Home Health Care

JANUARY 22, 2025

The expanded HHVBP model builds on the success of the original model, which improved total performance scores among home health agencies by an average of 4.6%, according to the Center for Medicare and Medicaid Services (CMS). This expanded model builds upon the original model’s success.

Medicare 77

Medicare Hospitals Quality of Care Nursing 77

Home Health Care

JANUARY 8, 2025

This will allow for a shift from a reactive to a proactive and predictive perspective in health care. What specific technologies do you foresee playing a critical role in enhancing care capabilities at home? As data becomes more abundant, how will this transparency affect research and the establishment of best practices in home care?

Hospitals 101

Hospitals Quality of Care Integration Home Care 101

NASHP

OCTOBER 22, 2021

Supporting the Continuum of Care for Serious Illness in Medicaid Managed Care October 25, 2021 / by Salom Teshale, Kitty Purington, Wendy Fox-Grage, and Mia Antezzo. Comprehensive care coordination. billion on chronic obstructive pulmonary disease (COPD) per year. Assessment and management of pain and other symptoms.

Medicaid 102

Medicaid Hospice Care Regulations Integration 102

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

p3care

OCTOBER 30, 2020

CMS (The Centers for Medicare and Medicaid Services) released the proposed rule for QPP MIPS 2021 via the Medicare Physician Fee Schedule (PFS) Notice of Proposed Rulemaking (NPRM). For instance, CMS asks physicians to focus on the quality of care rather than the volume of patients. Let’s get started!

Medicare 243

Medicare Measurable Quality Medicaid Accountable Care 243

Home Health Care

OCTOBER 2, 2024

When this verified visit data is collected and analyzed, states can use it to help identify and reduce Medicaid fraud, which drains resources from the system and hinders care delivery to those in need. Medicaid-funded personal care services were required to comply with EVV statutes by Jan.

Home Care 113

Home Care Medicaid Quality of Care Prevention 113

Healthcare It News

APRIL 28, 2022

"Physicians commonly prescribe antithrombotic or anticoagulants for these patients to prevent cardiac events such as heart attack and stroke, which may result in hospitalizations and readmissions if patients don't adhere to their medication regimen," said Brian Davis, CIO at Magnolia Regional Health Center.

Hospitals 261

Hospitals Medicare Primary Care Quality of Care 261

Health Populi

JUNE 23, 2023

The Commonwealth Fund’s- methodology covered, Access and affordability Prevention and treatment Avoidable use and cost Healthy lives Reproductive care and women’s health Income disparity, and Racial and ethnic equity. This bar chart illustrates that U.S. Among other factors contributing to some U.S.

Healthcare 133

Healthcare Medicaid Prevention Quality of Care 133

HIT Consultant

MARCH 16, 2023

What You Should Know: – HHAeXchange , a provider of homecare management solutions for state Medicaid programs, managed care organizations, and providers has added six new solutions providers to its Partner Connect program. An online occupational health solution that provides primary care health benefits for employees.

Primary Care 98

Primary Care Medicaid Prevention Quality of Care 98

NASHP

FEBRUARY 17, 2025

As detailed in KFFs 20232024 Medicaid budget survey , around 32 states in FY 2023 raised rates for behavioral health services, followed by 34 states in FY 2024, with 26 states planning further increases in FY 2025. percent increase in billing for certain SUD procedure codes (H0015 and H0035). percent to 72.3

Medicaid 52

Medicaid Rehabilitation Hospitals Telemedicine 52

NCQA

JANUARY 15, 2025

But the screening rate was 55% for Medicaid plans, highlighting the need for more screening education and support. The good news is that unnecessary screenings reached an all-time low in 2023: 0.42% for commercial plans and 0.40% for Medicaid plans.

Quality Assurance 59

Quality Assurance Medicaid Quality of Care Population Health 59

NASHP

MAY 21, 2024

Children and youth with chronic illness, behavioral and special health care needs, and medical complexities often require specialized care, prescription medications, medical technology and equipment, and increased care coordination, and can have unmet health care needs. percent) using public health insurance (e.g.,

Medicaid 52

Medicaid Measurable Quality Prevention Quality of Care 52

HIT Consultant

SEPTEMBER 24, 2024

What You Should Know: – Wider Circle , which builds peer-driven communities nationwide to help people improve their health and quality of life through trusted connections, announced a partnership with CareFirst BlueCross BlueShield Community Health Plan Maryland (CareFirst CHPMD).

Medicaid 52

Medicaid Primary Care Medicare Prevention 52

NASHP

DECEMBER 6, 2024

The IHSs Division of Behavioral Health (DBH) is the nations primary administrator of behavioral health, alcohol and substance use, and family violence prevention programs for AI/AN people. The 988 lifeline replaced the state Suicide Prevention Lifeline to better serve individuals experiencing all forms of mental health crises.

Prevention 52

Prevention Integration Medicaid Quality of Care 52

HIT Consultant

NOVEMBER 12, 2024

The Medicaid population, who typically benefits from progress last, still grapples with harmful biases within the healthcare system that pose extreme barriers to care. But since this critical care area has been overlooked for too long, it has yet to reach the same level of accessibility other specialties offer.

Medicaid 52

Medicaid Population Health Doctors Telemedicine 52

Home Health Care

JANUARY 6, 2022

When it comes to home health, location factors heavily into the quality of care patients receive. Agencies in rural areas tend to initiate care more quickly, for example, while their urban counterparts perform better on outcomes measures, a new study suggests. Centers for Medicare & Medicaid Services (CMS).

Nursing 105

Nursing Medicaid Medicare Quality of Care 105

NASHP

MAY 17, 2022

How State Medicaid Programs Serve Children and Youth in Foster Care May 17, 2022 / Veronnica Thompson. Children and youth in foster care (CYFC) often benefit from targeted services and supports. Yet, many receive fragmented or limited access to care, contributing to higher rates of unmet health needs. [1]

Medicaid 64

Medicaid Integration Medicare Primary Care 64

Home Health Care

AUGUST 25, 2021

Centers for Medicare & Medicaid Services (CMS) is sure to add more fuel to the fire for the “Choose Home” initiative and other movements aiming to bring more care into the home. A recently published study by the U.S. The potential impact on legislation. “The

Nursing 111

Nursing Home Care Medicare Accountability 111

Briggs Healthcare

MARCH 22, 2023

This report: (1) describes actions experts identified that HHS should continue, enhance, or discontinue to improve infection prevention and control practices in nursing homes and (2) compares actions identified by experts with prior recommendations from GAO and others.

Prevention 52

Prevention Nursing Quality of Care Medicaid 52

Healthcare ECONOMIST

NOVEMBER 4, 2022

2022) explains : The Pennsylvania Rural Health Model is a $25 million, 6-year demonstration funded by the Center for Medicare and Medicaid Innovation (CMMI). PARM is multi-payer initiative, which includes participation from Medicare, commercial payers, commercial payers’ Medicaid managed care and Medicare Advantage plans.

Hospitals 97

Hospitals Medicare Medicaid Quality of Care 97

HIT Consultant

MAY 2, 2023

Andy Auerbach, Chief Revenue Officer of SafeRide Health As the healthcare industry continues to evolve, there is a growing need for innovative solutions that not only improve the quality of care but also make care more accessible. adults without access to a vehicle or public transportation skipped needed medical care last year.

Medicaid 96

Medicaid Regulations Medicare Integration 96

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.

Primary Care 64

Primary Care Medicaid Accountability Quality Improvement 64

HIT Consultant

OCTOBER 20, 2023

As is often the case in today’s healthcare environment, advanced technologies powered by artificial intelligence (AI) and machine learning (ML) are emerging as a potential solution, helping to both prevent falls and accelerate recovery when falls lead to injury – particularly when they can be used in the comfort of the patient’s home.

Rehabilitation 105

Rehabilitation Pharmaceuticals Prevention Biotechnology 105

Cloud Blogs

FEBRUARY 28, 2022

These shifting priorities have catalyzed the desire to track patient outcomes and cost-savings for improved quality of care. In 2020, the Centers for Medicaid and Medicare Services (CMS) issued additional rules requiring that payors and providers who receive CMS funds make health information more accessible.

Integration 133

Integration Healthcare Quality of Care Regulations 133

NASHP

SEPTEMBER 25, 2023

Postpartum care can also include counseling on nutrition, breastfeeding, and other preventive health topics that support maternal and neonatal health. Research shows that coverage after pregnancy facilitates access to care, supporting positive maternal and infant health outcomes after childbirth.

Medicaid 80

Medicaid Performance improvement Prevention Health Data 80

HIT Consultant

SEPTEMBER 14, 2023

Rural communities may lack easy access to preventive care and screenings. But there is another hurdle that is just as significant, and that is the lack of quality data on these social determinants. By comparing quality-of-care data with population, income, and ethnicity across the U.S., The costs are astronomical.

Health Data 115

Health Data Accountability Telemedicine Doctors 115

NASHP

MAY 20, 2022

Medicaid is the largest source of public funding that can be leveraged to support family caregivers. States can support family caregivers through a range of Medicaid authorities and state plan amendments. Those services can include caregiver education, counseling, and training as well as adult day and respite care.

Medicaid 115

Medicaid Nursing Hospitals Home Care 115

Healthcare ECONOMIST

AUGUST 23, 2021

In 2008, the Centers for Medicare & Medicaid Services (CMS) implemented the Hospital-Acquired Conditions Present on Admission (HAC-POA) program. The mandatory program penalized hospitals as it would no longer reimburse them for treating of preventable complications that developed during a patient’s hospitalization.

Medicare 81

Medicare Hospitals Medicaid Quality of Care 81

Sheppard Health Law

OCTOBER 27, 2021

On October 20, 2021, the Centers for Medicare and Medicaid (“ CMS ”) Innovation Center (“ Innovation Center ”) published a white paper detailing its vision for the next ten years: a health system that achieves equitable outcomes through high quality, affordable, person-centered care. Strategic Objective 2: Advance Health Equity.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

Home Health Care

DECEMBER 7, 2023

Increased capacity for predictive modeling through AI will empower home care leaders to enhance service offerings to improve the quality of care, patient health, comfort and independence. Home care has established itself as a positive impact to health outcomes when it comes to the cost of health care for our seniors.

Home Care 122

Home Care Regulations Nursing Prevention 122

Home Health Care

JULY 19, 2024

However, there’s a difference between providers that have made errors in claims processing or quality of care provisions versus those taking part in purposeful fraudulent activity, according to National Association for Home Care & Hospice (NAHC) President William A.

Regulations 116

Regulations Home Care Quality of Care Medicaid 116

Home Health Care

OCTOBER 11, 2024

That was the one-word response a home health provider left for the Centers for Medicare & Medicaid Services’ (CMS) during the comment period on the 2025 home health proposed payment rule. The 5% wage index cap also prevents our rural communities from obtaining a market rate wage that allows us to hire competitively.

Medicare 111

Medicare Nursing Hospitals Regulations 111

HIT Consultant

SEPTEMBER 24, 2024

What You Should Know: – Wider Circle , which builds peer-driven communities nationwide to help people improve their health and quality of life through trusted connections, announced a partnership with CareFirst BlueCross BlueShield Community Health Plan Maryland (CareFirst CHPMD).

Medicare 52

Medicare Medicaid Primary Care Prevention 52

Briggs Healthcare

MARCH 2, 2022

“The purpose of this primer is to provide updated information to the patient safety community about the challenges of ensuring the safe care of older adults in Medicare and Medicaid certified nursing homes (NHs) associated with the COVID-19 pandemic, and the federal and state efforts taken to mitigate these challenges.

Nursing 75

Nursing Patient Safety Quality of Care Regulations 75

Home Health Care

JUNE 9, 2022

“We’re seeing a massive shift to value-based care versus our previous form of care, which was volume-based,” says Erika Sessions, director of compliance and policy development for online caregiver training platform CareAcademy. That will ultimately benefit the quality of care.”. This article is sponsored by CareAcademy.

Care Transition 105

Care Transition Quality of Care Accountability Home Care 105

HIT Consultant

AUGUST 20, 2024

Anish Sebastian, CEO and Co-founder, Babyscripts A health plan’s success rests on many factors: improving health outcomes, controlling costs, optimizing risk adjustment, and encouraging member adherence to a specific care plan. Member engagement is foundational to all of these goals.

Medicaid 64

Medicaid Regulations Prevention Doctors 64

Health Populi

JULY 13, 2020

The top areas garnering greatest net positive responses for technology impacts were information management and sharing; quality of care; prevention; and satisfaction, closely followed by efficiency. gross domestic product in 2020, the Centers for Medicare and Medicaid Services calculated. of the U.S.

Primary Care 110

Primary Care Medicare Accountability Hospitals 110