HIT Consultant

MARCH 11, 2025

Coupled with the Centers for Medicare & Medicaid Services’ (CMS) increased focus on seamless care transitions, Medicare Advantage plans are under pressure to intervene quickly and effectively to prevent avoidable readmissions. billion annually.

Medicare 99

Medicare Care Transition Medicaid Prevention 99

NASHP

JANUARY 9, 2025

Social drivers of health , including access to nutritious foods, transportation, and access to health care, continue to exacerbate disparities in oral health and overall health , particularly for Medicaid beneficiaries. What Is Minimally Invasive Care (MIC)?

Medicaid 64

Medicaid Prevention Nursing Healthcare 64

NASHP

JULY 6, 2022

State Medicaid Approaches to Doula Service Benefits Updated July 6, 2022 / by Anoosha Hasan. States are using a variety of approaches to provide doula services within their Medicaid programs to address inequities. Because of these improved outcomes there is the potential for cost-savings over time for state Medicaid programs.

Medicaid 116

Medicaid Prevention Nursing 116

NASHP

JULY 22, 2024

Centers for Medicare and Medicaid Services (CMS) has approved a Medicaid state plan amendment (SPA) to establish palliative care services provided in non-hospital settings as a Medicaid covered service. What is community palliative care, and why did Hawaii create a community palliative care Medicaid benefit? “We

Medicaid 104

Medicaid Prevention Hospitals Nursing 104

NASHP

OCTOBER 18, 2022

Medicaid Structured Family Caregiving: Enabling Family Members to Make Caregiving Their Primary Focus October 2022/ by Neva Kaye. Family caregivers play an important role in states’ efforts to help Medicaid beneficiaries safely remain in their communities. Missouri Medicaid official. Georgia Medicaid official.

Medicaid 145

Medicaid Nursing Prevention 145

Healthcare It News

OCTOBER 27, 2023

As part of the National Center for Chronic Disease Prevention and Health Promotion the Division of Nutrition, Physical Activity and Obesity within the U.S., the Centers for Disease Control and Prevention also focuses on food and nutrition security as one of five social determinants of health.

Medicaid 323

Medicaid Integration Prevention Healthcare 323

Home Health Care

SEPTEMBER 19, 2024

have set their sights on lifting age-based restrictions in the Medicaid buy-in program. On Wednesday, the policymakers introduced the Ensuring Access to Medicaid Buy-In Programs Act. If enacted, the legislation would eliminate a restriction that blocks people living with disabilities from buying into Medicaid once they reach age 65.

Medicaid 105

Medicaid Regulations Home Care Prevention 105

Healthcare It News

JANUARY 10, 2023

The virtual care services will be delivered without copays, out-of-pocket costs or deductibles for families with active insurance or Medicaid coverage. WHY IT MATTERS. "We also know that significant sociodemographic and cultural disparities exist in the initiation and continuation of breastfeeding.

Primary Care 327

Primary Care Quality of Care Telemedicine Prevention 327

NASHP

JANUARY 6, 2025

The CHWs provide support, education, and resources on coping with stress, preventing injuries, staying healthy, and connecting to community services. With support from ACLs ADPI, Indiana University partnered with Indianas AAAs to implement the Caregiver Stress Prevention Bundle.

Medicaid 97

Medicaid Hospitals Integration Prevention 97

Home Health Care

NOVEMBER 8, 2024

HIT includes anti-infective therapy or the use of intravenous medication to treat or prevent infection,” Fano-Schultze said. The quarterly average of HIT service visits was about 7,500 from 2021 to 2023, according to the Centers for Medicare & Medicaid Services (CMS). However, Medicaid coverage can have gaps in some states.

Tricare 111

Tricare Medicare Nursing Medicaid 111

Healthcare It News

OCTOBER 19, 2021

Some of these apps can also let a new mom know they qualify for care, opening the door to earlier preventative care – for example, for something like an undiagnosed ectopic pregnancy. sections that could have been prevented, days-long hospital stays in early labor, or in-patient care for preeclampsia and other complications.

Medicaid 329

Medicaid Prevention Hospitals Patient Experience 329

HIT Consultant

JULY 16, 2024

Anish Sebastian, CEO and Co-founder, Babyscripts A discussion of technology and the Medicaid population inevitably raises the topic of the digital divide — that is, the gap between people who have access to modern information and communications technology (ICTs) and those who don’t. “We

Medicaid 105

Medicaid Digital Care Accountability Medicare 105

Home Health Care

OCTOBER 8, 2024

Community health workers (CHWs) also conduct a self-reported health assessment using the Centers for Medicare & Medicaid Services (CMS) Accountable Health Communities Health-Related Social Needs screening tool. This tool includes 24 questions about the home environment and access to eligible benefits and services. “Our

Prevention 115

Prevention Hospitals Home Care Primary Care 115

NASHP

MAY 1, 2023

States use public and private funds to support home visiting programs, including state general revenue, Medicaid, Children’s Health Insurance Program (CHIP), and federal funding, such as the Maternal and Infant Early Childhood Home Visiting (MIECHV) program.

Medicaid 98

Medicaid Nursing Prevention Hospitals 98

HIT Consultant

OCTOBER 24, 2023

Tim Taylor, Principal Industry Consultant at SAS Victor Sterling, Principal Industry Consultant at SAS State Medicaid agencies are responsible for health services that touch the lives of every American, making the potential benefits of modern technology tools, such as artificial intelligence (AI) and machine learning (ML), enormous.

Medicaid 78

Medicaid Prevention Integration 78

Briggs Healthcare

JULY 6, 2022

On September 30, 2019, the Centers for Medicare & Medicaid Services (CMS) published the final rule Medicare and Medicaid Programs; Regulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction Final Rule , which included revisions for the hospital Conditions of Participation (CoP) for 42 CFR §482.42

Prevention 98

Prevention Hospitals Regulations Medicaid 98

Health Populi

JUNE 27, 2022

Declines in preventive care services like cancer screenings and blood glucose testing concern employers, whose continued to cover health insurance for employees during the pandemic. The full report speaks to medical spending and utilization trends for preventive care, telehealth, and behavioral health.

Prevention 125

Prevention Primary Care Medicaid Medical Services 125

NASHP

OCTOBER 22, 2024

Centers for Medicare and Medicaid Services (CMS) to implement an innovative 1115 Medicaid demonstration waiver incorporating family caregiver supports and supports for older adults and adults with disabilities.

Medicaid 119

Medicaid Nursing Medicare Prevention 119

Home Health Care

MARCH 10, 2025

Centers for Medicare and Medicaid Services (CMS) has revoked guidance related health-related social needs (HRSN) through Section 1115 waivers. Industry advocates say the move is indicative of the broader administration priorities to reduce Medicaid expenditures.

Medicaid 55

Medicaid Medicare Regulations Home Care 55

Home Health Care

APRIL 23, 2024

This article is a part of your HHCN+ Membership On Tuesday, Centers for Medicare & Medicaid Services (CMS) officials vehemently backed the thought process behind the “80-20” wage mandate in home- and community-based services (HCBS). Providers and advocates, on the other hand, continued to argue that the policy could be disastrous.

Home Care 111

Home Care Medicaid Law Firms Quality of Care 111

NASHP

JANUARY 13, 2025

State Medicaid and Title V Maternal and Child Health Service Block Grant programs are working to address this issue. Approximately 45 percent of children and youth with special health care needs (CYSHCN) are covered under public insurance programs , such as Medicaid or the Childrens Health Insurance Program (CHIP). Additionally, 49.8

Medicaid 81

Medicaid Nursing Quality Improvement Doctors 81

Home Health Care

DECEMBER 5, 2024

Meeting the care needs of Medicaid/dual-eligibles now and beyond 2025 will provide opportunities for home care and the health care industry to enhance care services supported by emerging technology and care innovations. Were already texting, calling and video chatting in real-time, day or night.

Home Care 110

Home Care Nursing Prevention Integration 110

Healthcare It News

APRIL 5, 2024

Northwestern Medicine, the Nevada Health Link, Cohere Health and Kyruus Health are partnering withDell Technologies, Google Cloud Marketplace and others to offer providers and payers ways to tackle the daily challenges that delay care approvals and prevent patients from seeking care and enrolling in health plans.

Integration 306

Integration Medicaid Hospitals Medicare 306

Healthcare It News

OCTOBER 13, 2022

The Centers for Medicare and Medicaid Services Office of the National Coordinator for Health Information Technology final rule prevents information blocking and promotes competition and innovation in healthcare IT. Data tools are also high on the list of provider IT needs for FHIR adoption.

Healthcare 322

Healthcare Health Data Integration Patient Experience 322

NASHP

JANUARY 13, 2023

States also leverage other state and federal funding, including public insurance financing (Medicaid and the Children’s Health Insurance Program, or CHIP), to support select home visiting services. Medicaid plays a significant role in providing coverage to children and pregnant people. births in 2019. births in 2019.

Medicaid 97

Medicaid Nursing Prevention Integration 97

Healthcare It News

OCTOBER 25, 2022

" The second campaign is focused on improving and protecting maternal health, and HIMSS is calling on its members to contact their governors and state Medicaid directors and urge them to make better use of information and technology to reduce maternal mortality. Those risks to maternal health have only increased during the pandemic.

Patient Safety 261

Patient Safety Prevention Medicaid Medicare 261

Healthcare It News

JANUARY 18, 2022

Social determinants of health are major contributors to health inequity and rising healthcare costs in vulnerable populations such as Medicaid beneficiaries. For example, training a predictive model on the general population may be inaccurate when used in a Medicare or Medicaid population.

Pharmaceuticals 363

Pharmaceuticals Accountable Care Accountability Medicaid 363

Home Health Care

APRIL 22, 2024

The White House teased the finalized Medicaid Access Rule early Monday, and the Centers for Medicare & Medicaid Services (CMS) later revealed more intricate details attached to the rule. Firstly, the timeline of the rule is now clear. Ultimately, providers’ ability to operate is obviously paramount to greater access to HCBS.

Medicaid 85

Medicaid Home Care Quality of Care Medicare 85

Healthcare It News

JUNE 3, 2022

Since California expanded health coverage under the Affordable Care Act, a large number of people have been mistakenly bounced between Covered California, the state’s marketplace for those who buy their own insurance, and Medi-Cal, the state’s Medicaid program for low-income residents. “This shouldn’t be happening.

Accountability 327

Accountability Medicaid Prevention 327

NASHP

MARCH 17, 2025

Barriers to dental care for individuals who use substances may include limited adult Medicaid dental benefits, financial or transportation barriers, previous traumatic dental experiences, or fear of encountering stigma in clinical settings.

Medicaid 52

Medicaid Integration Prevention Medicare 52

Healthcare It News

APRIL 29, 2024

Lab kits delivered by Uber for preventive care Portland, Oregon-based Reperio Health startup, which offers test kits by delivery, signed an agreement with Uber to deliver a kit to a person’s home within an hour of ordering it, GreekWire reported this month.

Public Health services 307

Public Health services Integration Pharmaceuticals Healthcare Providers 307

NASHP

MARCH 13, 2023

The Consolidated Appropriations Act enacted in December 2022 delinks the Medicaid continuous coverage requirement from the COVID-19 PHE, ending the protection on March 31, 2023 (along with a phase-down through 2023 of the increased federal match rate).

Medicaid 105

Medicaid Accountability Prevention Medicare 105

Healthcare It News

MAY 31, 2023

The participating primary care practices, all part of Patient-Centered Outcomes Research Institute’s clinical research network, were either general, family, ambulatory internal medicine, preventive medicine or geriatric medicine practices. They self-identified their point of maturation.

Telemedicine 358

Telemedicine Primary Care Regulations Doctors 358

HIT Consultant

FEBRUARY 26, 2025

These challenges are particularly acute in Georgia, where Medicaid covers nearly 50% of all births and the state ranks 31st out of 40 in maternal mortality. Pregnant women with maternal hypertension or diabetes who are covered by Medicaid can opt into the program and receive appropriate RPM devices.

Medicaid 59

Medicaid Nursing Prevention Healthcare 59

Home Health Care

JANUARY 14, 2025

Trust in the nurses allows family members to step back and enjoy their roles as family members rather than solely as caregivers, which can help prevent caregiver burnout. Having the ability to manage the childs care proactively, we can help detect issues early and prevent escalation. time return on investment, according to BRG.

Nursing 111

Nursing Physical Therapy Hospitals Rehabilitation 111

Healthcare It News

SEPTEMBER 25, 2023

" Healthy lifestyle habits, such as not smoking, exercising and eating well, can help prevent and improve hypertension. In addition, the Centers for Medicare & Medicaid Services has selected hypertension as one of three quality measures to be submitted electronically in the future.

Primary Care 339

Primary Care Medicaid Medicare Prevention 339

HIT Consultant

MARCH 20, 2023

. – The collaboration aims to improve the health of pregnant women and their newborns, especially those at high risk, by adding a vital service to MedArrive’s growing ecosystem of specialty care providers that managed Medicaid health plans can leverage for members in their homes.

Medicaid 98

Medicaid Nursing Prevention Integration 98