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 87

Medicaid Law Firms Medicare Home Care 87

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

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

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 67

Medicaid Home Care Quality of Care Medicare 67

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

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

DECEMBER 26, 2024

Centers for Medicare & Medicaid Services (CMS) has laid out an action items timeline for the transition to all-payer Outcome and Assessment Information Set (OASIS) data collection and submission. This means non-Medicare and non-Medicaid payer sources, as well as individuals who self-pay.

Medicaid 104

Medicaid Medicare Quality of Care 104

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

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 239

Medicare Medicaid Integration Quality of Care 239

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

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

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

Home Health Care

NOVEMBER 15, 2024

It would also require the Secretary of Health and Human Services to move to establish national quality standards of care for these services. The care provided by continuous skilled nursing allows patients to remain at home while getting the care they need,” Hassan said in an April press release.

Nursing 96

Nursing Quality Improvement Home Care Medicaid 96

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

Sheppard Health Law

FEBRUARY 12, 2024

HRSN Initiatives : In the interest of increasing the accessibility and quality of care to address HRSN, the Demonstration Amendment seeks to improve integration between primary care providers and community-based organizations. Medicaid Hospital Global Budget Initiative CMS authorized up to $2.2

Medicaid 52

Medicaid Primary Care Hospitals Integration 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 Prevention Medicare 52

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

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

Health Populi

JUNE 23, 2023

adults rate of uninsurance are highest in the states where Governors did not expand Medicaid, which are states indicated by the orange bars. This bar chart illustrates that U.S. Among other factors contributing to some U.S. This day marks the one-year anniversary of the overturn of Roe v.

Healthcare 133

Healthcare Medicaid Prevention Quality of Care 133

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

HIT Consultant

OCTOBER 18, 2023

What You Should Know: – Waymark , a San Francisco, CA-based Medicaid provider enablement company raises $42M in new financing to scale technology-enabled, community-based care for primary care providers and their patients enrolled in Medicaid programs.

Medicaid 52

Medicaid Primary Care Quality of Care Hospitals 52

Healthcare ECONOMIST

JULY 18, 2022

commercial payers, state Medicaid agencies) to participate in EOM–the latter through multi-payer agreements. Like OCM, under EOM physicians are paid an additional monthly fee to provide coordinated care to their cancer patients. [Note: Yes, there is a 1 year gap between the end of OCM and the start of EOM].

Medicaid 98

Medicaid Quality of Care Accountability Patient Experience 98

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 94

Home Care Medicaid Medicare Quality of Care 94

HIT Consultant

FEBRUARY 9, 2023

Czekai, MPH, VP of Strategic Partnerships at Cohere Health The Centers for Medicare & Medicaid Services (CMS) recently proposed a new rule to advance interoperability and improve the prior authorization (PA) process for Medicare and Medicaid patients. Electronic PA is surely a good starting point, but it is not enough.

Medicaid 98

Medicaid Medicare Quality of Care Patient Experience 98

NASHP

NOVEMBER 8, 2024

A growing trend in state health policy is developing capitated managed care programs to provide long-term services and supports (LTSS) to Medicaid beneficiaries who are older and/or have disabilities. which serves children, pregnant women, and adults, and CCC+ — into one program called Cardinal Care.

Medicaid 52

Medicaid Nursing Quality Improvement Accountability 52

HIT Consultant

NOVEMBER 7, 2024

Jeff Geier, Cyber Security Leader at Pivotalogic California’s bold new CalAIM Medicaid transformation program is restructuring what partnership for health looks like across the state. By integrating medical and social care, the full spectrum of a patient’s needs can be better addressed, leading to a more effective healthcare ecosystem.

Medicaid 52

Medicaid Integration Quality of Care Healthcare Innovation 52

Home Health Care

OCTOBER 18, 2022

The taxpayer dollars that fund Medicare and Medicaid are meant to support the delivery of health care services most suitable for beneficiaries,” Mike Stapleton, acting special agent in charge at the U.S. The Oklahoma City-based home health provider Carter Healthcare will pay $22.9

Tricare 103

Tricare Medicaid Medicare Integration 103

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

NCQA

JUNE 27, 2023

More states are contracting with managed care organizations (MCO) to provide Medicaid long-term services and supports (LTSS). How do we know if MCOs are delivering equitable, high-quality care to people receiving LTSS? The post How We Help Medicaid & Long-Term Services and Supports appeared first on NCQA.

Medicaid 52

Medicaid Care Transition Quality Improvement Regulations 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 86

Quality of Care Medicaid Medicare 86

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 84

Home Care Medicaid Quality of Care Prevention 84

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. million Medicaid enrollees.

Primary Care 64

Primary Care Medicaid Accountability Quality Improvement 64

Healthcare It News

APRIL 28, 2022

Magnolia Regional is dedicated to empowering its providers with innovative technologies that support their ability to provide the highest quality of care to patients.

Hospitals 207

Hospitals Medicare Primary Care Quality of Care 207