HIT Consultant

SEPTEMBER 7, 2022

Code is written by humans who have unconscious biases, and those biases can creep into the algorithms of AI when Quality Assurance functions are not properly sensitized to detect them. SDOH for this group is both a contributing factor to disease and an obstacle to effectively closing gaps in treatment and prevention. .

Population Health 98

Population Health Health Analytics Quality Assurance Medicaid 98

NASHP

NOVEMBER 15, 2021

As states continue developing their health equity strategies, an emerging consideration is how commercial algorithms that are used by states’ Medicaid managed care organizations to inform clinical care decisions may exhibit significant racial bias. Acknowledgements.

Quality Assurance 52

Quality Assurance Medicaid Population Health Prevention 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On November 12, 2021, the Centers for Medicare and Medicaid Services (“CMS”) revised and finalized draft guidance first issued on May 3, 2019, for co-location of hospitals with other hospitals or healthcare providers [1] (the “ Finalized Guidance ”).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

Sequence Health

JANUARY 9, 2025

Healthcare call centers verify and update patient insurance information at each visit, maintaining accuracy and preventing billing errors. Quality assurance programs and feedback mechanisms refine training methods and maintain high service standards, ensuring continuous improvement.

Quality Assurance 52

Quality Assurance Healthcare Regulations Healthcare Providers 52

NASHP

OCTOBER 16, 2023

13] Wisconsin Statute 51.042 establishes YCSFs in the state, defined as “a treatment facility with a maximum of eight beds that admits a minor to prevent or de-escalate the minor’s mental health crisis and avoid admission of the minor to a more restrictive setting.”[14] Across the U.S., 5] Additionally, 18.1

Quality Assurance 64

Quality Assurance Prevention Hospitals Medicaid 64

NCQA

FEBRUARY 13, 2024

Health plans have an important role in providing services to prevent adverse outcomes and ensure proper care coordination during the post-surgical period. Failure to complete timely follow-up can undermine the ability of screening to prevent development and progression of cervical cancer. ET) on March 13.

Quality Assurance 52

Quality Assurance Hospitals Prevention Medicare 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 Quality of Care Hospitals 52

Briggs Healthcare

APRIL 10, 2023

Because registration is limited to 1,000 sites, SNFs are encouraged to coordinate internally to prevent duplicate registrations and to allow as many SNFs as possible to participate. Register HERE. This program is being brought to you at no charge. Registrants will receive an email with information about how to join the session.

Nursing 40

Nursing Quality Assurance Performance improvement Medicare 40

NASHP

DECEMBER 15, 2021

NASHP recently updated a 50-state scan that identifies state approaches to supporting the CHW workforce and catalogues CHW Medicaid financing strategies (see text box 1). Evidence indicates that Medicaid spending on CHW services produces both improved health outcomes and a return on investment.

Medicaid 52

Medicaid Accountable Care Accountability Quality Assurance 52

HIT Consultant

JUNE 28, 2022

Disparities in the way medical professionals assess and treat pain in people of color, for example, have been the focus of many studies and reflect an unconscious bias among some medical professionals that prevents members from getting the care they need. Create a social index score.

Quality Assurance 52

Quality Assurance Population Health Medicaid Hospitals 52

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

NASHP

MAY 8, 2023

For example, in the health care arena, states are leveraging National Committee for Quality Assurance (NCQA) HEDIS measures and requiring Medicaid and commercial health plans to report stratified HEDIS measures. National efforts to standardize are useful to inform state approaches.

Medicaid 52

Medicaid Quality Improvement Hospitals Quality Assurance 52

NASHP

MAY 8, 2023

Source: Centers for Disease Control and Prevention (CDC) Health : Health is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity. Source: Institute for Healthcare Improvement Public Health : The science of protecting and improving the health of people and their communities.

Medicaid 52

Medicaid Regulations Prevention Medicare 52

Healthcare It News

OCTOBER 17, 2022

There is also the matter that open enrollment begins on November 1, and without the relaxed enrollment provisions for Medicaid that the PHE provides, the national uninsured rate along with health premium costs would certainly rise. But by definition, an "emergency" can't last forever. may face even higher overdose rates.

Telemedicine 338

Telemedicine Regulations Quality Assurance Doctors 338