Healthcare It News

OCTOBER 12, 2023

In 2022, the Centers for Medicare & Medicaid Services introduced new CPT codes for remote care delivered via a digital care management platform that qualifies with the Federal Drug Administration as software as a medical device (SaMD). Another aspect of this approach is reimbursement.

Digital Care 306

Digital Care Physical Therapy Patient Experience Remote Care 306

NCQA

JULY 16, 2024

In our recent Fireside Chat, we brought together two forward-looking health care leaders united in their commitment to quality and their passion for improving care for Medicaid populations. 1115 waivers are special demonstrations that allow states to pilot new Medicaid approaches outside federal program rules.

Medicaid 98

Medicaid Quality Improvement Integration Population Health 98

NASHP

MARCH 22, 2024

States are increasingly turning to capitated Medicaid managed care programs to deliver long-term services and supports (LTSS) to individuals with complex needs. pdf On October 1, 2023, Virginia Medicaid combined its two managed care programs of Medallion 4.0

Medicaid 75

Medicaid Nursing Medicare Integration 75

Healthcare It News

SEPTEMBER 18, 2024

Making health data more accessible to patients – not to mention doctors and health plans – is a priority for all hospitals and health systems today, as the final Centers for Medicare and Medicaid Services Interoperability Rule mandates patient access. Enterprise Taxonomy: Patient Access Quality Care Quality Improvement Care

Primary Care 302

Primary Care Health Data Hospitals Doctors 302

Healthcare ECONOMIST

SEPTEMBER 25, 2023

They find that: We did not find discontinuities in inpatient care quality across the Program eligibility threshold for Medicaid and uninsured patients; specifically, on all-cause mortality (beta = −0.04 Interestingly, the authors did find that there was some evidence of quality improvement among insured non-Medicaid patients.

Quality of Care 88

Quality of Care Medicaid Quality Improvement Hospitals 88

NASHP

JANUARY 13, 2025

Palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical needs during difficult times. State Medicaid and Title V Maternal and Child Health Service Block Grant programs are working to address this issue. What Is Pediatric Palliative Care? Additionally, 49.8

Medicaid 81

Medicaid Nursing Quality Improvement Doctors 81

NASHP

SEPTEMBER 27, 2024

As part of a continuum of home- and community-based services (HCBS), respite can improve families’ quality of life [4] , [5] and help improve outcomes, including promoting more stable living situations. [6] Additional state examples from Colorado and Massachusetts were gleaned from NASHP’s Respite Summit, held in February 2024.

Medicaid 59

Medicaid Nursing Medicare Quality Improvement 59

HIT Consultant

FEBRUARY 8, 2024

Elissa Toder, MBA, VP of Quality Improvement Strategy & Solutions at Reveleer In the ongoing transition to value-based care (VBC), provider contracting poses challenges for health plans and providers. In that case, the payer must invest resources in consolidating this data to manage quality measures effectively.

Quality Improvement 105

Quality Improvement Data Acquisition Medicaid Performance improvement 105

HIT Consultant

FEBRUARY 15, 2022

Medicaid, Medicare Advantage). public Medicaid, private PPO, Medicare Advantage). Health plans should approach quality improvement with a prioritized, targeted approach, first addressing the biggest pain points that were revealed within a deeper analytics exercise, such as access to care. – Geographic location.

Medicare 98

Medicare Quality Improvement Medicaid Healthcare 98

p3care

MAY 31, 2024

Enhancing Quality By examining doctors’ performance, ACOs identify strengths and weaknesses in the service of healthcare delivery. It does not restrict itself to temporary or timely reporting only but fosters continuous quality improvement. Complying with all these regulations helps in avoiding penalties.

Quality of Care 130

Quality of Care Doctors Medicare Patient Experience 130

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 MHP Medicaid Health Plans. NCQA National Committee for Quality Assurance. Medicaid Reimbursement. Medicaid Reimbursement.

Medicaid 122

Medicaid Primary Care Prevention Nursing 122

GoMoHealth

OCTOBER 20, 2022

By Nakecia Taffa, Quality Improvement and Health Equity Director for GoMo Health. This led me to GoMo Health, where we create, activate and scale these improvements daily. While most managed care organizations go to great lengths to comply with Medicaid and Medicare mandates, many are still struggling to meet their goals.

Quality Improvement 88

Quality Improvement Medicaid Medicare Population Health 88

Home Health Care

MARCH 1, 2024

Beyond geographic PACE expansion, the National PACE Association also sees a future where the model evolves to reach a larger demographic of seniors, including those that fall outside of the category of Medicaid-eligible. I’d say 90% of people that are currently served by PACE are eligible for Medicaid.

Medicaid 124

Medicaid Medicare Primary Care Quality Improvement 124

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

Home Health Care

MAY 19, 2022

Yet with roughly seven-and-a-half months to go, more questions about HHVBP’s broader impact on quality of care and patient access are starting to pop up. But payer partners want to be “wowed” by data, and evidence suggests that HHVBP mostly leads to relatively modest quality improvements.

Medicare 111

Medicare Regulations Quality Improvement Quality of Care 111

Home Health Care

NOVEMBER 22, 2022

Government Accountability Office (GAO) has signed off on the home health payment rule finalized by the Centers for Medicare & Medicaid Services (CMS) last month. CMS argues that alternatives to mitigate the payment reductions would be contrary to the intent of the rule.

Medicare 105

Medicare Medicaid Quality Improvement Accountability 105

HIT Consultant

JULY 13, 2022

. – Cohere’s collaborative UM platform will help GHP support value-based care delivery, reduce administrative costs, and lead the nation in aligning quality improvement initiatives across all its lines of business, including Commercial, Exchange, Medicare Advantage, and the newly expanded Medicaid.

Medicaid 98

Medicaid Quality Improvement Medicare 98

NASHP

SEPTEMBER 22, 2022

The federal government has boldly detailed nearly 350 actions that agencies overseeing Medicare and Medicaid, Veterans Affairs, housing, labor, and more will take over the next three years to support caregivers. Hartford Foundation.

Medicaid 111

Medicaid Care Transition Medicare Quality Improvement 111

HIT Consultant

OCTOBER 21, 2022

This work occurs alongside evaluating how to integrate the medical device into the hospital system’s diagnostic paradigms, including in relation to quality improvement programs. Conduct quality improvement programs and evaluate new technologies, for potential incorporation, to help from a compliance standpoint.

Hospitals 98

Hospitals Quality Improvement Medicaid Clinical Practice 98

Readiness Rounds

DECEMBER 4, 2024

How Can We Improve Quality and Patient Outcomes? What Are the Steps for Integration into Quality Improvement? How Can We Improve Data Management and Staff Training? One of the most transformative changes ahead is the CMS 2025 Age-Friendly Measures, introduced by the Centers for Medicare & Medicaid Services.

Quality Improvement 52

Quality Improvement Physical Therapy Integration Hospitals 52

Home Health Care

DECEMBER 21, 2022

When Shara Cohen, Carallel’s CEO, joined the company in early 2021, the Centers for Medicare & Medicaid Services (CMS) had just introduced a supplemental benefit for caregiver support. It also plans to invest in its digital platform and into more programs and resources that improve outcomes for health plan members.

Medicare 97

Medicare Quality Improvement Home Care Medicaid 97

NASHP

OCTOBER 20, 2022

This substandard access to quality care can lead to poor health outcomes.[6]. have a special health care need, and an estimated 44 percent of CYSHCN are enrolled in Medicaid.[7] public health, Medicaid, mental health) and other stakeholders (e.g., Nearly 20 percent of children in the U.S.

Medicaid 98

Medicaid Integration Accountability Quality Improvement 98

Briggs Healthcare

NOVEMBER 17, 2022

As the expanded HHVBP Model prepares to start the first performance year on January 1, 2023, the Centers for Medicare & Medicaid Services (CMS) issued the November 2022 Pre-Implementation Performance Report (PIPR) to all active home health agencies (HHAs). Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare.

Quality Improvement 75

Quality Improvement Medicaid Medicare Healthcare 75

HIT Consultant

DECEMBER 5, 2023

According to new reporting rules from the Centers for Medicare & Medicaid Services (CMS), hospitals are expected to collect data about rates of hypo and hyperglycemia to accurately assess their facility’s ability to mitigate preventable patient harm. The time for change is now.

Hospitals 98

Hospitals Patient Safety Quality Improvement Prevention 98

GoMoHealth

JANUARY 2, 2022

A Value Based Quality Improvement System for Health Plans and Providers. HSX MarketStreet and GoMo Health® Announce Launch of Their New Data Activation Platform.

Life Sciences 92

Life Sciences Quality Improvement Integration Medicaid 92

HIT Consultant

MARCH 12, 2025

an Healthcare AI company unveiled its 360-Degree Gap Closure Solution for Payers , a comprehensive platform designed to revolutionize risk adjustment and quality improvement for health plans. What You Should Know: – Innovaccer Inc.,

Quality Improvement 52

Quality Improvement Medicaid Integration Medicare 52

Healthcare ECONOMIST

APRIL 11, 2023

The authors begin with a nice summary of the disappointing results to date of hospital value-based purchasing in the US: Quality of care of German hospitals public reporting has led to modest improvements in health outcomes at best, ( Ryan et al. 2012 ) and improvement has been very slow. Levine et al. Papanicolas et al.

Hospitals 74

Hospitals Quality Improvement Quality of Care Medicare 74

HIT Consultant

JULY 24, 2022

Patients in rural areas, those with Medicare and Medicaid, and those struggling with social determinants of health (SDOH) that prevent access to preventive care and screening, often experience difficulties finding a provider knowledgeable about appropriate PAD assessments too. It also would establish a PAD education program in the U.S.

Prevention 98

Prevention Medicaid Medicare Quality Improvement 98

NASHP

JANUARY 10, 2022

Exchange data with Medicaid programs. The same AIM survey revealed fewer than half of responding IIS programs exchanged data with their Medicaid program as of 2019. Providing Medicaid programs with access to IIS data allows those programs to directly engage their beneficiaries around the importance of HPV vaccination.

Prevention 97

Prevention Medicaid Quality Improvement Hospitals 97

KHN

FEBRUARY 8, 2022

” She said the hospital-acquired conditions penalty program, along with other quality-improvement programs created by the ACA, feels “very ready for a refresh.” Academic medical centers say the reason nearly half of them are penalized each year is that they are more diligent in finding and reporting infections.

Medicare 136

Medicare Hospital IT Hospitals Patient Safety 136

Cloud Blogs

FEBRUARY 28, 2022

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. Microsoft Cloud for Healthcare was built with the understanding that interoperability is the cornerstone of VBC.

Integration 133

Integration Healthcare Quality of Care Regulations 133

NCQA

AUGUST 15, 2024

Medicaid Demonstration Programs. States can cover CCBHC services through Medicaid demonstration programs. Some states cover CCBHC services with additional funding outside their Medicaid program. There are more than 450 active grantees nationwide; more grants will be available in the coming years. State Funding.

Medicaid 52

Medicaid Quality Improvement Integration 52

HIT Consultant

MARCH 17, 2024

The Centers for Medicare and Medicaid Services (CMS) has outlined an ambitious objective: to transition all traditional Medicare beneficiaries into a VBC arrangement by 2030, a notable increase from the mere 7% recorded in 2021 by Bain Research. Jay Ackerman, CEO, Reveleer The momentum of value-based care (VBC) is poised to accelerate.

Quality Improvement 64

Quality Improvement Medicare Quality of Care Regulations 64

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

JULY 14, 2023

Centers for Medicare & Medicaid Services (CMS) published its home health proposed payment rule for 2024. This rewards agencies that have not invested in quality improvement programs, penalizes those that have, and makes it harder to set goals, measure progress and make any needed course corrections. —

Medicare 98

Medicare Home Care Rehabilitation Medicaid 98

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. Literature Link: Health Equity. Contact Us.

Quality Improvement 75

Quality Improvement Quality Assurance Medicare Performance improvement 75

Home Health Care

OCTOBER 28, 2022

How did you measure the quality of that data and quantify those values in a comparable and accessible way? Longo : There are nearly 11,000 home health agencies that report data to the Centers for Medicare and Medicaid Services. The data are publicly available and include the CMS star ratings.

Patient Safety 97

Patient Safety Performance improvement Quality Improvement Accountability 97