Healthcare It News
APRIL 21, 2023
This summer, the agency will pick three facilities – hospitals or clinics – and go after that fundamental shift with technologies and processes that drive virtual-first care. DHA also manages the TRICARE network, which provides civilian health benefits under military care to 9.6 million beneficiaries worldwide.
Home Health Care
NOVEMBER 8, 2024
The home infusion process typically requires coordination among multiple entities, including patients, physicians, hospital discharge planners, health plans, home infusion pharmacies and home health agencies. However, Medicaid coverage can have gaps in some states. Medicare does not completely cover home infusion therapy services.
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HIT Consultant
JANUARY 24, 2025
With VA claims representing less than 5% of most hospitals’ patient revenue, providers often struggle to allocate sufficient resources to master these intricate processes, leading to delayed reimbursements, underpayments, and increased write-offs for VA patients. The military healthcare system encompasses several distinct programs.
Home Health Care
APRIL 11, 2023
Humana is an organization made up of a traditional insurance side – which includes TRICARE, MA and Medicaid – and the CenterWell side, which includes home-based care, pharmacy and primary care services. Providers going after MA business At Frontpoint Health, the goal is to go after MA business, almost exclusively.
Healthcare ECONOMIST
NOVEMBER 6, 2023
Care is split roughly equally between the two sources; 49 percent of outpatient encounters and more than 67 percent of hospitalizations for MHS beneficiaries take place with private providers. However, private provision (off-base) do have higher rates of C-sections, longer length of stay, and more diagnostics.
NASHP
NOVEMBER 9, 2022
This model legislation limits out-of-network rates for inpatient and outpatient hospital services to the lesser of (a) the state’s median in-network commercial rate for the same service; or (b) [X]% of the Medicare rate for the same service in the same geographic area. NASHP Model Act to Limit Out-of-Network Provider Rates.
Vie Healthcare
MAY 4, 2023
He also urges hospitals to focus on mission over money and explains why compliance isn’t the enemy of healthcare. And as you know, obviously a huge percentage of healthcare spending is funded through Medicare, Medicaid, Tricare, the VA system, and these are all programs that are covered by the False Claims Act.
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