing Patient Safety Quality of Care 40

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. A precondition of sustaining these partnerships is sustained investment in state and local public health capacity.

Medicaid 52

Medicaid Accountability Public Health services Population Health 52

HIT Consultant

JUNE 22, 2022

Hospitals are increasingly turning to value-based care initiatives to transform care delivery, lower the total cost of care, and improve patient outcomes. the number of patient visits), providers are reimbursed based on the quality of care delivered in value-based care.

Hospitals 98

Hospitals Medicare Primary Care Care Transition 98

NASHP

JUNE 22, 2023

having one of the most advanced health care systems in the world, U.S. 3] Most maternal deaths are considered preventable, with the majority due to cardiovascular conditions, infection or sepsis, hemorrhage, and suicide or overdose. Centers for Disease Control and Prevention,” 2014. Despite the U.S. Accessed May 1, 2023.

Medicaid 59

Medicaid Prevention Accountability Medicare 59

NASHP

JUNE 24, 2024

Recognizing the interconnectedness between unmet social needs and health and addressing SDOH has the potential to increase access to care and improve maternal health. has the highest rate of maternal mortality among developed nations, with more than 80 percent of pregnancy-related deaths being preventable.

Medicaid 59

Medicaid Prevention Integration Hospitals 59

NASHP

MARCH 22, 2024

North Carolina’s comprehensive behavioral health approach included efforts to increase uptake of CoCM through additional training and practice supports and Medicaid rate increases to 120% of Medicare rates for behavioral health providers. An action plan dashboard tracks targets.

Medicaid 52

Medicaid Integration Primary Care Nursing 52

Healthcare ECONOMIST

NOVEMBER 2, 2021

One in three American adults, four in five Medicare beneficiaries, and a growing number of children have MCC. One key challenge in preventing and treating MCC is that most interventions are focused on a specific disease, whereas many patients with MCC face multiple diseases simultaneously.

Measurable Quality 73

Measurable Quality Medicare Quality of Care Accountability 73

NASHP

AUGUST 24, 2023

State health reform efforts increasingly focus on providing comprehensive and well-coordinated care to people with serious illness to improve quality of care and drive down costs. T)he benefit will be made available in all care settings including the community, nursing facilities, and assisted living facilities.”

Medicaid 52

Medicaid Quality Assurance Quality of Care Hospitals 52

Briggs Healthcare

OCTOBER 25, 2022

Today’s announcement is part of a series of new actions the Biden-Harris Administration is taking to increase accountability of bad actors in the nursing home industry, improve the quality of nursing homes and make them safer. These facilities continue to be inspected roughly twice as often as all other nursing homes ?

Nursing 40

Nursing Accountability Quality Improvement Quality of Care 40

NASHP

MAY 17, 2022

These specialized MMC programs are designed to exclusively serve either CYFC [27] or Medicaid populations with chronic and complex conditions, [28] including those in foster care. Standard MMC: Standard MMC is a type of health care delivery system designed to manage costs, utilization, and quality of care. MMC or FFS).

Medicaid 64

Medicaid Integration Medicare Primary Care 64

Briggs Healthcare

JANUARY 18, 2023

January 18, 2023 … As part of the continuing efforts under President Biden’s initiative to improve nursing home transparency, safety and quality, and accountability, today the U.S. The steps we are taking today will help prevent these errors and give families peace of mind.”.

Nursing 52

Nursing Quality of Care Home Care Accountability 52

NASHP

AUGUST 23, 2021

[ii] These shortages of primary care providers (PCPs), who serve as the entry point to medical care and often play a large role in coordinating patient care, create challenges for residents of rural areas, the PCPs who serve them, and the Medicaid agencies responsible for providing access to services for program participants throughout the state.

Primary Care 64

Primary Care Medicaid Accountability Quality Improvement 64

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”).

Medicare 59

Medicare Medicaid Regulations Integration 59

Home Health Care

MAY 2, 2022

Centers for Medicare & Medicaid Services (CMS), home health providers will need to be prepared to navigate through additional oversight. The reforms are meant to not only “protect vulnerable residents” and health care workers, but also to crack down on “bad actors” in the nursing home industry.

Nursing 105

Nursing Accountability Quality of Care Medicaid 105

Briggs Healthcare

MARCH 1, 2022

million people live in over 15,500 Medicare- and Medicaid-certified nursing homes across the nation. more likely to have a preventable emergency department visit and 8.7% more likely to experience a preventable hospitalization, when compared to residents of for-profit nursing homes not associated with private equity.

Quality of Care 40

Quality of Care Nursing Accountability Medicaid 40