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CMS Promotes Competition, Transparency, Health Equity and More in the CY2025 Medicare Advantage and Part D Proposed Rule

Sheppard Health Law

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”). The UM committee was established in April 2023 in the 2024 Medicare Advantage and Part D Final Rule (CMS-4201-F).

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Impact of hospital mergers on quality: a case study

Healthcare ECONOMIST

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). Before the merger, funding was lacking for technology and infrastructure investments to support quality improvement.

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Why The Healthcare Industry Needs Blockchain More Than Ever

HIT Consultant

Although these tenants remain integral, trust is often broken in more ways than one. They must also seek membership in professional associations in combination with seeking accreditation for their respective facilities, demonstrating ongoing training, adherence to ethical standards, and commitment to quality improvement.

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National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN): Proceedings from the National Forum on Care Coordination for CYSHCN

NASHP

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.

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Behavioral Health System Modernization along the Continuum

NASHP

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. States have a range of tools and policy levers at their disposal to build capacity for integrated behavioral health approaches.

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The Direct Care Workforce

NASHP

A certified nurse assistant (CNA) is qualified to work in a Medicare-certified nursing facility. A Medicare-certified HHA is qualified to provide services through a Medicare-certified home health agency. A Medicare-certified HHA is qualified to provide services through a Medicare-certified home health agency.

Nursing 98
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State Strategies to Support OUD Treatment across the Criminal Legal System

NASHP

These coordinated state efforts, often formalized in governor’s task forces, cross-agency workgroups, and legislative commissions, are predicated on an ideological shift away from solely punitive responses and toward integrating treatment into the criminal legal system. Integrate peers into crisis response teams.