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 96

Medicaid Law Firms Medicare Home 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

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

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

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 76

Medicaid Nursing Medicare Integration 76

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

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

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

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

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 109

Home Care Medicaid Medicare Quality of Care 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

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

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. Monitor and evaluate quality improvement and outcomes and address barriers to care.

Medicaid 59

Medicaid Nursing Regulations Hospitals 59

Healthcare It News

JANUARY 10, 2023

The virtual care services will be delivered without copays, out-of-pocket costs or deductibles for families with active insurance or Medicaid coverage. WHY IT MATTERS. Andrea Fox is senior editor of Healthcare IT News. Email: afox@himss.org.

Primary Care 282

Primary Care Quality of Care Telemedicine Prevention 282

Briggs Healthcare

MAY 30, 2023

acute care hospital, long-term acute care hospital [LTAC], skilled nursing facility [SNF], inpatient rehabilitation facility [IRF]) to their home (e.g., The proposed Discharge to Home concept is distinct from existing rebalancing measures, as its sole focus is on home discharge as a signal of quality.

Medicaid 40

Medicaid Rehabilitation Quality Improvement Quality of Care 40

Briggs Healthcare

FEBRUARY 9, 2022

The Medicare and Medicaid certification of providers and suppliers in a State whose oversight process is substantially deficient may be jeopardized if CMS cannot ensure that the regulatory minimum health and safety standards have been met.

Medicaid 52

Medicaid Medicare Regulations Quality of Care 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 102

Medicare Quality of Care Nursing Medicaid 102

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

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

NASHP

MARCH 29, 2024

5 Compared to white, non-Hispanic CYSHCN, CYSHCN who are Black or Latinx are at particular risk of receiving infrequent, low-quality care, 6 while American Indian and Alaska Native CYSHCN are less likely to be able to access specialty treatment or receive culturally sensitive services.

Medicaid 125

Medicaid Quality of Care Quality Assurance Nursing 125

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 96

Quality of Care Medicaid Medicare 96

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

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 Quality of Care Prevention 98

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

Briggs Healthcare

AUGUST 14, 2023

The three domains of the SPSS for the 2023 fiscal year include: • Survey and Intake Process • Survey and Intake Quality • Noncompliance Resolution On behalf of CMS, we truly appreciate all the endless efforts to improve the health, safety and dignity of all Medicare and Medicaid enrollees. Effective Date: Immediately.

Physical Therapy 52

Physical Therapy Rehabilitation Medicaid Quality of Care 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

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

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 105

Tricare Medicaid Medicare Integration 105

Health Recovery

FEBRUARY 13, 2023

Launched over a decade ago, the Hospital Readmission Reduction Program (HRRP) is a Center of Medicare and Medicaid Services (CMS) initiative to reduce unnecessary readmissions and improve the quality of care for Medicare beneficiaries.

Hospitals 52

Hospitals Quality of Care Medicare Medicaid 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 83

Medicaid Quality of Care Accountability Patient Experience 83

HIT Consultant

APRIL 11, 2023

The RAND study published in the Journal of the American Medical Association found that in August 2022 audio-only visits still accounted for 1 in 5 primary care visits and 2 in 5 behavioral health visits among people who received care at Federally Qualified Health Centers in California.

Primary Care 96

Primary Care Medicaid Quality of Care Accountability 96

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

Briggs Healthcare

SEPTEMBER 26, 2023

Nursing homes are inspected by state surveyors for compliance with federal requirements for participation with Medicare and/or Medicaid (42 CFR 483 Subpart B). CMPs collected from nursing homes can be reinvested to improve the quality of care and quality of life of nursing home residents (per 42 CFR 488.433).

Nursing 52

Nursing Quality of Care Medicaid Telemedicine 52

HIT Consultant

FEBRUARY 13, 2023

Tom Wriggins, Principal Industry Advisor at SAS John Maynard, CPA, CFE, AHFI Principal Solutions Architect at SAS In 2022, the Center for Medicare and Medicaid Services (CMS) established health equity as a pillar of its future work. Health outcomes and Medicaid program integrity Health outcomes are a function of the quality of care.

Patient Safety 52

Patient Safety Medicaid Integration Medicare 52

Healthcare ECONOMIST

AUGUST 17, 2021

For years, Medicare and other payers have used quality measures to evaluate the quality of care patients receive at various types of providers settings (e.g., For some payers, higher quality scores/higher star ratings lead to direct increases in reimbursement through a value-based purchasing arrangement.

Quality of Care 80

Quality of Care Measurable Quality Patient Experience Medicare 80

Home Health Care

SEPTEMBER 3, 2022

The study from RAND Corporation, a nonprofit research organization, looked at 15 different quality measures from patients on MA plans during 2016 and 2017 and found that the quality of care was only slightly better when compared to plans that didn’t have any monthly premiums.

Medicare 117

Medicare Quality of Care Accountability Medicaid 117

Briggs Healthcare

MARCH 3, 2022

CMS issued this Press Release on Wednesday, March 2, 2022: During President Biden’s first year in office, CMS has worked to expand health care coverage to a record 14.5 CMS is proud to be leading the President’s new initiative to improve the safety and quality of care at the nation’s nursing homes.

Quality of Care 98

Quality of Care Nursing Medicaid Healthcare 98