Home Health Care

NOVEMBER 21, 2024

Elmouchi’s unique background as a physician and proven track record of successfully leading operational transformation, improving patient outcomes and fostering a culture of excellence and inclusivity, is a perfect fit for our organization,” Wexler said in a press release.

Medicaid 45

Medicaid Medicare Home Care Performance improvement 45

Readiness Rounds

DECEMBER 4, 2024

One of the most transformative changes ahead is the CMS 2025 Age-Friendly Measures, introduced by the Centers for Medicare & Medicaid Services. These forward-thinking guidelines are set to redefine care for older adults, emphasizing streamlined data collection, enhanced reporting, and performance improvement strategies.

Quality Improvement 52

Quality Improvement Physical Therapy Integration Hospitals 52

NASHP

SEPTEMBER 8, 2023

Over the past two years, the seven state teams that participated in the MCH PIP Policy Academy, comprised of officials from state Medicaid, public health, and other relevant agencies/groups (e.g., The state Medicaid agency is in the process of standing up this case management program based on input received during these sessions.

Medicaid 80

Medicaid Performance improvement Quality Improvement Accountable Care 80

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. million Medicaid participants. The strategies discussed here were developed for PCCM programs.

Primary Care 64

Primary Care Medicaid Accountability Quality Improvement 64

p3care

JANUARY 3, 2023

Centers for Medicaid and Medicare Services (CMS) finalize that most of the proposed changes occur in the proposed rule last July. Many providers will have to do this to find specialty measurements or work on performance improvement in their measures to reach the required level and avoid a penalty. MIPS 2023 and The Changes .

Medicare 130

Medicare Doctors Performance improvement Population Health 130

NASHP

SEPTEMBER 25, 2023

Medicaid plays a significant role in perinatal health coverage as the largest single payer of pregnancy-related services, covering 41 percent of births nationally and the majority of births in several states. 1] As of September 2023, 37 states and Washington, DC, have extended Medicaid postpartum coverage to 12 months.

Medicaid 80

Medicaid Performance improvement Prevention Health Data 80

Home Health Care

AUGUST 7, 2023

Centers for Medicare & Medicaid Services (CMS) released its home health proposed payment rule for 2024. Aside from establishing OASIS competence, providers can integrate real-time, predictive analytics to guide QAPI performance improvement projects and triage daily schedule to risk. In June, the U.S.

Performance improvement 98

Performance improvement Medicare Integration Medicaid 98

Home Health Care

MARCH 10, 2023

Using this data, you can look at trends in your organization and [leverage that against] your marketplace to see what’s the growth potential for Medicare and Medicaid individuals with those disease states that align with the likeness and the demographics of your organization,” Thompson said. “Or

Performance improvement 98

Performance improvement Regulations Medicaid Medicare 98

HIT Consultant

FEBRUARY 8, 2024

The Centers for Medicare and Medicaid Services (CMS) intends to shift traditional Medicare and many Medicaid beneficiaries into VBC arrangements by 2030. Nick D’Ambra, former VP of Quality Improvement at AbsoluteCare, shared an essential experience at the RISE HEDIS & Quality Improvement Summit.

Quality Improvement 105

Quality Improvement Data Acquisition Medicaid Performance improvement 105

Home Health Care

NOVEMBER 21, 2024

The accreditation program specifically addresses organization and administration, program operation, fiscal management, human resource management, provision of care and record management, quality outcomes and performance improvement, risk management and infection safety and control, and patient-centered care.

Hospitals 81

Hospitals Performance improvement Regulations Home Care 81

Readiness Rounds

FEBRUARY 4, 2025

Schedule a Consultation Book a one-on-one consultation to explore customized solutions for your facilitys unique challenges. Speak directly with our team to discuss how Readiness Rounds can revolutionize your hospital's rounding process.

Patient Experience 52

Patient Experience Patient Safety Hospitals Prevention 52

Home Health Care

NOVEMBER 7, 2021

Centers for Medicare & Medicaid Services (CMS) is that the model will now begin Jan. Dombi noted that these agencies that fall “below average” relative to performance improvement are still expected to contribute nearly $3.4 This delay will give home health providers across the U.S.

Medicare 105

Medicare Performance improvement Medicaid Quality of Care 105

Home Health Care

APRIL 10, 2023

Indeed, about one in five Medicare patients discharged from a hospital are readmitted within 30 days, at a cost of over $26 billion every year, according to data from the Centers for Medicare & Medicaid Services (CMS). We meet monthly, and we’re working on problem solving, it’s a performance improvement project,” Adams said.

Care Transition 98

Care Transition Hospitals Medicare Performance improvement 98

Readiness Rounds

OCTOBER 3, 2023

This approach helps reduce findings, improves patient safety, and supports sustainable performance improvement. The rules of unannounced visits from regulatory bodies have been significantly tightened by the Centers for Medicare & Medicaid Services (CMS) making it crucial for healthcare facilities to be constantly prepared.

Regulations 52

Regulations Performance improvement Patient Safety Hospitals 52

NASHP

SEPTEMBER 28, 2022

As states are not required to include dental services for adults in their Medicaid programs, the ability for low-income individuals to access dental care is often a factor of where they live. Other state Medicaid programs are adding requirements for primary care medical providers to offer similar services.

Integration 64

Integration Primary Care Medicaid Prevention 64

Nordic

JUNE 26, 2023

The healthcare industry is in an era of what Nordic calls the “Big Squeeze:” the confluence of market inflation, high labor expenses, and declining operating margins. 1 Figure 1: Kaufman Hall Operating Margin Index YTD by Month

Hospitals 52

Hospitals Medicaid Performance improvement Healthcare 52

Home Health Care

OCTOBER 28, 2022

Longo : There are nearly 11,000 home health agencies that report data to the Centers for Medicare and Medicaid Services. Longo : Focus on the structures, systems and processes that support quality and patient safety, performance improvement and link to health outcomes.

Patient Safety 97

Patient Safety Performance improvement Quality Improvement Accountability 97

NASHP

OCTOBER 27, 2022

States identified postpartum coverage, support for people with substance use disorder (SUD), Medicaid coverage of doula services, and payment policies as critical policy levers to address maternal mortality. As of October 2022, 26 states and Washington DC have extended Medicaid postpartum coverage to 12 months. as of November 2021.

Medicaid 59

Medicaid Prevention Medicare Performance improvement 59

NASHP

AUGUST 15, 2022

Improving Oral Health Access through Managed Care Quality Initiatives in Pennsylvania By Allie Atkeson. States are engaged in a variety of efforts to improve oral health access as part of improving overall health outcomes for Medicaid members. Note, Medicaid members’ new PH-MCO plans will begin September 1 st , 2022).

Medicaid 52

Medicaid Quality Review Prevention Quality Improvement 52

NASHP

DECEMBER 8, 2023

The bill also included a requirement that the HPC’s annual public hearings address the state’s ability to meet the new primary care spending targets and extended the performance improvement plan and HPC reporting provisions to the primary care targets. The bill also required increased Medicaid primary care payments.

Primary Care 59

Primary Care Medicaid Medicare Hospitals 59

Briggs Healthcare

MARCH 9, 2023

Funded by the Centers for Medicare & Medicaid Services (CMS), this program will establish a Center of Excellence for Building Capacity in Nursing Facilities to Care for Residents with Behavioral Health Conditions (Center of Excellence).

Nursing 52

Nursing Prevention Medicaid Performance improvement 52

NASHP

AUGUST 24, 2023

There are a number of strategies state health officials can use as they build sustainable access to palliative care services in their Medicaid programs. Target Populations That Could Benefit from Palliative Care Services Use data to identify Medicaid enrollees with serious illness. Make the case for improved care and reduced costs.

Medicaid 52

Medicaid Quality Assurance Hospitals Quality of Care 52

Sheppard Health Law

DECEMBER 3, 2021

On November 12, 2021, the Centers for Medicare and Medicaid Services (“CMS”) revised and finalized draft guidance first issued on May 3, 2019, for co-location of hospitals with other hospitals or healthcare providers [1] (the “ Finalized Guidance ”). The Finalized Guidance also makes significant changes to the guidelines for staffing.

Healthcare Providers 52

Healthcare Providers Quality Assurance Healthcare Hospitals 52

NASHP

MARCH 22, 2024

States such as Texas, Wyoming , and New Jersey are adopting Medicaid reimbursement of collaborative care services and are addressing capacity to transition to CoCM. Integration of Substance Use Services and Supports States can align long siloed approaches to primary care, mental health, and substance use services through integration efforts.

Medicaid 52

Medicaid Integration Primary Care Nursing 52

Briggs Healthcare

APRIL 14, 2023

To obtain your CAH PEPPER , the Chief Executive Officer, President, Administrator, Compliance Officer, Quality Assurance/Performance Improvement Officer, or other authorized user within your organization (selecting a job title closest to their title) should: Review the instructions and obtain the information required to authenticate access.

Quality Assurance 40

Quality Assurance Hospitals Rehabilitation Performance improvement 40

Briggs Healthcare

JUNE 28, 2022

The HHVBP Newsletter provides home health agencies (HHAs) with the latest information about the expanded HHVBP Model as well as important tools, news, and timely insights from the Centers for Medicare & Medicaid Services (CMS) and the HHVBP Model Technical Assistance (TA) Team.

Quality Improvement 75

Quality Improvement Quality Assurance Medicare Performance improvement 75

Briggs Healthcare

MARCH 20, 2023

and Jonathan Blum, Centers for Medicare & Medicaid Services – names you may recognize from CMS National Stakeholder Calls. As the nation’s largest payer for health care, the Centers for Medicare & Medicaid Services’ (CMS) mission in our National Quality Strategy includes ensuring everyone is safe when they receive care.

Patient Safety 40

Patient Safety Medicaid Medicare Quality of Care 40

Briggs Healthcare

APRIL 10, 2023

To obtain your SNF PEPPER , the Chief Executive Officer, President, Administrator, Compliance Officer, Quality Assurance/Performance Improvement Officer, or other authorized user within your organization (selecting a job title closest to their title) should: 1.

Nursing 40

Nursing Quality Assurance Medicare Performance improvement 40

NASHP

NOVEMBER 15, 2021

In states such as Massachusetts, there is also a threat of a targeted performance improvement plan for entities determined to be cost drivers. For example, states use total medical expenses (TME) for Medicaid, CHIP and Medicare as well as per member, per year TME reported by commercial insurers to measure total cost of care.

Accountability 52

Accountability Pharmaceuticals Performance improvement Hospitals 52

Vie Healthcare

MAY 4, 2023

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. So the actual amount of fraud is probably some multiple of that. And that’s just the federal government, right?

Healthcare 52

Healthcare Nursing Hospitals Doctors 52

Vie Healthcare

OCTOBER 28, 2022

In this episode, Lisa Miller, founder of VIE Healthcare and CEO of Spendmend, and Jim Cagliostro, VIE’s Clinical Operations Performance Improvement Expert, interviewed Al Brander to explore in detail the challenges and financial risks of managing medical device warranties. Episode Introduction.

Hospitals 52

Hospitals Nursing Accountability Medicare 52

Vie Healthcare

APRIL 19, 2023

John Welton, who’s actually a member of our commission, one of the leading historians on this, brought it forward in front of Medicare and Medicaid. Medicare and Medicaid said at the time, “You know what? So, 1980s happened, then in the 2000s, another group of incredible nurses came together.

Nursing 52

Nursing Hospitals Healthcare Doctors 52

Vie Healthcare

APRIL 26, 2023

Since 1999, VIE has been a recognized leader in healthcare costs, hospital purchase services, healthcare benchmarking, supply chain management, and performance improvement. You can learn more about VIE Healthcare Consulting at viehealthcare.com. Jim (19:07): Okay, Preston, I love what you put out there on LinkedIn.

Healthcare 52

Healthcare Nursing Hospitals Doctors 52

NASHP

DECEMBER 23, 2022

With more than 40 percent of births financed by Medicaid, the Centers for Medicare & Medicaid Services (CMS) has developed an action plan that corresponds with goals outlined in the White House blueprint. Implement Medicaid benefit. Monitor and evaluate quality improvement and outcomes and address barriers to care.

Medicaid 59

Medicaid Nursing Hospitals Regulations 59

NASHP

MARCH 29, 2024

Approaches include allowing family caregivers to receive Medicaid reimbursement , providing culturally competent trainings and peer supports, making respite care more accessible for caregivers, and offering behavioral health supports for caregivers. recruitment, consultation resources, Medicaid reimbursement, etc.).

Medicaid 124

Medicaid Quality of Care Quality Assurance Nursing 124

Briggs Healthcare

OCTOBER 25, 2022

Terminating federal funding for facilities that don’t improve: CMS is considering all facilities cited with Immediate Jeopardy deficiencies on any two surveys while in the SFF Program for discretionary termination from the Medicare and/or Medicaid programs.

Nursing 40

Nursing Accountability Quality Improvement Quality of Care 40

Vie Healthcare

JULY 26, 2023

I’ve become a bit of a cynic because I see my father in a nursing home, and my mom is paying $12,000 a month for his care, and the person in the bed next to him is on Medicaid and paying nothing. For me, I went from a peak and a high back to a low, to now I get to start in on DHS and Medicaid benefits. Who does what?

Hospitals 52

Hospitals Nursing Doctors Healthcare 52