Healthcare It News

APRIL 28, 2022

"Having price transparency at the point of prescribing, and access to prescription fill data, can equip our hospitalists and care navigator staff with crucial information that could improve care for CHF patients." " Brian Davis, Magnolia Regional Health Center. MEETING THE CHALLENGE.

Hospitals 227

Hospitals Medicare Primary Care Quality of Care 227

HIT Consultant

JANUARY 25, 2023

. – The report demonstrates, across multiple plans, that placing previously unavailable yet actionable information on quality gaps, HCC (Hierarchical Condition Categories) capture, HRA completion and other initiatives, within the provider’s workflow, is effective in closing more gaps.

Primary Care 52

Primary Care Process improvement Quality of Care Medicare 52

NCQA

JUNE 28, 2024

The Centers for Medicare & Medicaid Services (CMS) recently announced two major updates to Medicaid regulations. This blog will delve into their significance and key policy implications for states and managed care organizations (MCO). Implement a Quality Rating System (QRS). Consider Using In Lieu of Services (ILOS).

Medicaid 59

Medicaid Regulations Care Transition Primary Care 59

Health Populi

JULY 13, 2020

health care financing regime of volume-based payment didn’t fare well as millions of patients postponed or cancelled procedures and visits for fear of contracting the virus in the halls, offices and clinics of hospitals and doctor’s offices. Informing integrated communication, decisions, and processes. In other words, the U.S.

Primary Care 110

Primary Care Medicare Accountability Hospitals 110

Healthcare It News

JULY 17, 2023

With offerings in Massachusetts, Rhode Island, Michigan and California, it delivers comprehensive, integrated and person-centered care by coordinating the services of local staff, provider partners and community organizations. Most chronic conditions only require occasional hands-on care.

Telemedicine 180

Telemedicine Urgent Care Medicaid Integration 180

NASHP

MARCH 15, 2023

State policymakers have a number of different opportunities to integrate palliative care into current health care initiatives. Palliative care can be an important component of these strategies. Ensure palliative care specialists are included in Medicaid MCO networks.

Medicaid 52

Medicaid Primary Care Integration Nursing 52

NASHP

MARCH 14, 2022

High-quality palliative care can both improve quality of life and avoid unnecessary and often unwanted treatments for Medicaid enrollees with serious illness. States can support palliative care in a number of ways and across a range of settings (e.g., in hospitals, embedded within enhanced primary care, via home health).

Medicaid 94

Medicaid Rehabilitation Quality Assurance Patient Experience 94

HIT Consultant

JANUARY 3, 2023

For sellers, as healthcare reimbursement models become more complex, it’s increasingly appealing to have someone else deal with the business back-end so the selling clinician can focus on providing patient care. This trend is likely to continue for the foreseeable future as Medicare Advantage plans increasingly move to value-based models.

Healthcare 52

Healthcare Primary Care Medicare Integration 52

Home Health Care

DECEMBER 14, 2021

The company – whose physician-led teams work alongside patients’ existing health care providers, including home health agencies – currently operates across 18 states. Johnson’s leadership as CEO will be integral to Landmark’s 2022 growth strategy, the company noted in a press release. Nasdaq: LHCG) executive Bruce Greenstein. “We

Urgent Care 52

Urgent Care Medicare Quality of Care Medicaid 52

NASHP

OCTOBER 20, 2022

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.

Medicaid 98

Medicaid Integration Accountability Quality Improvement 98

NASHP

AUGUST 23, 2021

Primary care case management (PCCM) programs are one of the oldest types of Medicaid managed care, but over time most states have shifted to use managed care organizations (MCOs) to deliver services to Medicaid participants. ii] Rural areas are highly likely to suffer from shortages of primary care and other providers.

Primary Care 64

Primary Care Medicaid Accountability Quality Improvement 64

HIT Consultant

OCTOBER 14, 2021

This could include continuous glucose monitoring devices that are integrated with mobile apps and better pulse oximetry and cardiac rhythm detection built into wearables. In July of this year, CMS began enforcing a requirement for health plans that offer Medicare/Medicaid services to deliver clinical data to their members over smart phones.

Urgent Care 98

Urgent Care Healthcare Medicare Integration 98

NASHP

MARCH 22, 2024

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.

Medicaid 52

Medicaid Integration Primary Care Nursing 52

HIT Consultant

JANUARY 22, 2024

What You Should Know: – The Centers for Medicare & Medicaid Services (CMS) has taken a bold step towards improving care for individuals with both mental health conditions and substance use disorders (SUD), announcing the “ Innovation in Behavioral Health (IBH)” Model.

Medicaid 97

Medicaid Quality of Care Integration Medicare 97

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 Primary Care Medicare 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

NASHP

MAY 17, 2022

In response to the growing recognition of the value of investing in strategies that better serve children in or at-risk of out-of-home placement, a number of federal initiatives have emerged, resulting in significant changes to child welfare and spurring renewed efforts to better integrate care across child-serving systems. [5]

Medicaid 64

Medicaid Integration Medicare Primary Care 64

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. The state began implementation of palliative care legislation with an analysis of state Medicaid claims and encounter data.

Medicaid 52

Medicaid Quality Assurance Quality of Care Hospitals 52

NASHP

AUGUST 31, 2023

In many states, SHIPs serve as the driving mechanism for engaging health care systems and communities in statewide planning, implementation, and evaluation efforts. Oregon convened over 60 partner organizations as part of its SHIP development process and contracted with CBOs to collect community feedback.

Medicaid 52

Medicaid Accountability Public Health services Population Health 52

Home Health Care

DECEMBER 21, 2021

billion in home care services revenue, according to the companies. Since then, Honor and Home Instead leaders have been working to integrate the franchise organization’s vast network, which is made up of over 1,200 locations across the U.S. health care workers – and not just those who work in long-term care facilities.

Home Care 82

Home Care Nursing Quality of Care Hospitals 82