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

Medicare 59

Medicare Medicaid Regulations Integration 59

p3care

JULY 27, 2023

Medicare CQMs as a New Reporting Option for Medicare ACOs The PFS rule for PY 2023 declared the sunset of CMS Web Interface as a collection type for MIPS. Promising the Integrity of Program Data CMS has observed cases of inaccurate data submission on behalf of Health IT vendors.

Rehabilitation 130

Rehabilitation Medicare Primary Care Integration 130

HIT Consultant

NOVEMBER 16, 2022

What You Should Know: – Cipher Skin and Parker Health launches a new pilot program to help bring tech-enabled physical therapy to Medicare and Medicaid patients. This collaboration will help accelerate physical rehabilitation by improving patient engagement and care plan completion. Why It Matters.

Physical Therapy 52

Physical Therapy Rehabilitation Medicaid Medicare 52

Briggs Healthcare

OCTOBER 4, 2021

Section 2820, Low Medicare Volume Prospective Payment Rates for Skilled Nursing Facilities Effective for Cost Reporting Periods Beginning on or after October 1, 1986 and Prior to Cost Reporting Periods Beginning on or After July 1, 1998 , is obsolete and is being removed from the manual. User’s Manual. User’s Manual. User’s Manual.

Medicare 40

Medicare Rehabilitation Nursing Integration 40

Home Health Care

SEPTEMBER 23, 2023

For example, a home health provider working with a health system or Medicare Advantage (MA) plan that is struggling with readmissions could tailor their palliative intervention to focus on understanding that transition from the hospital. Tyler, Texas-based Choice is a home health, hospice and rehabilitation services provider.

Rehabilitation 107

Rehabilitation Medicare Integration Hospitals 107

HIT Consultant

NOVEMBER 16, 2022

MEDITECH, SeamlessMD Collaborate on Digital Health Integration. MEDITECH announced that its Expanse customers in Canada can now integrate directly with digital care journey platform SeamlessMD. Cipher Skin and Parker Health launches a new pilot program to help bring tech-enabled physical therapy to Medicare and Medicaid patients.

Physical Therapy 98

Physical Therapy Integration Accountable Care Rehabilitation 98

Home Health Care

JANUARY 3, 2024

31, its payer diversification breakdown was: 48% Medicare, and 35% Medicare Part D; 23% Medicaid; 19% Commercial; 4% government programs; and 6% private (or “other”). “We estimate our total addressable market opportunity to be over $1.0

Rehabilitation 71

Rehabilitation Primary Care Medicare Home Care 71

NASHP

MARCH 14, 2022

For length-of-stay estimates, consider using the CMMI Medicare Choices Model of community-based pre-hospice services, with an average length of stay of 99 days. Other rehabilitative services and supports (e.g., Other rehabilitative services and supports. Advance Care Planning. Transitional Care Management.

Medicaid 94

Medicaid Rehabilitation Quality Assurance Patient Experience 94

Home Health Care

NOVEMBER 3, 2021

We are actively integrating the Kindred at Home operations, and results post-integration have largely been in line with expectations,” Diamond said. Led by Dr. Joseph Mayer, onehome helps manage a range of post-acute needs, from infusion and nursing services, to rehabilitation services and durable medical equipment (DME).

Primary Care 106

Primary Care Rehabilitation Nursing Home Care 106

Healthcare Success

NOVEMBER 7, 2022

Level up your game if you seek Medicare Advantage members. As you likely already know, Medicare Advantage is growing, and the landscape is becoming more competitive. Take the leap with integrated marketing . Reassess compensation packages often to ensure they remain competitive.

Doctors 130

Doctors Integration Healthcare Nursing 130

Home Health Care

SEPTEMBER 20, 2023

Based in Nashville, Tennessee, it is a highly integrated home-based senior care provider that delivers home health, hospice, palliative care, infusion therapy and advanced care management. The Tyler, Texas-based Choice is home health, hospice and rehabilitation services provider.

Home Care 97

Home Care Rehabilitation Nursing Hospitals 97

Healthcare ECONOMIST

JANUARY 14, 2022

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). They list four key initiatives: Integrating administrative and clinical leadership. How were these quality improvement achieved?

Hospitals 66

Hospitals Rehabilitation Quality Improvement Accountability 66

HIT Consultant

JUNE 16, 2023

can deliver an elevated experience for both clinicians and patients by offering health systems integrated solutions combining care.ai’s Smart Care Facility Platform with Samsung’s healthcare-grade displays. Pearl Health and Story Health partner to improve treatment for Medicare patients suffering from cardiovascular disease.

Physical Therapy 52

Physical Therapy Primary Care Rehabilitation Medicare 52

Sheppard Health Law

JANUARY 12, 2023

That’s reminiscent of the well-known Medicare Advantage statistic that about 4% of Medicare Advantage members drive 40% of Medicare Advantage total expenses. Given the above, it’s not surprising to see that Medicare is a fast growing line of business for Hinge, as is employer-based business. Thinking Outside the Box.

Physical Therapy 52

Physical Therapy Healthcare Medicare Rehabilitation 52

HIT Consultant

JULY 19, 2023

Although these tenants remain integral, trust is often broken in more ways than one. There needs to be a better way, and leaning on blockchain technology could rehabilitate the healthcare industry into a more safe and secure ecosystem for care delivery.

Healthcare 75

Healthcare Doctors Healthcare Providers Rehabilitation 75

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

Medicaid 52

Medicaid Integration Primary Care Nursing 52

NASHP

OCTOBER 2, 2023

Additional Considerations Requires budget neutrality (note that budget neutrality calculations for health-related social needs were recently updated ) Typically involves extensive negotiations with the Centers for Medicare & Medicaid Services (CMS). Note that part of CalAIM is approved through a 1915(b) in-lieu-of services approach.

Medicaid 72

Medicaid Performance improvement Integration Nursing 72

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

Home Health Care

NOVEMBER 10, 2021

Founded in 2007 by David Jackson, a licensed physical therapist, Choice is a home health, hospice and rehabilitation services provider with dozens of locations in Texas, Oklahoma and a couple of other states. Centers for Medicare & Medicaid Services (CMS) finalized the HHVBP expansion on Nov. We see it as a significant opportunity.

Rehabilitation 83

Rehabilitation Home Care Nursing Medicaid 83

Health Populi

JUNE 13, 2018

Even with moderating medical trend growth, the Centers for Medicare and Medicaid Services (CMS) expect that healthcare spending will account for 20% of the U.S. As with public sector healthcare spending (“entitlements” in the form of Medicare and Medicaid), healthcare spending crowds out U.S. economy by 2026.

Rehabilitation 63

Rehabilitation Medicaid Medicare Healthcare 63

NASHP

JULY 22, 2022

While some select initiatives in state spending plans remain under review, all 50 states have received approval from the Centers for Medicare and Medicaid Services (CMS) to claim the enhanced Medicaid HCBS Federal Medical Assistance Percentage (FMAP) and begin to implement their proposals.[2]. Rehabilitative services. Case management.

Medicaid 105

Medicaid Rehabilitation Nursing Medicare 105

NASHP

MARCH 28, 2022

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

Nursing Medicaid Home Care Rehabilitation 98

Health Populi

JANUARY 7, 2019

An important example of this self-care approach is the evidence-based Ornish food regimen which is reimbursed by Medicare (as a form of cardiac rehabilitation). Using food and tech as medicine can help people avoid going on medications like statins and others for heart health.

Rehabilitation 72

Rehabilitation Prevention Medicare Medical Technology 72

NASHP

DECEMBER 20, 2022

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.

Medicaid 52

Medicaid Prevention Integration Hospitals 52

NASHP

DECEMBER 20, 2021

A project may be “integrated,” meaning a portion of the units in the property are supportive housing units. LIHTC: The Low Income Housing Tax Credit program is the primary production program to develop and rehabilitate affordable housing nationwide. Communication is essential for working across agencies and sectors toward shared goals.

Medicaid 85

Medicaid Prevention Integration Population Health 85

NASHP

DECEMBER 15, 2021

A project may be “integrated,” meaning a portion of the units in the property are supportive housing units. LIHTC: The Low Income Housing Tax Credit program is the primary production program to develop and rehabilitate affordable housing nationwide. Communication is essential for working across agencies and sectors toward shared goals.

Medicaid 52

Medicaid Prevention Integration Population Health 52