p3care

MAY 31, 2024

An ACO (Accountable Care Organization) works for the better care of patients. Consider it as a group that combines hospitals, doctors, and other healthcare specialists for the sake of providing healthcare and is a team in care decisions. This becomes a specific reason for comprehensible improvements in patient care.

Quality of Care 130

Quality of Care Doctors Medicare Patient Experience 130

Home Health Care

NOVEMBER 7, 2021

Centers for Medicare & Medicaid Services (CMS) is that the model will now begin Jan. more room to breathe, Valerie Cornett, chief of strategy and innovation at MAC Legacy, told Home Health Care News. BKD is a Springfield, Missouri-based accounting services firm that provides billing and revenue cycle outsourcing services.

Medicare 102

Medicare Performance improvement Medicaid Quality of Care 102

HIT Consultant

APRIL 16, 2024

What You Should Know: – inVio Health Network and CVS Accountable Care Organization, a division of CVS Health , have announced a collaboration to participate in the new Medicare Accountable Care Organization (ACO) REACH program. CVS Accountable Care contributes its extensive experience and resources.

Accountable Care 52

Accountable Care Accountability Medicare Population Health 52

Healthcare It News

MARCH 18, 2022

In fact, digital health companies only account for less than $10 billion of that $4 trillion in spending. Not only is this population difficult to manage for the existing care system, it is even harder for startup entrants. In the coming years, I expect to see many more companies working to solve this problem.

Medicaid 332

Medicaid Telemedicine Hospitals Clinical Practice 332

Home Health Care

SEPTEMBER 3, 2022

Seniors on Medicare Advantage health plans may not always be receiving high quality care, a new study shows. The study’s authors concluded that paying higher premiums is not always necessary when seniors are trying to receive high quality care from an MA plan.

Medicare 105

Medicare Quality of Care Accountability Medicaid 105

p3care

NOVEMBER 12, 2021

ACO or Accountable Care Organization is a group of doctors, hospitals, medical centers, and other healthcare providers. This unit works together to care for and look after a patient’s health. Their main goal is to improve the quality of care for patients. Primary care doctors and specialists. Accountability.

Doctors 130

Doctors Accountability Healthcare Providers Accountable Care 130

p3care

NOVEMBER 12, 2021

ACO or Accountable Care Organization is a group of doctors, hospitals, medical centers, and other healthcare providers. This unit works together to care for and look after a patient’s health. Their main goal is to improve the quality of care for patients. Primary care doctors and specialists. Accountability.

Doctors 130

Doctors Accountability Healthcare Providers Accountable Care 130

HIT Consultant

APRIL 1, 2024

Improperly billed for services: The government alleges that TRG billed Medicare for radiology services performed by a radiologist located in the UK, which violates program regulations. The allegations against TRG raise concerns about the quality of care patients may have received and the potential misuse of federal healthcare funds.

Quality of Care 97

Quality of Care Regulations Federal Healthcare Healthcare Providers 97

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 99

Nursing Home Care Medicare Accountability 99

Home Health Care

OCTOBER 18, 2022

million in order to resolve allegations that it paid physicians to induce referrals of patients that led to false claims to the Medicare and TRICARE programs. Offering illegal financial incentives to physicians in return for patient referrals undermines the integrity of our health care system,” U.S. Gray said in the statement.

Tricare 103

Tricare Medicaid Medicare Integration 103

Home Health Care

DECEMBER 16, 2024

For the second consecutive year, the Medicare Payment Advisory Commission (MedPAC) has issued a draft recommendation advising Congress to reduce Medicare payments to home health agencies by 7% beginning in 2026. Future payment reductions and clawbacks are certain under the agencys interpretations of its current statutory obligations.

Medicare 62

Medicare Quality of Care Accountability Nursing 62

HIT Consultant

NOVEMBER 21, 2023

a leading provider of innovative, cloud-based healthcare technology solutions, today announced that its clients participating in the Medicare Shared Savings Program (MSSP) leveraged NextGen® Population Health to achieve a cumulative $82 million in total Medicare savings last year. What You Should Know: NextGen Healthcare, Inc.

Medicare 52

Medicare Population Health Accountable Care Quality of Care 52

p3care

JUNE 13, 2023

MIPS represents a framework for providers’ accountability and their part in promoting standardized care. So, how have you planned to even out the positive adjustments on your Medicare claims this year? Now, considering the upcoming cuts to Medicare revenues, it becomes worth putting in extra effort.

Medicare 130

Medicare Quality of Care Accountability Integration 130

Home Health Care

AUGUST 8, 2024

(NYSE: EHAB) CEO Barb Jacobsmeyer said Wednesday that the company would terminate its contract with the country’s largest Medicare Advantage (MA) payer , UnitedHealth Group’s (NYSE UNH) UnitedHealthcare. UnitedHealthcare accounts for 9.4 million MA beneficiaries, or 29% of all enrollees, according to the Kaiser Family Foundation.

Medicare 92

Medicare Quality of Care Accountability Nursing 92

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

Home Health Care

APRIL 15, 2024

Last week, the Centers for Medicare & Medicaid Services (CMS) Innovation Center announced a new proposed model that will undoubtedly affect home health providers, and also allow them the opportunity to get more involved in value-based care initiatives. TEAM would be yet another model furthering that goal, if enacted.

Accountability 65

Accountability Medicare Home Care Quality of Care 65

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. By comparing quality-of-care data with population, income, and ethnicity across the U.S.,

Health Data 115

Health Data Telemedicine Accountability Doctors 115

Home Health Care

JULY 5, 2022

Hospital readmissions are regularly viewed as an indicator of the quality of care patients receive. The Centers for Medicare & Medicaid Services (CMS) calculates annual readmission rates, and if those rates are higher than national averages, hospitals are financially penalized.

Hospitals 98

Hospitals Primary Care Nursing Quality of Care 98

Healthcare ECONOMIST

OCTOBER 4, 2021

The Government Accountability Office (GAO) last week published a report evaluating the Merit-based Incentive Payment System (MIPS). MIPS is an approach for CMS to pay physicians caring for Medicare beneficiaries based not just on volume but on value. How did Medicare physicians fare on the MIPS program? Bonus points.

Medicare 105

Medicare Quality Improvement Quality of Care Accountability 105

Sheppard Health Law

OCTOBER 27, 2021

On October 20, 2021, the Centers for Medicare and Medicaid (“ CMS ”) Innovation Center (“ Innovation Center ”) published a white paper detailing its vision for the next ten years: a health system that achieves equitable outcomes through high quality, affordable, person-centered care.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

Home Health Care

AUGUST 15, 2021

Centers for Medicare & Medicaid Services (CMS) are again touting the Home Health Value-Based Purchasing (HHVBP) Model as one of the agency’s most successful programs ever. CMMI was created through the Affordable Care Act in 2010. Broadly, HHVBP is a Medicare demonstration that aims to tie reimbursement to quality of care.

Medicare 84

Medicare Medicaid Quality of Care Primary Care 84

Briggs Healthcare

JUNE 21, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The Medicare Payment Advisory Commission (MedPAC) has released its June 2023 Report to the Congress: Medicare and the Health Care Delivery System. You may go to our website at www.medpac.gov to view the 10 chapters of the report, or follow the links below.

Medicare 52

Medicare Rehabilitation Accountability Quality of Care 52

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

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. He received $4.5

Regulations 105

Regulations Accountable Care Prevention Medicare 105

Sheppard Health Law

DECEMBER 12, 2022

The Centers for Medicare & Medicaid Services (CMS) Innovation Center continues to move forward with its “strategic refresh” initiative. Through this shift, CMS aims to examine and enhance payments for specialty care provided to Medicare beneficiaries. Value-Based Care and ACOs.

Accountable Care 52

Accountable Care Accountability Medicare Primary Care 52

Healthcare ECONOMIST

NOVEMBER 2, 2021

One in three American adults, four in five Medicare beneficiaries, and a growing number of children have MCC. However, more research is needed to determine how to translate interventions that would improve care for patients with MCC into real-world, high-value applications. Improving quality of care for patients with MCC is vital.

Measurable Quality 85

Measurable Quality Medicare Quality of Care Accountability 85

Healthcare ECONOMIST

JULY 18, 2022

The Oncology Care Model (OCM) is dead. The Oncology Care Model was a voluntary, alternative payment model (APM), that “ included financial and performance accountability for episodes of care surrounding chemotherapy administration to cancer patients.

Medicaid 98

Medicaid Quality of Care Accountability Patient Experience 98

HIT Consultant

MARCH 28, 2023

It’s a question that has significant implications for quality of care as well as cost. The High Cost of Poor Behavioral Healthcare A recent study indicates 10% of patients account for 70% of the nation’s costs and that more than half of these patients have a diagnosed mental health disorder.

Quality of Care 98

Quality of Care Population Health Hospitals Medicaid 98

Healthcare ECONOMIST

DECEMBER 19, 2023

Moreover, the magnitude of the change in patient outcomes should be consistent with the predicted change in hospital quality induced by a closure (forecast unbiasedness). Changes in quality of care after hospital mergers and acquisitions. Methodology An overview of the Chandra et al. New England Journal of Medicine.

Hospitals 89

Hospitals Quality of Care Accountability Medicare 89

Home Health Care

APRIL 27, 2023

Over the last decade, Putman — now CEO of Continuous — has relied heavily on building strong relationships with payers, accountable care organizations (ACOs) and care management companies. When Putman started, the revenue breakdown was about 60% Medicare and 40% managed care. We just tried to keep doors open.

Home Care 76

Home Care Physical Therapy Medicare Accountable Care 76

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 99

Home Care Medicaid Law Firms Quality of Care 99

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 75

Nursing Patient Safety Quality of Care Regulations 75

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. Previously Dr.

Rehabilitation 105

Rehabilitation Pharmaceuticals Prevention Biotechnology 105

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 104

Care Transition Quality of Care Accountability Medicaid 104

NASHP

MARCH 22, 2024

States are hoping to achieve a number of goals with their MLTSS programs, including increasing access to home and community-based services, promoting care coordination, enhancing quality and beneficiary satisfaction, and mitigating cost growth.

Medicaid 75

Medicaid Nursing Medicare Integration 75

NASHP

JANUARY 12, 2024

In 2024, people with Medicare and Medicaid coverage (i.e., dual eligibles) will continue to enroll in integrated managed care special needs plans or D-SNPs (Dual-Eligible Special Needs Plans). million annual appropriation for interagency collaboration on long-term care integrity and oversight.

Medicaid 64

Medicaid Nursing Accountability Integration 64

Home Health Care

APRIL 30, 2024

This article is a part of your HHCN+ Membership Now that the Medicaid Access Rule has been finalized , home-based care’s company leaders have had time to digest it, and consider what it means for the future of the space. Cleamon Moorer Jr.,

Home Care 98

Home Care Medicaid Accountability Quality Improvement 98