HIT Consultant

AUGUST 31, 2023

Adimika Arthur, Executive Director, HealthTech 4 Medicaid Manisha Sharma, Senior Medical Director, Promise Health Plan Blue Shield of California During the pandemic, Medicaid enrollment grew by nearly 30% to cover more than 93 million Americans , due in large part to COVID-19 provisions that included continuous Medicaid enrollment.

Medicaid 64

Medicaid Prevention Health Data Quality of Care 64

NASHP

NOVEMBER 1, 2021

Nevada Pilots Innovative Program to Increase Access to Preventive Oral Care for Children November 1, 2021 / by Ella Roth and Carrie Hanlon. In fact, 50 percent fewer dental health services were provided for children covered by Medicaid and CHIP from March to July 2020 compared to 2019 data.

Prevention 98

Prevention Medicaid Regulations Nursing 98

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. Regulations that varied widely also affected their use of telehealth platforms.

Telemedicine 341

Telemedicine Primary Care Regulations Doctors 341

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. billion on chronic obstructive pulmonary disease (COPD) per year. Assessment and management of pain and other symptoms. Comprehensive care coordination.

Medicaid 102

Medicaid Hospice Care Regulations Integration 102

HIT Consultant

AUGUST 20, 2024

This is especially true among Medicaid enrollees, who report more problems with prior authorization and provider availability compared to people with other insurance types, and are less likely than their peers to describe their own health as “excellent.” Other regulations limit the frequency of communications with members.

Medicaid 64

Medicaid Regulations Prevention Doctors 64

NASHP

MARCH 20, 2023

There are many health and economic benefits of preventing unintended pregnancy with contraception, with different types of providers creating access to these services. Community Health Workers More than half of states reimburse for community health workers or provide services through Medicaid managed care.

Medicaid 52

Medicaid Nursing Prevention Primary Care 52

NASHP

DECEMBER 13, 2021

Toolkit: New Legislative and Medicaid Models to Lower Drug Prices. For additional information and greater detail, see NASHP’s brief “ State Strategies to Lower Drug Prices: New Legislative and Medicaid Models.” Resources: Model legislation: “An Act to Prevent Excessive and Unconscionable Prices for Prescription Drugs ”.

Medicaid 52

Medicaid Regulations Prevention Pharmaceuticals 52

Home Health Care

DECEMBER 7, 2021

Mostly, though, the Obama-era regulation has ended up decreasing the amount of live-in care that home care agencies provide. For now, home care providers are stymied by Medicaid wages, which do not match the pay that would be needed for live-in care. The administration’s goal at the time was to raise caregiver wages.

Regulations 91

Regulations Home Care Law Firms Accountability 91

NASHP

JUNE 10, 2024

Under the Affordable Care Act (ACA), states have the option to implement a BHP, which offers health coverage to residents whose incomes are too high for Medicaid but who are otherwise eligible to enroll in coverage through the health insurance marketplace. This regulation will go into effect on November 1, 2024.

Medicaid 102

Medicaid Regulations Prevention 102

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. Identify community assets, engage the provider community, and build infrastructure.

Medicaid 59

Medicaid Nursing Regulations Hospitals 59

Etactics

AUGUST 16, 2024

I’ve said it a million times and I’m not afraid to say it again, prevention is the best medicine. The NCCI is a program under the Centers for Medicare & Medicaid Services (CMS), which houses specific coding policies and edits. The CMS owns this program, deciding any decisions regarding the rules and regulations within.

Prevention 52

Prevention Medicare Medicaid Regulations 52

Home Health Care

APRIL 12, 2024

In past years, Medicare-certified home health agencies and Medicaid personal care services providers have been big focus areas for government watchdogs. Once implemented, EVV could increase the risk that Medicaid beneficiaries’ needs are not being met, potentially compromising their health and safety,” OIG’s work plan states.

Medicaid 93

Medicaid Medicare Home Care Regulations 93

NASHP

DECEMBER 7, 2022

State Approaches to Community Health Worker Financing through Medicaid State Plan Amendments December 7, 2022 / by Carl Rush, Elinor Higgins , and Sandra Wilkniss. Recent discussions have centered around Medicaid’s role. This brief provides an overview of recent developments in Medicaid State Plan Amendments (SPAs). California.

Medicaid 52

Medicaid Primary Care Prevention Regulations 52

Briggs Healthcare

AUGUST 18, 2021

That action: CMS will issue new regulation requiring nursing homes to implement a requirement that all staff be vaccinated against COVID-19. HHS will develop new regulations requiring nursing homes to require that all of their workers be fully vaccinated against COVID-19 as a condition of participating in the Medicare and Medicaid programs.

Regulations 40

Regulations Nursing Medicaid Medicare 40

HIT Consultant

JUNE 16, 2022

The purpose of the No Surprises Act is to prevent surprise out-of-network bills, often for emergency services. As a result, the Centers for Medicare and Medicaid Services (CMS) has since issued new guidance regarding the IDR process for disputing parties. healthcare system. In fact, more than half of all U.S. About Lynne Rinehimer.

Regulations 52

Regulations Hospitals Medicaid Medicare 52

NASHP

SEPTEMBER 28, 2021

State Medicaid Financing of Home Visiting Services in Seven States Eddy Fernandez. Other areas of savings include a reduction of unnecessary emergency department visits and decreased use of public assistance programs such as Temporary Assistance for Needy Families (TANF), Supplemental Nutrition Assistance Program (SNAP), and Medicaid.

Medicaid 52

Medicaid Nursing Prevention Regulations 52

NASHP

DECEMBER 3, 2021

Strategies to Increase COVID-19 Vaccination Rates in Medicaid Enrollees: Considerations for State Leaders December 3, 2021. State-level data indicate that COVID-19 vaccination rates are lower among people covered by Medicaid than the general population. Executive Summary. percent) children. As the majority (61.1

Medicaid 98

Medicaid Primary Care Medicare Accountability 98

p3care

OCTOBER 20, 2023

Let’s narrow down and explore some of the key reimbursement methodologies in nephrology: Value-Based Care Reimbursement Fee-For-Service Reimbursement Bundled Payments Medicare and Medicaid Reimbursement Private insurance Reimbursement Capitation Billing Value-Based Care Reimbursement It’s a modern and widely implemented reimbursement model.

Medicaid 130

Medicaid Medicare Regulations Healthcare Providers 130

p3care

NOVEMBER 14, 2022

Pass-through Billing has serious effects, taking preventive measures is important so you don’t fall into this trap. The Centers recommend for Medicare and Medicaid Services (CMS) that you don’t need to follow the Compliance Program; however, implementing it does reduce the threats of unlawful conduct. Documentation.

Regulations 100

Regulations Prevention Medicare Medicaid 100

Healthcare It News

FEBRUARY 5, 2024

However, depending on the state and its regulations, patients may need to, at times, be seen in person. As the public health emergency of COVID is ending, state regulations are changing and fortunately telepsychiatry will still exist as part of a hybrid model.

Regulations 308

Regulations Telemedicine Remote Care Prevention 308

HIT Consultant

MAY 2, 2023

For decades, the industry lacked a patient-centric approach focused on efficiency, reliability, and accessibility for all populations, especially those enrolled in Medicare Advantage and Medicaid plans. In a recent study , 21% of U.S. adults without access to a vehicle or public transportation skipped needed medical care last year.

Medicaid 96

Medicaid Regulations Medicare Integration 96

Briggs Healthcare

JULY 19, 2022

In 2016, the Centers for Medicare & Medicaid Services (CMS) updated its life safety and emergency preparedness regulations to improve protections for all Medicare and Medicaid beneficiaries, including those residing in nursing homes. Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. “In

Nursing 52

Nursing Medicaid Medicare Regulations 52

Bill Of Health

JANUARY 5, 2022

This Friday, the Supreme Court will hear arguments about two federal vaccine mandates: the Centers for Medicare and Medicaid Services’ (CMS) mandate for health care workers, and the Occupational Safety and Health Administration’s (OSHA) vaccine-or-test mandate for employers with over 100 workers. By Wendy Parmet and Dorit Reiss.

Regulations 145

Regulations Public Health services Medicaid Medicare 145

Triage Health Law

OCTOBER 12, 2023

Department of Health and Human Services (“HHS”) introduced a new “Strategic Plan for Oversight of Managed Care for Medicare and Medicaid” (the “ Strategic Plan ”). 2] For Medicaid, almost seventy-five percent (75%) of beneficiaries are now enrolled with comprehensive Managed Care Organizations. [3]

Medicare 69

Medicare Medicaid Prevention Regulations 69

Home Health Care

DECEMBER 7, 2023

Daniel Gottschalk​​​​, Co‑CEO of Family Tree Private Care Balancing the need for appropriate home care regulations while preventing overregulation is crucial for the industry. Baseline regulations that set forth good business practices to keep clients and caregivers safe are essential.

Home Care 117

Home Care Regulations Nursing Prevention 117

Home Health Care

DECEMBER 19, 2021

Occupational Safety and Health Administration (OSHA) regulation requiring workers at companies with 100 or more employees to be vaccinated against COVID-19 or undergo weekly testing has been revived. The Biden administration projects the mandate will save 6,500 lives and prevent 250,000 hospitalizations over six months.

Regulations 105

Regulations Medicaid Medicare Accountability 105

Triage Health Law

JULY 27, 2023

CMS interpreted the regulatory definition to allow marketing materials to address or include a wide range of benefits available, including vision, dental, premium reduction, and hearing, without being subject to Medicare marketing regulations. What led to the Change in Definition?

Medicare 98

Medicare Regulations Medicaid Prevention 98

Bill Of Health

DECEMBER 6, 2023

To tackle this issue, federal and state governments should strengthen the regulation of insurance networks and insurers should address underlying causes of inadequate networks. Considering these substantial consequences for patients’ access to mental health care, developing solutions to prevent ghost networks is critical.

Regulations 57

Regulations Medicaid Prevention Medicare 57

Home Health Care

JULY 19, 2024

“What makes a bad actor is a party that gets into home health care for purposes of stealing from Medicare, Medicaid and others. Put simply, the bad actor is the type of provider that regulators want to drive out of home health care, and the type that industry peers work to avoid being associated with.

Regulations 97

Regulations Home Care Quality of Care Medicaid 97

NASHP

APRIL 15, 2022

CalAIM: Leveraging Medicaid Managed Care for Housing and Homelessness Supports April 15, 2022 / by Allie Atkeson. Driven by challenges facing individuals with complex care needs, states are increasingly working to address the physical, behavioral, and social needs of their Medicaid beneficiaries. Eviction prevention.

Medicaid 59

Medicaid Public Hospital Hospitals Nursing 59

HIT Consultant

SEPTEMBER 6, 2023

By transitioning to dedicated hardware in a data center, you regain full control over your servers and can chart your own course when it comes to updates and implementing security and privacy measures mandated by HIPAA regulations. HIPAA and GDPR are not the only regulators in the space either. Getting data security wrong is expensive.

Regulations 122

Regulations Medicaid Prevention Medicare 122

Briggs Healthcare

FEBRUARY 6, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare Today (Friday, February 3, 2023), the Center for Medicaid and CHIP Services (CMCS) launched a new virtual home for telehealth content on Medicaid.gov. The redesigned pages make it easier for users to find information about how telehealth can be utilized under Medicaid.

Medicaid 52

Medicaid Regulations Prevention Healthcare 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. 29 State health policy leaders may consider regulation a barrier to collecting race and ethnicity data in their health equity program development.

Medicaid 52

Medicaid Regulations Prevention Medicare 52

NASHP

FEBRUARY 13, 2023

Preventing unintended pregnancies is a shared public health goal as unintended pregnancies are significantly associated with adverse maternal and infant health outcomes , including postpartum depression, interpersonal violence, preterm birth, and low birth weight. Nearly half of all pregnancies in the United States are unintended.

Medicaid 59

Medicaid Nursing Prevention Regulations 59

HIT Consultant

OCTOBER 30, 2023

This may result in a healthcare provider being removed from an ACO or prevented from joining an ACO. “HHS To ensure appropriate sharing and the protection of patient privacy and preferences, the information blocking regulations include exceptions, such as the Privacy Exception.

Medicare 98

Medicare Accountable Care Healthcare Providers Regulations 98

Bill Of Health

MARCH 24, 2023

Each month, members of the Program On Regulation, Therapeutics, And Law (PORTAL) review the peer-reviewed medical literature to identify interesting empirical studies, policy analyses, and editorials on health law and policy issues. Market dynamics of authorized generics in Medicaid from 2014 to 2020. Health Serv Res. 2023 Feb 23.

Regulations 57

Regulations Medicare Medicaid Prevention 57

NASHP

DECEMBER 10, 2021

The information on this map comes from a 50-state survey of a variety of stakeholders, ranging from Medicaid officials to Community Health Workers, on their states’ approaches?to?integrating?CHWs CDC Centers for Disease Control and Prevention. MHP Medicaid Health Plans. USPSTF United States Preventative Services Task Force.

Medicaid 122

Medicaid Primary Care Prevention Nursing 122