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 83

Medicaid Home Care Quality of Care Medicare 83

Home Health Care

MAY 25, 2023

Centers for Medicare & Medicaid Services (CMS) recently published two proposed rules that have major implications for home-based care providers. The provision may also lead to providers dropping Medicaid services. “As Wolfe believes that even providers that don’t work under Medicaid could see the impact of this provision.

Medicaid 98

Medicaid Law Firms Medicare Home Care 98

p3care

DECEMBER 10, 2020

Not only that, but it determines the quality of care within hospitals, practices, and clinics should meet certain standards. The quality category replaced the PQRS (Physician Quality Reporting System) and reflects the efforts to improve the quality of care. Improvement Activities (IA).

Quality of Care 246

Quality of Care Medicare Quality Improvement Medicaid 246

Home Health Care

MARCH 21, 2025

Their offerings include Alzheimers and dementia care, fall prevention, meal preparation, respite care, medication management and post-operative care. They accept clients through private pay, Medicare, and Medicaid. We ensure high-quality service by conducting in-home client assessments,” she stated.

Nursing 95

Nursing Quality of Care Home Care Medical Services 95

NASHP

MARCH 14, 2022

Strengthening Care for People with Serious Illness Seven Steps for Building a Community-Based Palliative Care Benefit Within Medicaid. People with complex or life-threatening conditions often need extra support to manage symptoms and make critical decisions about their care and quality of life. March 14, 2022.

Medicaid 94

Medicaid Rehabilitation Quality Assurance Patient Experience 94

Healthcare It News

MARCH 30, 2022

With the temporary flexibilities from HHS and the Centers for Medicare and Medicaid Services, as well as the impact of the pandemic on telehealth use, we really wanted to kind of do a deep dive and to see, "OK, how many beneficiaries are using telehealth?

Medicare 286

Medicare Medicaid Integration Quality of Care 286

NCQA

APRIL 1, 2025

State Discussion: Defining Quality for Virtual Care Wednesday, April 16, 2:30 pm ET This webinar is for state government professionalsespecially those working in state Medicaid programsand provides insights on leveraging virtual care in your state while ensuring quality and consistency for patients.

Medicaid 52

Medicaid Quality of Care Patient Experience 52

Home Health Care

JANUARY 17, 2025

“At Choice, this acquisition is the culmination of the search for a private-duty platform to complement both our health care services and Medicaid personal care arm, Choice CEO David Jackson told Home Health Care News.

Rehabilitation 84

Rehabilitation Nursing Integration Quality of Care 84

Home Health Care

NOVEMBER 7, 2024

Jacobsmeyer also commented on the Centers for Medicare & Medicaid Services (CMS) final home health payment rule, which was released last week. We remain committed to providing our strong quality of care to United Healthcare members, if at some point they decide to contract with acceptable rates.”

Medicare 109

Medicare Quality of Care Medicaid Hospitals 109

Home Health Care

DECEMBER 20, 2024

In response to hospital capacity challenges brought on by the COVID-19 pandemic, the Centers for Medicare & Medicaid Services (CMS) collaborated with external experts to create the Acute Hospital Care at Home (AHCAH) initiative. This initiative will expire on Dec. 31 unless Congress extends it.

Hospitals 52

Hospitals Patient Experience Quality of Care Medicare 52

NASHP

OCTOBER 2, 2023

To address the housing needs of Medicaid beneficiaries, states can leverage a variety of Medicaid authorities, including through the state plan, a variety of waivers, and managed care arrangements, to cover housing-related services under state Medicaid programs.

Medicaid 72

Medicaid Performance improvement Nursing Integration 72

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). Based on the success of the original model, the U.S.

Medicare 74

Medicare Hospitals Quality of Care Nursing 74

p3care

FEBRUARY 10, 2021

From the next performance year (2021), Accountable Care Organizations (ACOs) expect different reporting requirements under the Medicare Shared Savings Program. CMS (Centers for Medicare and Medicaid Services) has recommended changes for ACO reporting criteria. Quality of Care by ACOs.

Medicare 246

Medicare Accountable Care Accountability Medicaid 246

NASHP

APRIL 20, 2023

State Medicaid agencies are taking proactive steps to ensure quality of care and access to behavioral health services. After New Hampshire determines how much of the withheld funds MCOs earn in a category, the Medicaid agency uses any unearned funds to create an incentive pool for that category.

Medicaid 96

Medicaid Quality Improvement Quality of Care Integration 96

Home Health Care

MARCH 31, 2025

During the conversation, Francis also discussed the strategy behind Pansy Homecares current payer mix, why Medicaid funding cuts could keep patients from receiving care and much more. However, over those years, our census for the Medicaid waivers has continued to dwindle down purposely here in Connecticut. Why or why not?

Home Care 52

Home Care Medicaid Quality of Care 52

Home Health Care

JANUARY 8, 2025

As data becomes more abundant, how will this transparency affect research and the establishment of best practices in home care? When the Centers for Medicare & Medicaid [Services] waiver was first launched in November 2020, only six hospitals operated under the federal waiver. This can significantly improve the quality of care.

Hospitals 100

Hospitals Quality of Care Integration Home Care 100

HIT Consultant

JANUARY 27, 2025

These improvements span internal and customer-facing operations at payers, care delivery organizations, and government entities such as the Centers for Medicare & Medicaid Services and public hospitals. According to McKinsey , advancements in AI, GenAI, could transform the healthcare industry by boosting operational efficiencies.

Healthcare 99

Healthcare Life Sciences Pharmaceuticals Public Hospital 99

NCQA

APRIL 15, 2025

Medicaid HMO rates increased by 40% from 2001 to 2023. NCQAs HEDIS measure for chlamydia screening shows how quality measurement and reporting can raise awareness and shift patterns of care delivery, says NCQAs Tejal Patel, Senior Research Associate, Population Health. Commercial HMO rates increased by 111% from 2001 to 2023.

Prevention 89

Prevention Clinical Practice Quality Improvement Population Health 89

NCQA

NOVEMBER 15, 2024

About Health Plan Ratings and Public Comment NCQA’s Health Plan Ratings evaluate the quality of care provided by commercial, Medicare Advantage and Medicaid health plans. NCQA seeks comments on proposed measure changes for: 2025 Health Plan Ratings, using results from HEDIS Measurement Year 2024.

Quality Assurance 52

Quality Assurance Medicaid Medicare Quality of Care 52

HIT Consultant

JUNE 7, 2024

What You Should Know: – Pediatrics Associates , the leading private pediatric primary care group in the US, has partnered with Innovaccer Inc., – The collaboration aims to leverage AI and data analytics to improve the quality of care for Pediatrics Associates’ over 1.5 million patients across 7 states.

Quality of Care 52

Quality of Care Population Health Primary Care Medicaid 52

p3care

JULY 2, 2023

Centers for Medicare & Medicaid Services (CMS) Promoting Interoperability (PI) Programs Merit-based Incentive Payment System (MIPS) Third-party ONC-Authorized Certification Bodies (ONC-ACBs) ONC-ACBs are authorized by the ONC to evaluate health IT solutions. Afterward, they implement strategies to enhance the quality of care they deliver.

Performance improvement 237

Performance improvement Healthcare Providers Quality of Care Integration 237

NCQA

JUNE 28, 2024

The Centers for Medicare & Medicaid Services (CMS) recently announced two major updates to Medicaid regulations. This blog will delve into their significance and key policy implications for states and managed care organizations (MCO). Ensure Payment Adequacy for HCBS Direct Care Workers.

Medicaid 59

Medicaid Regulations Care Transition Primary Care 59

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

p3care

MAY 31, 2024

Performance Improvement ACOs do not restrict themselves to certain defined goals instead, they take a holistic approach focusing on overall patient outcomes, cost efficiency, and quality of care. This becomes a specific reason for comprehensible improvements in patient care.

Quality of Care 130

Quality of Care Doctors Medicare Patient Experience 130

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

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 110

Home Care Medicaid Quality of Care Prevention 110

Home Health Care

JUNE 17, 2024

This article is a part of your HHCN+ Membership The Medicaid Access Rule has been heralded by home care providers as a mostly good rule with one misguided piece: the 80-20 provision. Billing rates have already soared in private-pay home care since the COVID-19 pandemic, which has forced providers to get creative.

Home Care 113

Home Care Medicaid Medicare Quality of Care 113

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

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

Home Health Care

OCTOBER 27, 2023

Centers for Medicare & Medicaid Services (CMS) that evaluated the first six years of HHVBP before the national expansion at the beginning of 2023. The HHVBP Model was implemented to incentivize home health agencies to improve the quality of care they provide to Medicare beneficiaries.

Medicare 111

Medicare Quality of Care Nursing Medicaid 111

Sheppard Health Law

OCTOBER 27, 2022

On October 21, 2022, the Centers for Medicare and Medicaid Services (CMS) announced changes to its Special Focus Facility (SFF) program, including new steps to address nursing home facilities that fail to graduate from the SFF program in a timely manner, or “yo-yo” back into non-compliance after graduating from the SFF program.

Medicaid 96

Medicaid Nursing Medicare Quality of Care 96

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

Home Health Care

OCTOBER 4, 2022

If the home health payment rule for 2023 is finalized by the Centers for Medicare & Medicaid Services (CMS) as proposed, it will likely affect quality of care. This article is a part of your HHCN+ Membership. There are a few reasons why. . Sign up for HHCN + to read this exclusive content.

Quality of Care 98

Quality of Care Medicaid Medicare 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. California does cover skilled nursing facility care in its MLTSS program, but most personal care services (in-home supportive services) are provided under FFS.

Medicaid 75

Medicaid Nursing Medicare Integration 75

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

NOVEMBER 6, 2023

The reality of the funding aspect of Medicaid does not make it easy to run a business and to serve all the people that need to be served,” Mollie Gurian, VP of home-based and HCBS policy at LeadingAge, said at the organization’s annual conference in Chicago on Monday. In managed care, many providers don’t have a voice.

Medicaid 109

Medicaid Quality of Care Regulations Medicare 109

Sheppard Health Law

NOVEMBER 15, 2021

The report stems from a survey of Medicaid directors from 37 states and relevant stakeholder interviews, providing insight into states’ telehealth oversight efforts as of January and February 2020, before the expansion of telehealth due to the COVID-19 pandemic.

Medicaid 52

Medicaid Quality of Care Medicare 52